Topic:

Regulatory & Risk Management

Latest Headlines

Latest Headlines

CMS releases hospital price-comparison data

CMS today for the first time released data comparing average hospital charges for the 100 most common Medicare claims, illustrating wide variations not just across regions but within cities.

Massachusetts to AHIP: Educate insurers about mental health laws

The Massachusetts attorney general is urging America's Health Insurance Plans to educate insurers about complying with state laws about mental health coverage.

OIG: Cigna overbilled Medicare Advantage for $28M in 2007

Cigna Healthcare of Arizona, a subsidiary of national insurer Cigna providing Medicare Advantage plans, overbilled Medicare by about $28 million in 2007, according to a new report released last week from the U.S. Department of Health & Human Services Office of Inspector General.

No Medicaid expansion as Florida legislative session ends

One of the most populous states in the nation is still apparently paralyzed about whether or nor to expand its Medicaid enrollment as part of the implementation of the Affordable Care Act, reported Kaiser Health News .

4 ways hospitals can ease healthcare reform implementation

Members of Congress are looking over their shoulders. The Democratic caucus is worrying aloud that an uneven implementation of the Affordable Care Act will cost them seats during next year's...

CMS proposes modest pay bumps for inpatient rehab, skilled nursing facilities

The Centers for Medicare & Medicaid Services has proposed rules calling for modest increases in payments for rehabilitation facilities and skilled nursing facilities, as well as a huge boost in awards for reporting Medicare fraud.

After Cooper Green closes, Birmingham hospitals left holding bag

Since Cooper Green Mercy Hospital in Birmingham, Ala., closed, the city's other safety net providers have been shortchanged on payments for treating low-income patients, reported the Birmingham News .

Hospitals worried about pending DSH cuts

Cuts to the disproportionate share hospital (DSH) program go into effect on Oct. 1. Altogether, about $30 billion will be cut from DSH payments over the next decade.

Patients sue HHS to kill observation label

A legal battle started by Medicare patients left holding the bag on nursing home costs could indirectly impact the bottom line for hospitals, reported Kaiser Health News .

The legality and ethics of refusing to treat overweight patients

Although physicians have the right to choose their patients, recent stories of doctors refusing to treat overweight or obese people have raised questions as to whether such practices rise to the level of discrimination.