Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

State's deal with Blue Shield of California angers consumer advocates

A state agency has approved Blue Shield of California's controversial $1.2 billion acquisition of Care1st, a Medicaid health plan, but consumer advocates are critical of the deal's failure to resolve other outstanding complaints against the company, the  Los Angeles Times  reports.  

How to improve the delivery of charity care services

The Hamilton Project, an economic initiative of the non-profit Brookings Institution, proposes a plan to allow states to set a charity care "floor"--the minimum percentage of a hospital's expenses that can be dedicated to charity care. States would also set an income cutoff where charity care provisions cannot count toward hospital expenses. 

Lawmakers at impasse on measure to halt Medicare premium hike

​Leading Democrats say House Speaker John Boehner (R-Ohio) must accept the blame if Congress fails to prevent a sharp increase in Medicare premiums for certain beneficiaries next year, according to  The Hill.  

Docs accused of using EHR to steal patients

Valley Children's Hospital in Madera, California has filed a suit against pediatric lung specialists, claiming they wrongfully accessed patient records in order to lure them away.

Obama signs law to halt small-group market expansion

President Barack Obama has officially signed a bipartisan-supported law to amend an Affordable Care Act provision that some warned would lead to health insurance premium increases and harm small businesses, the Associated Press reports. 

With final interoperability roadmap, ONC aims to put plans into action

The Office of the National Coordinator for Health IT published the final version of its interoperability roadmap, a document that National Coordinator Karen DeSalvo called the culmination of "six years of success in adopting electronic health records," as well as of actions on the part of the federal government.

Are kickbacks inherent to doc hospital employment?

Adding to a growing chorus of concerns about the relationship between doctors and hospitals, a Florida whistleblower argues that hospitals have a pattern of violating anti-kickback laws with formerly independent physicians, according to Kaiser Health News.

3 ways to make insurance coverage of health IT more cost-effective

New technology is making a big impact on the healthcare industry, and health insurance plans now are pressed to cover nearly every medical innovation, according to a new discussion paper from The Hamilton Project, which offers suggestions for how to encourage the development of medical tools that offer the best value for the money.

Physician practices see post-ACA revenue growth

Physicians have experienced revenue growth in the wake of the Affordable Care Act, according to a new issue brief from the Robert Wood Johnson Foundation. Surprisingly, the effect was more pronounces among states that did not expand Medicaid eligibility

Survey reveals what the best, worst states to practice share in common

For nearly a decade, Physicians Practice has ranked the best states to practice, using an algorithm that weighs factors including cost of living, physician density, disciplinary actions taken against physicians, tax burden per capita, malpractice paid loss and reimbursement compared to the cost to treat patients.