Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

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Experts detail how recent Medicare Physician Fee Schedule changes impact radiology

With the recent adjustment, the conversion factor is now 1.77% lower than it was in 2023, at $33.2875, consulting firm Healthcare Administrative Partners notes. 

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Imaging’s total share of US healthcare spending plummets as others record gains

The percentage of patients who received imaging services also declined from 46% in 2010 down to 40% by 2021, experts wrote in Health Affairs Scholar

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Radiology the only category to see year-over-year decrease in insurers’ max allowed amount

Transparency firm Fair Health recently analyzed data around this key figure, which represents the highest amount a plan will pay for a covered service. 

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Radiologists voice support for lawsuit against Biden administration

The American College of Radiology, American College of Emergency Physicians and American Society of Anesthesiologists want a court of appeals to uphold a recent ruling. 

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Nearly 15% of claims submitted to private payers are initially denied

Private payers eventually overturned more than half of denials, with the claims paid, but only after “multiple, costly rounds of provider appeals.” 

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Change Healthcare reaches ‘important’ step in resumption of services after cyberattack

To aid in this transition, Change owner UnitedHealth Group has advanced more than $2 billion in payments through multiple initiatives. 

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Proposed class action lawsuit accuses radiology practice of failing to protect patient information

Attorneys allege Eastern Radiologists failed to implement the proper protections that would have kept hackers from capturing nearly 890,000 patients’ data. 

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Doctors form new coalition focused on reducing private equity’s role in cardiology, other healthcare specialties

More than 5,000 U.S. physicians joined forces to launch the new group. They say they are focused on limiting private equity's involvement and influence in healthcare. 

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.