Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

How to spot the difference between 'good' and 'bad' mergers

Mergers and acquisitions continue to be a hot topic in the healthcare industry as M&A activity rises and the government flexes its regulatory muscle, but amid all the developments it's important to note that not all mergers are created equal.

Repeal of health insurance tax edges closer to reality

The controversial health insurance tax, which amounted to $8 billion last year and increased by 41 percent this year, may be on its way out.

DOJ investigates manufacturer of superbug-linked scopes

The U.S. Justice Department is investigating the manufacturer of the medical scopes linked to a spate of hospital superbug outbreaks, according to the Los Angeles Times.

3 key reasons CMS overhauled MCO rule

Although insurers have already begun pushing back against proposed Medicaid managed care organization regulations, the Centers for Medicare & Medicaid Services released the rule so that it could catch existing regulation up with reality.

Insurers seek delay to midsize group ACA changes

Insurers want to delay an Affordable Care Act provision that requiries them to change their benefit and pricing policies for small business plans, alleging those changes would drastically increase costs.

ACA news roundup: Old lawsuits, new controversies

All eyes are on the Affordable Care Act as the healthcare reform law's fate continues to spark debates and lawsuits.  FierceHealthPayer   rounded up the top ACA stories from this week to discuss the legal issues, the controversies and the what-ifs.

House lawsuit challenging ACA implementation gets day in court

A  lawsuit filed by House Republicans challenging two key facets of Affordable Care Act implementation is getting its day in U.S. District Court, the Associated Press reported.

Blue Cross and Blue Shield faces antitrust allegations

Blue Cross and Blue Shield insurance companies as well as the Blue Cross Blue Shield Association face antitrust lawsuits alleging that the 37 independently owned insurers act as an illegal cartel.

The changing role of the hospital CCO

Hospital chief compliance officers are taking on more responsibilities in a post-Affordable Care Act landscape as more high-level executives retire, according to a new survey from Deloitte.

Medical malpractice: How EHRs are changing the game

EHRs not only are transforming how healthcare is performed, they're also on the cusp of reshaping the law surrounding that care. Are they the right changes? Or do we need to take a step back and reassess them?