Topic:
Regulatory & Risk Management
Latest Headlines
Latest Headlines
SPOTLIGHT: Contraceptive mandate challenges go before appeals courts
Although Massachusetts has served as a role model for many aspects of the federal health reform implementation, most states' health insurance exchanges won't resemble the version in Massachusetts.
States fear delay in Medicaid expansion will jeopardize millions in federal funds
States continue to sign up for the Medicaid exp ansion , but those that are embroiled in legislative fights over the expansion fear even a one-year delay could mean they'll lose hundreds of millions of dollars in federal funds to cover low-income residents, according to an arti cle in Politico.
Ex-Allscripts head Glen Tullman: GOP Meaningful Use arguments 'incorrect'
Former Allscripts CEO Glen Tullman says that although the GOP senators who called for a "reboot" of the Meaningful Use incentive program make some valid points, their conclusions are "incorrect."
Parkland pays $1.4M to settle improper billing charges
In the fourth government crackdown on Parkland Memorial Hospital recently, the troubled Dallas hospital has agreed to pay a $1.4 million settlement over Medicare and Medicaid fraud allegations.
CO-OP denied license to sell health plans on Vermont exchange
The chance for a consumer operated and oriented plan (CO-OP) to compete in the Vermont health insurance exchange was shot down Wednesday by state regulators due to financial solvency and corporate governance issues,
Lawsuit: Highmark conspired to raise premiums, violated antitrust laws
A lawsuit, filed Wednesday in U.S. District Court for the Western District of Pennsylvania, alleges that Highmark, the Blue Cross Blue Shield Association, Independence Blue Cross and Blue Cross of Northeastern Pennsylvania consipired to not compete against each other and increase premiums in the Western Pennsylvania market, the Pittsburgh Post-Gazette reported.
CBO finds no savings from prior authorization for Medicare imaging
The latest Congressional Budget Office score of the economic effects of healthcare programs indicates that using prior authorization schemes in the Medicare program won't produce any savings.
Hospital CIOs call Meaningful Use flawed, back proposed delay
A majority of hospital CIOs recently polled by healthsystemCIO.com called the Meaningful Use program flawed and agreed with the College of Healthcare Information Management Executives' proposal earlier this month to extend Stage 2 by one year.
Governors team up for healthcare sustainability, innovation
Heeding healthcare industry calls for payment reform, Govs. John Kitzhaber of Oregon and Bill Haslam of Tennessee will lead the new Health Care Sustainability Task Force to help governors innovate their Medicaid programs and achieve low-cost, high-quality healthcare.
Cedars-Sinai must pay back $2.24M in Medicare overpayments
Cedars-Sinai Medical Center in Los Angeles owes Medicare more than $2.24 million in overpayments made during a three-and-a-half period, according to an Office of Inspector General report.
