Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

CMS delays Open Payments System public launch

The public launch of a database that will disclose potential conflicts of interest among doctors is now delayed, after physician groups from around the country asked for more time to disclose relationships, the Centers for Medicare & Medicaid Services (CMS) announced this week.

Few eligible Part D enrollees receive drug therapy management

CMS requires that all Medicare Part D plans offer medication therapy management (MTM) to eligible consumers. But only 11 percent of those who are eligible for the service receive it, finds a new analysis from Avalere Health. 

3 ways to build an effective complex care management program

A new issue brief from the Commonwealth Fund offers several suggestions for creating an effective  complex care management  program, including choosing a model, working with patients and providers, and sharing patient data. 

Admitting privileges laws open new front in abortion battle

The next legal front in the abortion debate is flurry of state legislation requiring doctors who perform abortions to have admitting privileges at area hospitals, Kaiser Health News reports.

High cost of drugs price HIV and AIDS patients out of health insurance policies

Advocates have accused some insurers of discouraging HIV and AIDS patients from obtaining coverage under the ACA by levying high co-insurance charges for expensive prescription drugs. But soaring costs set by drug manufacturers and the number of new enrollees with specialty medicines is putting pressure on payers.  

90% of uninsured Americans won't face fines

Almost 90 percent of the 30 million uninsured Americans won't face a penalty due to an increase of exemptions in the healthcare reform law, which leaves insurers to worry about their risk pools, reports the  Wall Street Journal.

VTE rates don't reflect care quality

The Centers for Medicare & Medicaid Services has long used venous thromboembolism rates to determine hospital care quality, but a report finds this measure may not indicate care quality, according to Anesthesiology News.

What's next for healthcare marketplaces in U.S. territories?

The future of healthcare marketplaces in U.S. territories remains murky after the Department of Health and Human Services granted them exemptions last month to key provisions of the Affordable Care Act,  California Healthline   reported.

ONC's interoperability vision draws concern from federal advisers

While an official with the Office of the National Coordinator for Health IT provided an overview of a forthcoming interoperability roadmap at a virtual meeting of the agency's health IT policy committee on Wednesday, committee members raised concerns that perhaps the aim the agency's effort is too broad.

Everyone's to blame for weak EHR security

I fear the security of patient information in electronic health records has gone from bad to worse. First we learn that more people are withholding information from their providers who use EHRs because they fear the systems won't keep their information confidential. Now we learn that they're right.