Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Advocates urge state insurance regulators to scrutinize mergers

With worries that the proposed mergers of major health insurance companies are going to be bad news for consumers, some are urging state insurance regulators to carefully scrutinize those plans.  

Experts call for reform of global infectious disease protocols

Over a year after fears of the West African Ebola epidemic gripped the U.S. healthcare epidemic, a panel of experts called for far-reaching reforms in how public health organizations handle the threat of infectious disease.

Proposed ACA marketplace reforms address consumer, insurer concerns

Seeking to improve the experience of consumers and health insurers alike, the federal government has proposed a host of reforms for the Affordable Care Act marketplaces.

Value-based purchasing scores remain volatile

Data from Medicare's value-based purchasing program contain broad variations and few clear patterns, according to a new report from Leavitt Partners, and the report's author says it may take solutions such as a separate program for low-volume hospitals or combining Medicare's care-quality programs to achieve meaningful improvements.

How a BYOD policy can help a hospital's bottom line

Bring-your-own-device strategies can help healthcare providers avoid the costs of giving mobile devices to all staffers, as well as costs related to training employees on such tools, according to Gerard Nussbaum, director of technology services at management consulting firm Kurt Salmon.

CMS will seek ways to make up for risk corridor shortfall

A new memo from the federal government emphasizes that it intends to find a way to make up for future shortfalls in the Affordable Care Act risk corridor program.

CMS proposal discourages PSA testing by linking it to quality

The Centers for Medicare & Medicaid Services is proposing to tie physicians' recommendations for screenings for the prostate-specific antigen for non-recommended patients to their quality scores.

Many solutions proposed for opioid epidemic, but no easy answers

Few physician practices have escaped the implications of substance addiction--a public health crisis so prevalent that it afflicts nearly 10 percent of Americans during some point in their lives, according to new research published in  JAMA Psychiatry..

Why docs won't hang up their white coats

Considering all the details that go into the practice of medicine, what clinicians wear to work has garnered a significant amount of attention and controversy. At the center of the wardrobe debate: the doctor's white coat. While the coat has evolved into a symbol of professionalism, the notion that the coats undermine infection control has led some physicians to hang them up, according to an article from The Boston Globe.

Aetna's Mark Bertolini, Cigna's David Cordani weigh in on mergers, drug costs

Though they are both pursuing mergers with other companies, Cigna CEO David Cordani and Aetna CEO Mark Bertolini recently expressed very similar ideas about the benefits of health insurer consolidation and the importance of shifting to value-based payment models.