Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

ACA to terminate coverage for 200,000 over residency dispute

The Obama administration is terminating Affordable Care Act coverage for some 200,000 individuals who have not proved they are legally living in the United States. Coverage for those who signed up in...

Improved public policy essential to HIT innovation

The ecosystem that supports innovation in the health IT industry is facing a crisis and improved public policies are vital to maintain American leadership in the area, according to an article published this week in the  Health Affairs Blog.

GAO: CMS not doing enough to limit Medicaid third party liability

Close to 8.5 million Medicaid beneficiaries also have private insurance, according to a recent Government Accountability Office report, and state efforts to therefore ensure that Medicaid is the "payer of last resort" would benefit from additional federal action.

Report estimates lower costs for ICD-10 implementation

ICD-10 implementation costs for small physician practices are significantly lower than  estimates touted by the American Medical Association this time last year, according to survey results published this week in the  Journal of the American Health Information Management Association.

Why the Anthem data breach won't be the industry's wakeup call

There's been a flurry of activity in reaction to the  cyberattack on Anthem, the largest reported healthcare data breach in history, with information for up to 80 million customers compromised. Several class-action lawsuits already have been filed. The National Association of Insurance Commissioners has launched an investigation. People are calling for mandatory encryption of electronic patient protected health information in EHRs and elsewhere. Pundits are claiming that this breach will finally serve as the healthcare industry's wakeup call to better protect patient data, particularly from cyberattacks. Maybe. I'd like it to be. But it won't.

You may not know it all, but you are an expert

If you ask me, being well-versed in your own challenges, goals and lessons learned in hindsight makes each and every one of you an expert. 

ONC budget request sends a strong message about the growing importance of health IT

Federal health information technology efforts received a proverbial shot in the arm last week when President Obama unveiled his proposed budget for FY2016 last week.

St. Luke's loses appeal on physician acquisition case

The Ninth Circuit today upheld a District Court ruling that found St. Luke's Health System in Idaho violated antitrust laws when it purchased the state's largest independent physician's practice.

Competition pushes physicians to overprescribe antibiotics, researchers say

While the growing problem of antibiotic resistance threatens lives and economies worldwide, prescription rates are higher in U.S. regions that are more physician-dense, particularly in areas where retail and other walk-in clinics drive competition among ambulatory providers for patients, according to a post in the  Conversation.

VA scandal: Problems persist as McDonald's reforms take shape

Six months after Robert McDonald became the new Secretary of Veterans Affairs, the embattled agency has made progress, but still has much work remaining, according to U.S. News & World Report.