Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Separating the Affordable Care Act exchange hype from reality

Combine a drama-hungry news cycle with what one recent study termed a "toxic political atmosphere" surrounding the healthcare reform law, and you get headlines predicting certain doom every time there's even a hint of trouble on the ACA's public exchanges. Thus, this special report takes a look at some of the main "risk factors" influencing the exchanges in order to parse out what's actually worth worrying about.  

30% of antibiotics prescribed are inappropriate

A study in the  Journal of the American Medical Association  estimates that 30 percent of antibiotics prescribed between 2010 and 2011 were inappropriate.

30% of antibiotics inappropriately prescribed in US

Despite more than 50 years of advocacy for more responsible antibiotic prescribing practices, a study published in the  Journal of the American Medicine Association  estimates that 30 percent of outpatient oral antibiotic scripts in the U.S. in 2010-2011 may have been inappropriate.

AHA16: Experts say insurer mergers bad for providers, consumers

WASHINGTON, DC--Payers and providers remain deeply divided over health insurance company consolidation--a fact highlighted during an executive briefing at the American Hospital Association's annual meeting on Monday.

AHA16: Andy Slavitt says CMS wants to help hospitals drive change

As they discussed their health policy priorities Tuesday at the American Hospital Association's annual conference, two top officials in the Obama administration emphasized the federal government wants to collaborate with healthcare leaders as it strives to transform the delivery system.  

Opioid crisis: Insurers bear brunt of cost burden

As the opioid abuse and addiction crisis intensified, private and public insurers took on more of the cost, according to new research from the Centers for Disease Control and Prevention published in  Health Affairs.

Opioid crisis: Hospitalizations, costs soared in last decade

The opioid abuse epidemic has already hit hospitals hard, mobilizing hospital leaders and prompting the federal government to allocate more than $500 million against it. Now new research published in Health Affairs finds the crisis has also hurt hospitals financially.

More Americans have affordable insurance and can pay their medical bills since ACA

More Americans have healthcare coverage and access to medical care since the Affordable Care Act's provisions took effect, according to a new research from the Agency for Healthcare Research and Quality.

MACRA proposed rule could mean big trouble for solo practices, physician says

Absent a radical change in the way the Centers for Medicare & Medicaid Services measure care quality, small practices will bear the brunt of the proposed rule for the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), according to an interview in  Physicians Practice.

AMA unveils online resources to help physicians understand new payment system

The AMA has announced new online resources to help physicians understand value-based care models.