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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Proposed Medicare cut will reduce RadNet’s revenues by upward of $8M in 2025

"Our experts believe there’s a high probability that the final rule governing next year's Medicare payments will be less severe than the current proposal," CFO Mark Stolper told investors.  

Dana Smetherman, MD, ACR CEO, explains AUC may be better than prior authorizations.

ACR CEO discusses solution to fight burdensome prior authorizations in medical imaging

Dana Smetherman, MD, MBA, outlines a possible remedy for the growing number of these roadblocks in the specialty. 

artificial intelligence

FDA adds dozens of AI-enabled radiology applications to list of clearances

Around two-thirds of all approved artificial intelligence-powered clinical devices are catered to radiology settings.

CMS may double Medicare payments for cardiac CT

The agency is gathering feedback on a proposal to double the amount hospitals are paid for coronary computed tomography angiography, with the comment period ending Sept. 9.

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ACR urges Congress to address ‘suboptimal’ Medicare local coverage determination process

The college's concerns came in response to a recent RFI from U.S. Reps. Diana DeGette, D-Colo., and Larry Bucshon, MD, R-Ind., on ways to modify healthcare policy. 

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Radiology AI triage solution earns separate, additional Medicare hospital payment

The Centers for Medicare & Medicaid Services revealed the news under the 2025 Inpatient Prospective Payment System rule released on Aug. 1

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Appeals court notches radiology another win in fight to fix No Surprises Act

The Radiology Business Management Association on Tuesday praised the ruling, calling it a “significant victory for patients and providers.” 

Bharath Krishnamurthy, a director of health policy and analytics at the American Hospital Association (AHA), factors that are leading to instability the U.S. healthcare system. #AHA #AmericanHospitalAssociation #CMS #Healthcare

Challenges to the financial stability of the American healthcare system

Bharath Krishnamurthy, director of health policy and analytics, American Hospital Association, explains factors leading to the economic instability of the U.S. healthcare system. 

Around the web

After reviewing years of data from its clinic, one institution discovered that issues with implant data integrity frequently put patients at risk. 

Prior to the final proposal’s release, the American College of Radiology reached out to CMS to offer its recommendations on payment rates for five out of the six the new codes.

“Before these CPT codes there was no real acknowledgment of the additional burden borne by the providers who accepted these patients."

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