Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Payers value patient needs in device coverage decisions

Limited data does not prevent payers from covering high-risk devices, concluded a new study commissioned by The Pew Charitable Trusts.

Specialty drug use high among exchange enrollees

New enrollees who purchased coverage through state and federal marketplaces are more likely to use specialty medications, such as those used to treat HIV/AIDs and hepatitis C, than people enrolled in commercial health plans, Express Scripts research finds.

RAND: ACA may drive malpractice claims up 5%

The increased number of insured patients under the Affordable Care Act could result in an accompanying 5 percent rise in malpractice claims, according to a new RAND Corperation study. In turn, physicians could see their liability premiums go up as well.

WellPoint leads opposition to Calif. rate regulation

WellPoint and other California insurers have donated $13.4 million toward defeating a ballot initiative that would authorize California regulators to reject increases in premiums, Bloomberg reported.

OIG reverses course on referral arrangement involving EHR data exchange

The U.S. Department of Health & Human Services Office of Inspector General has taken the rather unusual step of terminating an advisory opinion originally in favor of a data exchange arrangement created by an electronic health record vendor.

'Traditional' practice gets more diverse

Facing more competition from retail and urgent care centers than ever, doctors increasingly offer more diverse services not typically found in the traditional private practice, from cosmetic procedures to urgent care, according to an article from the  News-Star.

As Windows XP security updates cease, what's next for healthcare providers?

Microsoft, on Tuesday, ended Windows XP security patches, no longer offering end-user support for organizations using the operating system, and possibly leaving systems vulnerable to breaches and attacks. So what does this mean for health IT professionals who still have Windows XP systems installed at their organizations?

How clinical data use benefits from academic-industry partnerships

As the use of electronic clinical data in care delivery increases, so, too, will carefully considered collaborations by academic institutions and health industry players, according to a recently published viewpoint in the  Journal of the American Medical Association. And despite skeptics' concerns about compromised results due to potentially distorted data, ensuring industry involvement in such efforts is not only beneficial to both sides, but also should be considered necessary, the authors say.

New patient appointment availability depends on insurance coverage

Although patients may now have insurance through health insurance exchanges, the coverage doesn't guarantee that physicians will accept it, according to a new study from  JAMA New Medicine.

6 HIPAA best practices you're probably not following

If you think breaches are the only issue you have to worry about regarding HIPAA enforcement, you're wrong, according to David M. Vaughn of Vaughn & Associates, LLC, in Louisiana. Vaughn...