Topic:

Regulatory & Risk Management

Latest Headlines

Latest Headlines

McDonald cites IT as critical to new era for VA

In addressing the Senate Committee on Veterans' Affairs earlier on Tuesday, former Procter & Gamble CEO Robert McDonald, President Barack Obama's nominee to head the U.S. Department of Veterans Affairs, talked about several IT initiatives he views as vital to turning the agency around.

Insurers worry ACA loophole could lead to unpaid premiums, bad debt

Thanks to a loophole in the Affordable Care Act regulations, insurers worry customers who purchased plans on the federal marketplace could evade paying their December premiums, reports Vox.

Consumers continue to flock to HealthCare.gov

Open enrollment has come and gone but new federal data, obtained by ProPublica, shows the federal exchange saw roughly 1 million insurance transactions since mid-April.

MLR rebates total $9B

Insurers have paid consumers a total of $9 billion since 2011 under the medical-loss ratio, the U.S. Department of Health and Human Services announced today.

Cut prescription drug prices to achieve Medicare savings

Given the recent surge in pricey prescription drugs, lawmakers are calling for Medicare to offer rebates and negotiate prices to reap significant savings, according to a report released Wednesday by advocacy groups the Medicare Rights Center and Social Security Works.

Telehealth legislation seeks better coverage for chronically ill

Forthcoming legislation set to be introduced by Rep. Mike Thompson (D-Calif.) looks to expand Medicare coverage for telemedicine beyond what the Centers for Medicare & Medicaid Services proposed earlier this month in its update to the Medicare Physician Fee Schedule.

Vendors accused of using political clout to avoid reporting of EHR safety issues

A rush to implement electronic health records caused by the Meaningful Use incentive program has thrust "complex, balky, unwieldy error-prone" systems into highly sensitive clinical settings, according to an article in the  Boston Globe.

New ACOs organized despite federal scrutiny

Two Arizona health systems are joining together to launch an accountable care organization (ACO) that will provide coordinated care to about 50,000 members, the organizations announced this week, in hopes of improving outcomes, patient satisfaction and cost savings.

GAO: Fake ACA applicants secure subsidized coverage

Government investigators have been able to purchase health plans and obtain federal subsidies using fake applicantions, according to findings that will be released today, reports The Washington Post.

Medicare pilot programs waive three-day admission rule for senior patients

Medicare officials piloting experimental programs across dozens of U.S. hospitals want to know if dropping the requirement that limits nursing home coverage to seniors admitted to the hospital for at least three days can reduce costs and improve care,  Kaiser Health News   reported.