Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

OIG makes recommendations for effective hospital compliance programs

If your hospital wants to create an effective compliance program, it should follow four steps recently outlined by the U.S. Department of Health Services' Office of the Inspector General.

South Carolina may give Certificate of Need repeal another try

South Carolina may gradually do away with a complex set of rules regulating its hospital industry over the next five years, according to the Post and Courier.

David Blumenthal: Healthcare's future depends on security, interoperability

New health information technologies could revolutionize the quality and convenience of future healthcare services, but privacy and security issues, as well as the looming problem of interoperability, must be dealt with first, according to David Blumenthal, president of the Commonwealth Fund.

4 essential steps for healthcare compliance

To create effective compliance programs, healthcare providers and officials must focus on four major principles, according to new guidance from the U.S. Department of Health and Human Services' Office of Inspector General.

CMS to tighten Medicaid managed care organization regulations

Forthcoming rules from the Centers for Medicare & Medicaid Services should strike a better balance between the services offered by Medicaid managed care organizations and the operating profits of the private insurers that offer MCO services.

Revamped MEDTECH Act looks to exempt low-risk software from FDA guidance

Sens. Orrin Hatch (R-Utah) and Michael Bennet (D-Colo.) late Monday unveiled a revamped version of their Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act, which aims to exempt low-risk medical software and mobile apps from regulation by the Food and Drug Administration while clarifying which offerings fall under federal authority.

Evidence vs. opinion: The medical decision-making debate continues

When it comes to medical decision-making, evidence-based algorithms and experience-derived opinions often intersect. And while physicians technically have the authority to weigh these factors in a given patient's context as they see fit, the industry push toward clinical guidelines has steadily intensified over the past several years.

As value trumps volume, some hospitals treat patients at home

While some hospitals use the old-fashioned concept of the house call to provide better post-discharge care, other organizations take the idea even further by treating certain patients entirely from the comfort of their homes, according to post on the  New York Times'  Well blog.

Shift to value-based care requires cultural transformation

Healthcare's need to transition from volume- to value-based care models is a constant refrain in the industry, but the shift has hit a rough patch that demonstrates organizations can't achieve true reform until they change their cultures, according to a  Health Affairs  blog post.

CMS proposes modest FY 2016 payment hike for rehab hospitals

The Centers for Medicare & Medicaid Services has issued a new proposed payment hike of 1.7 percent for inpatient rehabilitation facilities for the 2016 fiscal year. The increase would represent additional revenues of about $130 million.