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Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Rule change enables e-prescribing of all controlled substances nationwide

All controlled substances now legally can be electronically prescribed in any state, nationwide, after Vermont enacted updated administrative rules on Aug. 28.

Small-group market rules change may be GOP's best chance to alter ACA

In the wake of the Supreme Court's ruling to uphold federal Affordable Care Act subsidies, Republicans have labored to decide on their next move to repeal or at least chip away at the ACA.  

Insurers could face fines for selling Medigap plans

A new law from the Obama administration will prohibit health insurance companies from selling Medicare supplement plans, or Medigap plans, that help consumers pay their Medicare Part B deductibles. And if an insurer breaks the law, the fine will not be cheap.

GOP lawmakers gear up to fight Cadillac tax

As employers and insurers brace for the effects of the controversial Cadillac tax, Republican lawmakers are preparing to fight the provision once Congress is back in session.

Improved hand hygiene means stricter monitoring, concrete penalties

Encouraging hand hygiene among hospital employees is a top priority in the healthcare industry, but improving it may require closer monitoring and the threat of penalties for non-compliance.

Three Minnesota insurers oppose UCare's bid for second chance at contract

Three Minnesota-based health insurers--Blue Plus, HealthPartners and Medica--hope that a county judge denies rival insurer UCare's bid for a second chance at business through a public health insurance contract. 

CMS names William Rogers ICD-10 ombudsman

Emergency room physician William Rogers, who currently serves as director of the Physicians Regulatory Issues Team at the Centers for Medicare & Medicaid Services, was announced Thursday as the agency's ICD-10 ombudsman.

Medicare ACOs saved $411M in 2014, but few earned bonuses

Medicare accountable care organizations generated $411 million in total savings in 2014, but few of the Pioneer and Medicare Shared Savings Program ACOs qualified for bonuses in the second year results of the program, according to the latest data from the Centers for Medicare & Medicaid Services. But the financial metrics only tell some of the story, according to ACO leaders interviewed this morning. 

5 steps to an effective hospital CEO apology

Hospital chief executive officers, take note: If you ever need to apologize for corporate wrongdoing, it's best you look sad while you say you're sorry, according to a new study published in the September 2015 issue of Organizational Behavior and Human Decision Processes.

The crucial question for Republicans' ACA replacement plans

Now that Republican presidential candidates are beginning to detail their plans to replace the Affordable Care Act, the most important question they must answer is how they'd protect individuals with pre-existing conditions, argues an opinion piece from  Bloomberg.