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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Industry groups oppose proposed myocardial PET cuts

When CMS released the 2020 Medicare Physician Fee Schedule (MPFS) proposed rule, it included revisions that could lead to technical component payment reductions of up to 80% for certain services related to myocardial PET scans.

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CMS proposes expanding national coverage indications for remote BP monitoring

CMS proposed to expand reimbursement for ambulatory blood pressure monitoring (ABPM) to patients with suspected masked hypertension while continuing to cover it for those with white coat hypertension.

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After pricing pushback, Eli Lilly will sell a half-price insulin drug

Drug manufacturer Eli Lilly plans to offer a half-priced version of its insulin medication Humalog, the company announced March 4.

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Erlanger Health System’s stroke program in danger after contract dispute with radiology group

A contract dispute between Chattanooga, Tennessee-based Erlanger Health System and Tennessee Interventional and Imaging Associates (TIAA) is threatening to upend the hospital’s premiere stroke program, according to documents obtained by the Times Free Press.

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As insulin prices rise, managing diabetes becomes more expensive

The average annual cost of managing type 1 diabetes has skyrocketed, with the rising cost of insulin being a main contributor, according to a new issue brief from the Health Care Cost Institute.

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RVUs vs. TVUs: Are Time Value Units a Fairer Way to Measure Productivity?

As healthcare shifts from fee-for-service to value-based payment models, practices are experimenting with different ways to measure physicians’ contributions to their practices. Will time value units (TVUs) one day replace relative value units (RVUs)?

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WSJ: Stryker eyes takeover of Boston Scientific to form $110B company

Stryker approached Boston Scientific with a takeover bid on Monday, June 11, according to the Wall Street Journal.

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Medicare now covers non-invasive peripheral artery disease treatment

Medicare now covers a supervised exercise therapy for peripheral artery disease (PAD), according to CMS, a decision that will likely result in other insurers following this example.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

 

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

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