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Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Karen Ignagni's AHIP resignation comes at critical time for healthcare reform

The  departure of America's Health Insurance Plans President and CEO Karen Ignagni for the same role at New York nonprofit insurer EmblemHealth comes at a critical time for the health insurance industry.

Hospitals can face millions in RAC administrative costs

The Medicare Recovery Audit Contractor program has created a major financial and administrative burden for hospitals, according to a new report from the American Hospital Association.

HIT Standards Committee reorganization met with opposition

The Office of the National Coordinator plans to replace the Health IT Standards Committee's standing workgroup structure with targeted, time-limited task forces at the end of June. It's a move that doesn't sit well with some committee members.

Senate hears providers' concerns about observation status crisis

In a hearing this week, a hospital sector representative told the U.S. Senate's Special Committee on Aging that the observation status problem has left healthcare providers in the "untenable position" of trying to meet patient needs while complying with Medicare payment policies.

As more people gain coverage, safety-net hospitals still struggle

Even as the number of insured Americans increases post-Affordable Care Act, the benefits aren't trickling down to disproportionate share hospitals, which will feel the brunt of ACA-mandated cuts in the next few years, according to U.S. News & World Report.

Hospital infection control in the era of superbug outbreaks [Special Report]

Long before superbug outbreaks tied to a specialized medical scope sickened and killed patients across the country, infection control has been a major priority for hospitals. But while the problems posed by such outbreaks are clear, finding solutions to them--particularly in a seldom-static healthcare industry--is anything but. To help chart a way forward, this special report from  FierceHealthcare  examines advice from experts and hospital leaders who have learned valuable lessons from the front lines of hospital infection control.

Latest GOP alternative to ACA caps federal subsidies, overhauls Medicaid

It appears Republicans have a backup plan should the  Supreme Court strike down federal subsidies in states that did not establish their own health insurance exchange: A proposal that would cap subsidies at 300 percent of the federal poverty level, limit tax exclusions on employer-sponsored health plans and use state grants in lieu of Medicaid expansion.

John Halamka: Charter organization to ensure interoperability doesn't make sense

Beth Israel Deaconess Medical Center CIO John Halamka, speaking out against a bill included in the 21st Century Cures Act that would result in the dissolution of the Health IT Standards Committee, offers up several ways to accelerate the interoperability of electronic health records in a recent blog post.

Nurse who contracted Ebola claims documents were withheld

Documents that Texas Health Resources withheld from Nina Pham, the nurse suing the company after she contracted Ebola while treating a patient last year, could hurt its defense, according to state District Judge Martin Hoffman.

2011 CMS memo helped Medicare Advantage stocks soar

Insurers that offer Medicare Advantage plans reaped big rewards in February 2011 after the Centers for Medicare & Medicaid Services released a memo saying it was rethinking a move to ratchet up audits.