Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Hospital security planning will play part in containing Ebola virus

Hospital security policies and personnel can play a huge role in preventing the spread of the Ebola epidemic that is raging on in West Africa, according to an article at

Cigna, Blue Shield of Calif. sued for 'bait and switch' scheme

The pushback against narrow networks across the nation continues in the form of legal action as a consumer group filed lawsuits against Cigna and Blue Shield of California on Thursday.

In twist on medical-loss ratio, insurers back health startups

Insurers are pumping money into digital health startups--a sector that's raising record amounts of cash.

ICD-10 struggles continue to plague providers

Provider progress in transitioning to ICD-10 has been hampered by the most recent delay--enforced via the passage of the Protecting Access to Medicare Act last spring--according to survey results released this week by the Workgroup for Electronic Data Interchange.

OCR officials mum on HIPAA audit program launch

The healthcare industry should expect to see ramped up enforcement of HIPAA as security breaches of electronic and even paper patient protected health information continue to plague covered entities and business associates, according to Iliana Peters, senior adviser at the U.S. Department of Health and Human Services' Office for Civil Rights for compliance and enforcement.

US hospitals unprepared for Ebola-related medical waste

Some U.S. hospitals might be prepared to treat the Ebola virus, but are they prepared to dispose of Ebola-related waste? Probably not, which could threaten public safety, according to a report by Reuters.

Hospitals sue Highmark over Medicare Advantage payments

A group of Pennsylvanian hospitals filed a lawsuit against Highmark Monday, reports the  Pittsburgh Business Times

Reporter's Notebook: Boston healthcare forum tackles Affordable Care Act, product innovation

The Economist's  Health Care Forum 2014 conference in Boston brought together healthcare leaders to discuss hot button topics, such as price transparency and the future of healthcare. And though they didn't resolve the big issues, some of the topics--such as whether the Affordable Care Act is a success or a failure--generated lively debate.

Meaningful Use perfection requirement a very high bar

I can't help but feel sorry for Drew Memorial Hospital, which failed a Medicare Meaningful Use audit and is being asked by CMS to return its incentive payment for that year in the amount of $904,000.

GAO report: CMS financial records don't line up

The Centers for Medicare & Medicaid Services lacks a sound financial management system,  according to a new report issued by the Government Accountability Office.