Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

CMS announces one-year ICD-10 grace period

Physician practices worried about financial disaster related to ICD-10 implementation can breathe a sigh of relief, as the Centers for Medicare & Medicaid Services (CMS) has agreed to loosen penalties for imperfect claims submission within the first year providers are using the more complex coding system, CMS and the American Medical Association (AMA) announced yesterday.

What are the pros and cons of team-based incentives?

Designing compensation incentives is complicated. That's the main takeaway from a recent study published in the Annals of Family Medicine that looked at how primary care physicians responded to individualized versus clinic-based pay-for-performance systems.

Restraint and confinement still an everyday practice in mental health settings

lthough control intervention techniques such as restraints and confinement are known patient safety risks, a new study from the University of Waterloo reveals that almost 1 in 4 psychiatric patients in Ontario hospitals are subjected to mental and physical control intervention.

OIG: Delays, scheduling violations plague VA's private-care fix

More than a year after the Department of Veterans Affairs (VA) came under fire for care delays, a heavily-touted solution that would allow veterans to seek private healthcare suffers from similar problems, according to a new report from the VA Office of Inspector General.

Aetna-Humana merger could coax Anthem, Cigna to make a deal

The merger announced Friday between Aetna and Humana will not only have major implications for the insurers and their members, but it also may change the game for two other insurance giants locked in contentious takeover talks.

Major health providers place limits on low-volume 'cowboy' surgeons to stop patient deaths

Health providers are cracking down on surgeons who put patients at risk by conducting surgical procedures that they don't usually perform.

Privacy a priority during health system's Apple Watch deployment

Protecting patient data and privacy requires prime attention when deploying mHealth technology, according to Michael Ash, chief transformation officer at Nebraska Medicine. The health system is conducting a $10 million research project on the impact of remote health monitoring of chronically ill patients, and is now deploying an Apple Watch-based version of its EHR to let patients and physicians communicate and access data from test result notices to appointment information.

Challenges, benefits abound with Aetna-Humana deal

Now that Aetna and Humana became the first two major health insurers to merge, many questions remain about how the two companies will combine their operations and what the deal will mean for the health insurance industry.

Response to latest Sunshine Act data a rainy mix

The Centers for Medicare & Medicaid Services (CMS) has published a new update on industry payments to doctors, as required by the "Sunshine" provision of the Affordable care Act, but the significance of the reported information varies depending upon whom you ask.

AMA on board with CMS plan to ease ICD-10 transition

The Centers for Medicare & Medicaid Services is introducing measures in conjunction with the American Medical Association to ease the transition to ICD-10 this fall.