Healthcare Legal

Overcoming Common Obstacles of Transitioning to Electronic Insurer-to-Provider Payments

A Pennsylvania health plan worked with providers to implement electronic payments and eliminate the issues of paper checks.

Bob Hough January 29, 2018

MD Anderson Shares Positive Social Media Experiences

MD Anderson finds the use of social media to benefit not only the organization and its employees but also the community at large.

J. Stuart Showalter January 15, 2018

Unintended Consequences: Patient Privacy in the Age of Social Media

Although a valuable tool for clinical treatment, patient education, and marketing, social media can easily violate hospital legal and ethical confidentiality standards. Seemingly innocent actions such as referring to patient cases or posting videos or photographs that include patient faces can be problematic.

J. Stuart Showalter, JD, MFS January 15, 2018

Successfully Navigating the Surge in HEDIS Reviews

Greg Ford outlines three best practices insurance companies can follow as they prepare for HEDIS reviews.

Greg Ford January 4, 2018

The Changing Health Policy Debate and the Unyielding Imperative of Value-Based Care

Republican efforts to repeal and replace the Affordable Care Act have been temporarily put on hold while the party focuses on tax reform.

Ken Perez December 20, 2017

Exploring Health-Plan-Provider Partnerships

The increased burden on provider organizations resulting from value-based payment programs may be alleviated by a strategic data-sharing arrangement with a health plan.

Will Stabler November 30, 2017

Survey Underscores Growing Importance of Compliance and Ethics Training

In general, compliance professionals are not satisfied with the level of training provided to their boards. A lack of effective training could open organizations up to lawsuits and litigation.

J. Stuart Showalter November 15, 2017

Designated Health Services Under the Stark Law

The Stark Law lists designate health services that are targeted to address overutilization.

HFMA November 15, 2017

Stark Law Compliance Relies on the Basics

The strict liability nature of the Stark Law and its many exceptions require legal counsel, healthcare compliance officers, and finance executives to pay scrupulous attention to physician contract details.

J. Stuart Showalter, JD, MFS November 15, 2017

6 Tips for Rural Hospital 340B Drug Pricing Participation

As 340B drug pricing legislative changes grow, there are proactive steps that rural hospital leaders can take to get the most out of 340B plan participation.

Lidia Rodriguez-Hupp November 7, 2017
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