Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Health IT Now: Health regulatory framework must be more 'trusting of IT'

Patients would benefit from a health regulatory framework that is less rigid and more "trusting of IT," according to a new white paper published this week by Health IT Now, in conjunction with health analytics firm Apervita.

Six years in, Affordable Care Act appears likely to go the distance

Guest post by Kent Bottles, M.D, a lecturer at the Thomas Jefferson University School of Population Health. Last month I was so busy doing my income taxes and preparing MACRA presentations for...

Physicians should blame themselves for poor payment models

One healthcare leader says physicians have only themselves to blame for poor payment models designed by payers and government regulators, according to a  Medical Economics  report.

Anthem, Cigna await California's decision on merger

The California Insurance Commission is expected to issue a decision soon on the proposed merger between Anthem and Cigna after holding a public hearing on the deal last month,  Healthcare Finance  reports.

How three states are stepping up network adequacy oversight

Amid calls for more regulation triggered by narrowing health plan networks, three states in particular are scoring "victories" in the push to improve network adequacy and provider directories, according to consumer advocacy organization, Families USA.  

New Covered California contracts push insurers to embrace value-based care

In a move that is receiving much praise from the Centers for Medicare & Medicaid Services, Covered California--the nation's largest state-based health insurance exchange--announced Thursday that it has made significant changes to its plan in order to move the state toward higher-quality care.

Most practices have not lost revenue as a result of ICD-10

Six months after implementation, the predictions that private practices would see a loss of revenue because of claim denials as a result of ICD-10 have not occurred

VA scandal: Seven other states rigged wait times

Officials at Veterans Affairs' medical facilities in seven states falsified wait-time records, according to a  USA Today  analysis of 70 government investigation reports.

Hospitals, informatics professionals: Proposed updates to 42 CFR Part 2 don't go far enough

Both the American Hospital Association and the American Medical Informatics Association, weighing in on a February proposal by the Substance Abuse and Mental Health Services Administration to revise 42 CFR Part 2, say the rule does not do enough to remove current barriers impeding the exchange of substance use disorder information between providers.

Physicians weigh in on controversy over gun safety questions

The controversy over whether doctors should ask patients about gun ownership and gun safety continues on the state and national level.