Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Defensive medicine may curb malpractice claims, study finds

When a physician chooses to order more imaging exams or labs, he or she may be practicing defensive medicine--and maybe not. The potentially unnecessary tests and procedures increase the cost of care, but they can also reduce the chance that the physician will get hit with a malpractice suit.

Report: Risk corridor woes likely to continue

U.S. health insurers, which recently learned the federal government's risk corridor program would only pay out a small fraction of what it owed them, aren't likely to see the situation improve anytime soon, according to a new report from Standard & Poor.

Hearing blames lack of oversight, inability to compete for CO-OP failures

A lack of oversight when implementing the consumer operated and oriented plans as well as their inability to compete are to blame for the small insurers' recent string of failures, experts said Thursday at a hearing held by the House Energy and Commerce Committee's Subcommittee on Oversight and Investigations.

OIG waives some patient charges for hospital-prescribed drugs

Out of concern for high drug prices, the Department of Health and Human Services Office of Inspector General is waiving a portion of a policy designed to avoid the violation of anti-kickback statutes. The OIG declared that hospital pharmacies may waive charges to Medicare patients who obtain drugs they administer to themselves on an outpatient basis.

Could pre-existing conditions rule be next target of ACA opponents?

As the debate continues regarding some of the more controversial parts of the Affordable Care Act--such as Medicaid expansion and the Cadillac tax--another unexpected provision now may also be under fire from the law's opponents.

3 priorities for bringing new drugs, devices to patients

The Bipartisan Policy Center urges Congress to take up three priorities in order to bring new, safe and effective treatments and cures to patients, according to an announcement.

Online therapy helps ease medical residents' thoughts of suicide

The stress of medical residency can be so severe that many doctors-in-training are at high risk for depression and thoughts of suicide. But time pressures, stigmas associated with mental illness and...

HHS announces forum to address rising drug costs

The federal government has announced it will hold a public forum to address the growing concern about the high costs of prescription drugs. 

Blue Shield of California, Anthem Blue Cross fined for inaccurate provider directories

Two health insurance companies, Blue Shield of California and Anthem Blue Cross, have been fined by California insurance regulators for misleading consumers about their physician networks on the state's insurance exchange, according to the  Los Angeles Times.  

OIG's work plan shifts review of EHRs, warns of further scrutiny

A focus on electronic health records and health IT by the Department of Health and Human Services' Office of Inspector General shows no signs of abating, as evidenced by its 2016 work plan, issued Nov. 2. But its priorities certainly have evolved.