Topic:

Regulatory & Risk Management

Latest Headlines

Latest Headlines

CMS reverses course on Medicare Advantage cuts

Health insurers operating Medicare Advantage plans no longer have to fear impending cuts to the program. Not only did the Centers for Medicare & Medicaid Services not implement its proposed cuts, it actually increased rates for next year.

Attorney: Cloud vendor contracts wrought with pitfalls

Despite the surge by providers to cloud-based electronic health record systems, cloud vendor contracts still are wrought with pitfalls and "threats", according to attorney Steven Fox with Post & Schell, who spoke on a recent webinar sponsored by the American Bar Association's Health Law Section.

Anonymous, phony online reviews leave docs vulnerable

As more patients make decisions regarding primary care and surgical procedures based on information available on the Internet and online reviews, doctors and hospitals are at a higher risk of losing credibility and business by phony and anonymous negative reviews, according to  BuzzFeed  contributor Jake Rossen.

H.R. 4302: Duct tape, delays and decision support

By Matt Hawkins, M.D.   A permanent fix to the sustainable growth rate formula eluded Congress again--stunning, I know. Another year of SGR duct tape. And ICD-10 was laughably delayed for yet another year. (How many ICD-11 jokes have you heard over the last couple of weeks?)  This kind of partisan-driven politicking escalates the apathy that many physicians already have for Washington. But maybe that's their objective.

SGR fix good for imaging, but a bad way to make policy

While the passage of the Protecting Access to Medicare Act--which includes a 12-month Sustainable Growth Rate patch and a delay in the implementation of ICD-10--appears to be a good news/bad news proposition for many healthcare organizations, the imaging community is giving it full its full support. While it's easy to see why, that doesn't mean it's a good way to make public policy.

OIG claims NJ hospital overbilled Medicaid by $19M

New Jersey overbilled the Medicaid program by as much as $22 million in 2007, and the hospital responsible for the bulk of overpayments is trying to quickly distance itself from the issue, according to NJ.com.

Failure to meet new dose reduction standards could jeopardize Medicare dollars

A provision of the sustainable growth rate patch legislation will penalize radiology professionals using CT equipment that doesn't comply with new dose management standards.

DOD eyes Tricare incentives

The Department of Defense has been trying to get Congress to increase healthcare premiums for military retirees. After little success, the DOD now hopes to create the right incentives for beneficiaries to achieve savings, reports Federal News Radio.

Proposed House resolution would slash $2.9 trillion in healthcare spending

The House Budget Committee voted this week to approve a budget resolution that would reduce government spending by over $5 trillion over a decade, according to AHA News.

Fort Hood shooting, Boston bombing anniversary spark emergency prep actions

In the aftermath of incidents like this week's Ft. Hood shooting and last year's Boston Marathon bombing, hospitals around the country have stepped up preparation for mass casualty and emergency scenarios.