Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

AHA16: Leaders must navigate politics, embrace change

With a healthcare industry striving to reinvent itself and the country in the midst of an election "unlike any in recent history," hospital leaders must embrace change to solidify their institutions' vital roles in their communities, leaders said Monday at the American Hospital Association's annual meeting in the District of Columbia.

Horizon's tiered network model: Hospitals, docs at odds over Omnia plan

The drama over Horizon Blue Cross Blue Shield of New Jersey's intention to offer a health plan that features a tiered model of hospitals and doctors continues as providers accuse the insurer of secret negotiations that will place second-tiered hospitals at a disadvantage.

2 Indian Health Service hospitals agree to make changes to improve quality of care

A pair of government-run hospitals on Native American reservations in South Dakota have agreed to make significant updates to improve the quality of care offered, and in return the two facilities will continue to receive needed federal funding.

Joint Commission ends ban on clinician text use with caveats

Better messaging security technologies are prompting the Joint Commission to end its ban on clinician use of such tools. Healthcare providers and caretakers can now use text to send patient orders, but only if such tools meet the commission's requirements, the commission announces in the May edition of  Joint Commission Perspectives.

Challenges and opportunities for rural providers in new CPC+ initiative

The government's new Comprehensive Primary Care (CPC) Plus initiative presents both challenges and opportunities for rural providers, writes Janelle Ali-Dinar, Ph.D., a rural healthcare expert, on  RACMonitor.

AHIP asks feds to consider risk adjustment program changes

America's Health Insurance Plans is urging the Centers for Medicare & Medicaid Services to consider making "targeted changes" to improve the risk adjustment model it uses to stabilize the Affordable Care Act marketplaces. 

How CMS proposes to align Medicaid managed care with private plans

Among the many provisions in the newly finalized rule for Medicaid managed care, the federal government seeks to align MMC regulations with ones that govern other privately managed plans.  

Senators push CMS to rethink Medicare Part B payment proposal

Both Democrats and Republicans in the Senate have added their voices to the rising chorus of concern about the Obama administration's proposal to test new payment models for Medicare Part B.

Changes to proposed MACRA rule offer little relief for small practices

Adjustments to the proposed rule for value-based payment models encompassed by the Medicare Access and CHIP Reauthorization Act have not done enough to even the playing field for smaller practices, according to an article in  Medscape.

Healthcare stakeholders mixed on MACRA rule's MU implications

Stakeholders throughout the healthcare industry shared mixed feelings on the Centers for Medicare & Medicaid Services attempt to overhaul the Meaningful Use program for doctors via proposed rules implementing the Medicare Access and CHIP Reauthorization Act of 2015 unveiled Wednesday.