Topic:
Regulatory & Risk Management
Latest Headlines
Latest Headlines
Scott saves $65M Medicaid deal thanks to hospital CEOs
Gov. Rick Scott heeded hospital CEOs' calls for $65 million in "transitional payments" as the state moves to a new Medicaid payment system, according to the News Service of Florida.
OIG: Saint Thomas Hospital owes Medicare $1.09M in improper payments
Saint Thomas Hospital in Nashville, Tenn., improperly billed the Medicare program by $1.09 million, according to the Office of Inspector General. The agency also found Rapid City (S.D.) Regional Hospital overbilled Medicare $256,789.
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: Prior authorization for Medicare imaging does not produce savings
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.
