Compliance & Legal

A patient consults with a doctor via telemedicine

Nov 25 | Kat Jercich

ATA applauds reforms to Stark Law, Anti-Kickback Statute

The American Telemedicine Association said the newly released final rules move the healthcare industry closer to a value-based care…

READ

Person wearing stethoscope handles papers and a calculator

Nov 24 | Susan Morse

Hospitals need to post their negotiated prices in less than six short weeks

Barring an appeals court decision overturning the rule, the mandate goes into effect on January 1, 2021.

READ

CMS changed Stark Law regulations on Friday.

Nov 21 | Susan Morse

CMS finalizes changes to Stark Law that hinder physician referral

The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS…

READ

Nov 19 | Susan Morse

Kaiser agrees to pay $6.4 million to settle claims it received inflated Medicare Advantage payments

The allegations were brought by a whistleblower former employee who will receive about…

READ

Road sign with the words "Open enrollment ahead"

Nov 13 | Jeff Lagasse

More than 818,000 people select healthcare plans in first week of open enrollment

The numbers are up from 2019 Week 1, but there are also more days in this year's snapshot period.

READ

Photo portraits of the Supreme Court members in two rows

Nov 10 | Susan Morse

Supreme Court appears favorable to keeping Affordable Care Act

Congress has already decided it doesn't want the entire law to fall, says Justice Sonia Sotomayor.

READ

Nov 10 | Susan Morse

Supreme Court to hear oral arguments this morning to determine validity of Affordable Care Act

The severability issue of the individual mandate is where "the rubber hits the road,"…

READ

Nov 03 | Kat Jercich

Aetna, city of New Haven hit with OCR fines after data breach

The fines are the latest effort on OCR's part to enforce HIPAA regulations around protected health information.

READ

Paper version of the Affordable Care Act on a desk

Nov 02 | Susan Morse

CMS approves Georgia waiver to transition to a non-ACA private sector marketplace

Democratic opponents say the "unlawful waiver" will expose consumers to greater financial risk by…

READ

Oct 28 | Jeff Lagasse

Provider groups push back against Trump claims that doctors are inflating COVID-19 numbers

The president's comments at a recent rally are false and contribute to the spread of…

READ

Pages

Featured Resources

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

MostPopular

28-year-old volunteer in AstraZeneca COVID-19 vaccine trial dies

CVS Health expands COVID-19 testing services

CMS is expected to release new rebate rule soon

Average cost of COVID-19 hospitalizations is $34,662 to $45,683

News

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Whitepapers

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

Search form

Compliance & Legal

Pages

Publications

Education

Career Advancement

Newsletters

About us