The Price is Not Right: The Unsustainability of the ACA Insurance Marketplaces
As legislators continue to work toward a repeal of the Affordable Care Act, insurers are leaving the marketplaces.
Putting Your Financial Team to Work to Maximize MACRA Benefits
Joncé Smith describes how finance leaders can help ready their organizations for MACRA.
Best Practices for Securing and Protecting Patients’ Financial Data
When we think about data breaches, attacks on major retailers often come to mind. Yet, between 2010 and 2015, criminal attacks on healthcare data increased by 125 percent. In 2016 alone, there were 329 significant data breaches exposing more than 16 million records.
Ask the Experts: The Impact of Stark, Anti-Kickback Laws on ACOs
How are ACOs managing the Stark Law and Anti-Kickback Statute?
Auditing for Stark Law Compliance
Compliance with the Stark Law requires involving legal, compliance, and other expertise on the front end of the process rather than auditing for problems later.
How the AHCA’s Failure Could Rekindle the Lost Art of Compromise in Washington
With stalled efforts on both sides of the aisle, it may be time for Democrat and Republican leaders to come together on healthcare legislation.
The Status of ICD-10: An Insider’s View
Nena Scott provides a look at the progress of ICD-10 18 months out.
FDA Delays Cause Drug Cost Spikes
Regulatory hurdles could be contributing to the high cost of generic drugs.
DOJ Guidance on Compliance Effectiveness
New guidance highlights common questions that prosecutors ask when judging compliance program effectiveness.
Managing the ACA’s Nondiscrimination Provisions
The ACA prohibits discrimination in health programs or activities that receive federal financial assistance. Healthcare providers face the challenges of preventing language barriers that may impact certain patients based on race, as well as current litigation on gender identify.