Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

House unveils details of permanent SGR fix, but hurdles remain

Congressional leaders this week released details on their bipartisan plan to permanently repeal the unpopular Sustainable Growth Rate formula.

Payers, regulators could smooth path to value-based payments

Despite the promise of lower costs and better care that value-based payment systems bring, medical providers need more help transitioning to these alternative payment models, according to a new study conducted by Rand Corp. on behalf of the American Medical Association.

Why healthcare providers can't back down on SGR repeal

While there is no guarantee it will pass, there is hope that lawmakers' latest proposal to repeal the Sustainable Growth Rate formula will succeed. As with past attempts to do away with the formula, the $210 billion price tag, only $70 billion of which would be offset, is the key hurdle that may prevent Congress from passing the legislation, according to  FierceHealthFinance.

Premier Inc. CEO: Hospitals should employ 'quality cycle management'

As healthcare experts debate which measures best reflect healthcare quality, Premier President and CEO Susan DeVore has a suggestion: hospitals should use the same methodology they use for their finances.

Secretive Blue Shield of California acquisition faces scrutiny

Blue Shield of California is in deep water again. The nonprofit insurer-- which as of last week no longer holds its tax-exempt status in the state of California--is now refusing to disclose how much it will spend to acquire Monterey Park-based insurance company Care1st.

The readmissions-superuser fix: Help patients before they become sick

To prevent readmissions among so-called hospital super-users or frequent fliers, some healthcare providers take on initiatives that address the complex social factors that cause patients to seek care in hospitals, according to the  New York Times.

Why healthcare quality measures don't go deep enough

As the healthcare industry debates which quality measures are the most meaningful, one expert told the Wall Street Journal that the problem with current benchmarks is that they focus on what is easy to assess rather than what matters most to patients.

Payers need sophisticated tools to fight off cyberattacks

Lisa Gallagher, vice president of technology solutions at HIMSS, told  FierceHealthPayer  in an interview that "we need to have clearer sources of actionable threat data so we can detect the threat and understand the motivation behind why people are coming after certain types of data." 

AHA calls for changes in hospital readmission penalties

The American Hospital Association has joined those who want to alter the Hospital Readmissions and Reduction Program to avoid penalizing facilities for readmission factors beyond their control.  

Appliances used to clean superbug-linked scopes may be flawed

​Issues with a high-tech appliance called an automated endoscope reprocessor may bear a large portion of the blame for a superbug outbreak that has killed and sickened patients in hospitals across the country and left the government scrambling to update its regulations for reusable medical devices.