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Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Supreme Court rules against health plan in injured-beneficiary case

In a decision handed down Wednesday, the Supreme Court ruled against a health insurance plan that sought to recover medical expense payments from a member who had won money in court to cover his injury-related costs.  

Oregon's coordinated care organizations cut ER use, chronic condition admissions

Oregon's 16 coordinated care organizations have continued to generate positive results, cutting admissions and emergency department use for numerous costly conditions, according to a report from the Oregon Health Authority.

Nurses at risk: Most don't comply with standard precautions for blood-borne pathogens

A new study raises troubling concerns that ambulatory care nurses fail to comply with standard precautions intended to protect them from blood-borne pathogens.

Supreme Court rejects case challenging Affordable Care Act

The Supreme Court has declined to hear another case challenging the Affordable Care Act, denying a petition for a writ of certiorari in the case of  Sissel v. Department of Health and Human Services.

U.S. physicians push to regain control of how they practice medicine

The recent and historical strike among junior doctors in England may seem unlikely to occur in the United States, but American doctors are waging battles of their own over issues that are fundamentally similar, according to an article from  Fortune.

CMS outlines changes to special enrollment period rules

The federal government has made good on its pledge to tighten the rules for the Affordable Care Act's open enrollment periods amid health insurers' complaints about customers gaming the system.  

New guidelines remove barriers between patients and their medical records

The move to electronic health records makes it easier to share information among doctors and throughout an industry that sees value in the use of patient-generated health data, but privacy-preserving restrictions have made it increasingly difficult for patients to get their hands on their own information. The situation has gotten so frustrating for patients that the federal government is now stepping in to remove barriers keeping them from gaining access to their records, according to an article in the  New York Times.

House Republicans press HHS about Affordable Care Act funding

Two House Republicans say they might subpoena Department of Health and Human Services Secretary Sylvia Mathews Burwell for what they say is the misuse of Affordable Care Act funds.  

FDA gives approval to Olympus duodenoscope's modified design

The Food and Drug Administration has cleared Olympus' modified design and labeling of its TJF-Q180V duodenoscope that was linked to a superbug outbreak. 

Courts may ultimately decide debate over mandatory wellness programs

Employee wellness programs started off being voluntary with participants perhaps saving a few hundred dollars for agreeing to tests that measure health indicators such as blood pressure, body-mass and cholesterol. But now wellness programs are becoming more mandatory than they are voluntary, and some companies have gone a step further to deny health benefits completely for those who do not participate, according to a  Bloomberg Business  report.