Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Blue Shield of California now faces pressure to lower premiums

After  losing its  tax-exempt status in the state of California  and  spending more than $1.2 billion to acquire another insurer, Blue Shield of California now faces a debate over its premiums,  reported  the  Los Angeles Times.

Aetna, other payers lower costs of HIV drugs

After  facing harsh scrutiny for placing HIV and AIDS prescription drugs in the highest category of cost sharing, insurers are making moves to reduce out-of-pocket costs for these pricey medications.

Healthcare compliance post-ACA: Challenges and opportunities [Special Report]

In this special report, FierceHealthcare  takes a look at the changing role of compliance and the chief compliance officer due to healthcare reform.

White House plan calls for aggressive measures against superbugs

The White House has released a new plan to combat antibiotic-resistant infections such as the recent outbreak linked to contaminated duodenoscopes.

No Senate SGR fix vote until mid-April

The Senate adjourned this morning for a two-week recess before discussing legislation to replace the Sustainable Growth Rate formula.

ACA health center program's future up in the air

The Teaching Health Center Graduate Medical Education program, a doctor training program funded by a provision of the Affordable Care Act, is up for renewal this year.

Sleeping-nurse case renews focus on nurse fatigue

The case of Tanya Lemon, a DeWitt, New York nurse whose disabled patient died when Lemon fell asleep on the job, has reignited the debate on how to reduce fatigue among healthcare workers, according to the Associated Press.

How Blue Shield of California could redeem itself

Blue Shield of California has had a rough couple of weeks.  In light of recent events, Blue Shield's former Director of Public Policy, Michael Johnson,  shed light on the drama surrounding the insurer and provided insight into how Blue Shield could pull itself back up. 

States never thought insurance subsidies depended on building an exchange

The  oral arguments in  King v. Burwell  brought up the case of federalism--specifically, whether states were unconstitutionally coerced into establishing their own health insurance exchanges. But what if states really did not know the consequences of not setting up their own exchanges?

Data sharing, information technology key to new White House care initiative

Information technology and the interoperability of electronic patient data will be critical components to President Barack Obama's new Health Care Payment Learning and Action Network initiative, National Coordinator for Health IT Karen DeSalvo said at a kickoff event for the effort on Wednesday.