Compliance & Legal

Feb 19 | Beth Jones Sanborn

Security expert says don't forget the 'physical side of things' when mapping out your cybersecurity plans

Bruce Snell of NTT Security told his audience at HIMSS19 that forgetting to…

READ

Feb 19 | Susan Morse

DOJ stands by decision in CVS Health and Aetna merger

Aetna's individual Part D plan business, which was sold to WellCare, was the only area of concern for a lessening of competition,…

READ

Feb 12 | Susan Morse

Sharing of real world data, getting patients involved, is needed for better pharma collaborations

Pharma wants to be a part of value-based programs in risk-based arrangements with payers.

READ

Feb 07 | Jeff Lagasse

Medicare rules increase out-of-pocket costs of multiple sclerosis drugs

Medicare beneficiaries without low-income subsidies can expect to spend $6,894 a year out-of-pocket for treatment of…

READ

Jan 31 | Beth Jones Sanborn

Aetna to pay $935,000 in settlement with California in envelope data breach case

The settlement also requires Aetna to implement mailing procedures that protect the confidentiality of…

READ

Jan 30 | Jeff Lagasse

New Association Health Plans showing promising trends, double-digit cost savings

The data shows a trend toward comprehensive benefits and significant cost savings, though concerns remain,…

READ

Jan 25 | Susan Morse

Optum sues former executive for working for competitor company run by Atul Gawande

David Smith said he expects his new role to involve in-depth research on the delivery and costs of…

READ

Jan 24 | Beth Jones Sanborn

Walgreens settles False Claims suits for $270 million

Two cases emerged from whistleblower claims about improper billing related to discounted drug prices and insulin pens.

READ

Jan 24 | Beth Jones Sanborn

38 hospitals sue HHS over site-neutral payment rule

Hospitals named in the suit include Vanderbilt Medical Center, Atrium Health, Rush University Medical Center, Ochsner Clinic Foundation…

READ

Jan 18 | Jeff Lagasse

Telehealth and the law: What hospital executives should know about kickback and false claims rules

The federal Anti-Kickback Statute and the Stark Law have some strict requirements for…

READ

Pages

Featured Resources

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.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

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

Depressed docs? Depends on where they train

Three key executives set to depart Ascension

List: 769 hospitals fined for medical errors, infections

List: CMS 2019 Star ratings show Kaiser on top

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. ...

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.

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.

Whitepapers

Credible, Defensible Estimates In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

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