Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Report: 'Patchwork of state laws' on medical marijuana fails patients

State medical marijuana programs received poor grades for meeting patient needs, according to a report published by the advocacy group Americans for Safe Access.

Malpractice claims against nurses on the rise

Malpractice claims against nurses have increased in recent years, according to a new report published by the Nurses Service Organization.

The top 3 challenges facing the Medicaid program

Holding a leadership position in a program as complex and controversial as Medicaid might be the toughest job in healthcare--and with even more challenges looming, it's likely to get even more difficult, healthcare policy expert Paul Keckley writes in a new blog post.  

BCBS of North Carolina works to resolve enrollment errors

Blue Cross and Blue Shield of North Carolina has refunded nearly $2 million to more than 4,600 over-billed customers as well as restored coverage for thousands who were dropped from its rolls in the wake of an IT system failure, the  Charlotte Observer  reports.

Centene missing hard drives with data from 950K members

Health insurer Centene is missing six hard drives that contain the personal health information of 950,000 individuals, the company revealed Monday.  

Study: Insurer competition holds steady on state exchanges in 2016

Health insurer participation in state-based marketplaces has remained stable in 2016, in part because some states have encouraged competition by establishing marketplace participation rules, according to a new analysis from The Commonwealth Fund.  

Opioid painkillers don't help patients move

While the dangers of addiction have led healthcare providers to take a hard look at their prescribing practices, there's another potential downside to using opioids to treat pain. Opioid therapy for neuropathic pain does not appear to help patients restore physical function, according to a new study published in  Pain Medicine.

3 out-of-network billing cases insurers should know

As lawsuits involving out-of-network billing continue at a brisk pace, health insurers should know how the courts have ruled in some key, publicly published cases in order to guide their business practices, writes Luke Punnakanta, of the firm Manatt Phelps & Phillips LLP, in an article for  Lexology.  

NY physician group, MA billing company must pay $500K to resolve false claims allegations

A physician group in Watertown, New York, and a Massachusetts-based billing services company will pay $500,000 to resolve allegations that they submitted false claims to a military health insurer, the United States Department of Justice announced.

Flint hospital first alerted officials about Legionnaires' link to water supply a year ago

Although a Flint hospital suspected a link between Legionnaire's disease bacteria and the water supply in Detroit more than a year ago, state officials didn't alert the public until just a few weeks ago, the Associated Press reported via  Business Insider.