Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Potential SGR repeal insurrection brews in Senate

After a permanent repeal of the sustainable growth rate formula passed the House of Representatives in late March, the measure's backers in the Senate work to quell a potential revolt from Senate conservatives over its $214 billion price tag, according to Reuters.

'Unsustainable' drug prices put the squeeze on Medicaid, patients

There was no shortage of concern to go around about the "unsustainable" rise in prescription drug costs, but it is less clear what exactly can be done to stop it, according to a briefing from the Campaign for Sustainable Rx Pricing Thursday at the U.S. Capitol building.

Providers, vendors both to blame for information blocking

Most information blocking in healthcare is "beyond the current reach" of federal agencies to detect, investigate and address, according to the Office of the National Coordinator for Health IT's report to Congress published Friday.

How 4 states tackle healthcare cost measurement

A new report from the Milbank Memorial Fund examines healthcare cost measurement initiatives in four states and the policies driving them.

ICD-11 may still be a decade away for US

While ICD-11 is expected to be released worldwide in 2017, per the World Health Organization, it likely won't be ready for use in the U.S. healthcare system for at least seven to 10 years, believes Michael Stearns, M.D., CEO of Austin, Texas-based healthcare IT and compliance organization Apollo HIT.

Former Blue Shield of California exec files wrongful termination suit

A former chief technology office with Blue Shield of California has filed a wrongful termination  lawsuit against the increasingly embattled insurer, saying he was fired one day before he was due to receive a $450,000 bonus because he raised concerns about a costly contract.

5 changes to help Medicare ACOs thrive

Despite the rapid growth and early successes of accountable care organizations, the Medicare Shared Savings Program must make some key changes to fully realize the model's potential, argues a Health Affairs blog post.

Obama enlists hospitals, medical professionals to fight health hazards of climate change

The White House says will look to the medical community to not only make the case that climate change poses significant health risks and to help reduce these potential harms.

Investor sues Catamaran, claims company failed to negotiate with UnitedHealth for top price of acquisition

A shareholder sued prescription benefits manager Catamaran Corp. recently, claiming the company's directors neglected to negotiate the top price for the company after  UnitedHealth Group announced it will purchase Catamaran for $12.8 billion.

Aetna fined $1 million for Medicare Part D in-network mishap

The Centers for Medicare & Medicaid Services has fined Aetna $1 million for the insurer's recent mishap of wrongly identifying 6,887 pharmacies as being in its network.