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. 

Increasing Medicaid coverage eligibility doesn’t affect access to care, use of ED services

Expanding the number of individuals eligible for Medicaid coverage does not erode perceived access to care or increase use of emergency services among adult Medicaid enrollees, according to a study published online April 7 by JAMA Internal Medicine. 

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Dollars and sense

After years of debate, CMS finally released Medicare payment data for approximately 880,000 physicians, and the exercise in transparency could spur an interesting conversation.

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Budget bluster

The White House’s 2015 budget, unveiled last week, had a familiar ring to it with regard to how it deals with medical imaging. If passed, it would allow CMS to require prior authorization for advanced imaging through radiology benefit managers (RBMs).

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Transparency in Healthcare: When Patients Act More Like Shoppers Than Sheep

Patients are shopping around and calls for pricing transparency are growing louder throughout healthcare, including imaging.

Rads should anticipate payment changes with PPACA

New payment models in Medicare and Medicaid programs under the Patient Protection and Affordable Care Act (PPACA) will redefine the way that radiologists are paid, requiring them to demonstrate safe and efficient imaging, according to an article published online Jan. 21 by the Journal of the American College of Radiology. 

AdvaMed Applauds Restoration of FDA User Fees in FY 2014 Appropriations Bill

Stephen J. Ubl, president and CEO of the Advanced Medical Technology Association (AdvaMed), issued the following statement today following the release of the federal government’s fiscal year 2014 omnibus appropriations legislation: “AdvaMed applauds the FY 2014 appropriations omnibus legislation for restoring $85 million in industry-provided user fees that were lost to FDA in FY 2013 due to the sequester."

MITA Applauds Congress for Agreement on Omnibus Spending Bill that Restores Sequestered User Fees

The Medical Imaging & Technology Alliance (MITA) today applauded Congressional leaders for agreeing on a $1.1 trillion omnibus spending package that will fund the federal government through the end of September 2014, increase funding for the Food and Drug Administration (FDA), and restore $85 million in funding lost last year due to the sequestration of FDA user fees.

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Imaging utilization regional variation lower than other major services

Regional variation in the utilization of imaging was discovered to be considerably less than regional variation in standardized costs and the variation in use of other major service categories for Medicare beneficiaries from 2007 to 2011, according to a study published in the January 2014 issue of the Journal of the American College of Radiology. 

Around the web

Positron, a New York-based nuclear imaging company, will now provide Upbeat Cardiology Solutions with advanced PET/CT systems and services. 

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.