Topic:

Regulatory & Risk Management

Latest Headlines

Latest Headlines

Republican lawmakers blast Medicare Advantage cuts

Republicans claim the Obama administration is "masking" Medicare Advatage cuts now to avoid making voters angry in an election year, according to The Hill.

One dead, two injured in Pennsylvania hospital shooting

A shooting at Mercy Fitzgerald Hospital campus in Yeadon, Pennsylvania Thursday left one mental health caseworker dead, a doctor wounded and the suspected shooter critically injured, the  Delaware County Daily Times  reported.

Young adults not as crucial to reform success

Opinions vary regarding the belief that enrolling  young adults may determine reform success. On one hand, experts believe that the number of young adult sign-ups and the male-to-female ratio will determine success. On the other hand, some say that having more young, healthy people purchasing healthcare is not as crucial as people think, according to an opinion piece published by  Philly.com.

Hospitals must address employee fraud reports with procedural fairness

As the government makes it easier for hospital employees to report fraud and quality issues, and as social media gives disgruntled employees an outlet to air dirty laundry, hospitals must work employees to make them feel comfortable addressing concerns internally,  Hospitals & Health Networks  reported.

McDonald cites IT as critical to new era for VA

In addressing the Senate Committee on Veterans' Affairs earlier on Tuesday, former Procter & Gamble CEO Robert McDonald, President Barack Obama's nominee to head the U.S. Department of Veterans Affairs, talked about several IT initiatives he views as vital to turning the agency around.

Insurers worry ACA loophole could lead to unpaid premiums, bad debt

Thanks to a loophole in the Affordable Care Act regulations, insurers worry customers who purchased plans on the federal marketplace could evade paying their December premiums, reports Vox.

Consumers continue to flock to HealthCare.gov

Open enrollment has come and gone but new federal data, obtained by ProPublica, shows the federal exchange saw roughly 1 million insurance transactions since mid-April.

MLR rebates total $9B

Insurers have paid consumers a total of $9 billion since 2011 under the medical-loss ratio, the U.S. Department of Health and Human Services announced today.

Cut prescription drug prices to achieve Medicare savings

Given the recent surge in pricey prescription drugs, lawmakers are calling for Medicare to offer rebates and negotiate prices to reap significant savings, according to a report released Wednesday by advocacy groups the Medicare Rights Center and Social Security Works.

Hospitals get victory on orphan drug buys through 340B program

Hospitals will continue to use the 340B program to purchase so-called "orphan drugs" at a deep discount even if they are not being used for their specific purpose, AHA News Now reports.