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Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Readmission penalties reach record high

The Centers for Medicare & Medicaid Services levied a record number of fines against hospitals for excessive readmissions, according to a  Kaiser Health News  analysis of federal records released this week.

HHS can't unilaterally bail out insurers, GAO says

The Department of Health and Human Services can't unilaterally make payments to insurers under the Affordable Care Act as a way of making up for unexpected losses, the Government Accountability Office said in a legal opinion.

DOJ anti-fraud push could mean criminal charges for healthcare executives

​A push by the U.S. Department of Justice to hold executives accountable for corporate misdeeds could mean an increased focus on prosecuting healthcare executives, the law firm Arent Fox warns.

New FDA strategic roadmap includes health IT-related goals

The U.S. Food and Drug Administration this week unveiled a new roadmap that outlines its strategic priorities through 2018. According to FDA Commissioner Margaret Hamburg, the plan--which includes many health IT-related goals--was in development for more than a year.

Lawsuit claims HHS is hiding rate hikes in violation of ACA

A  la wsuit  was  filed by  Mehri & Skalet attorney Jay Angoff, who used to oversee ACA implementation for HHS, claims the federal agency is not following through on its obligation to make rate filings for 2015 publicly available in time for the public to comment on them.

JASON Task Force pushes for narrowed MU Stage 3 focusing on interoperability

Meaningful Use Stage 3 requirements should be narrowed to more closely focus on interoperability, the Office of the National Coordinator for Health IT's JASON Task Force recommended in a meeting Wednesday.

States hold power to regulate, decide ACA issues

Insurers should look to their state regulatory officials and lawmakers for healthcare reform guidance since they're the ones who have the most power to regulate and decide uncertain issues with the Affordable Care Act, reported  The Hill.

FDA pubs cybersecurity guidance for med device makers

In a final guidance document published Oct. 1, by the U.S. Food and Drug Administration, the agency outlines measures it believes medical device manufacturers must take to ensure the safety and security of their tools in the face of growing cyberthreats.

The drawbacks of drug-testing physicians

A California ballot initiative addressing the growing problem of substance abuse among healthcare workers may have unintended consequences, according to two opinion pieces in the  Annals of Internal Medicine.

RACs collected nearly $4B in 2013

The Centers for Medicare & Medicaid Services identified $3.75 billion in improper payments within the Medicare Recovery Audit Contractor program, according to  CMS' annual RAC report to Congress for fiscal year 2013.