Legal and Regulatory Compliance

Maryland TCOC: A grand demonstration continues

As Maryland's Medicare Total Cost of Care priogram enters its second year, it It is a goodtime to revisit the program to understand its essential elements and implications for the nation's healthcare system.

Dale N. Schumacher, MD, MPH January 2, 2020

5 ways to drive patient privacy law compliance from within your organization

While it makes sense to protect patients’ health-specific data, social security numbers and home addresses from external threats, the most significant threats to patient privacy laws are on the inside.

Isaac Kohen December 31, 2019

Enrollment largely stable in ACA marketplaces

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

Rich Daly December 26, 2019

After ACA court decision, ‘Nothing is changing’ immediately

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

Rich Daly December 23, 2019

How Montana got hospitals to accept Medicare-based payment rates

Montana moved its hospitals to Medicare-based payment rates to help reduce costs for its state-employee health plan.

Rich Daly December 20, 2019

A 5-month delay of the DSH payment cut is among new federal budget provisions

A delay of a $4 billion cut to hospital DSH payments was included in a year-end federal funding package.

Rich Daly December 20, 2019

Battle emerges over value-based safe harbors included in anti-fraud overhaul

Although proposed Stark Law exceptions have drawn praise in comments from many healthcare stakeholders, others see reasons for caution.

Rich Daly December 18, 2019

Price transparency: What to know about the CMS final rule

The podcast team breaks down the recently issued CMS final rule around price transparency. Also, a rural health system in South Dakota discusses how it transformed its revenue cycle by focusing on self-pay patients.

Erika Grotto December 6, 2019

OPPS final rule keeps site-neutral payments and 340B cuts, leaves out transparency requirement

The Medicare OPPS final rule will continue 340B and site-neutral payment cuts but leaves out the requirement to post rates negotiated with health plans.

Rich Daly December 6, 2019

Why the Trump administration is pursuing hospital payment cuts that courts have rejected

The Trump administration is continuing to push hospital payment cuts rejected by courts to make the case to Congress that new laws are needed, according to a senior White House official.

Rich Daly November 13, 2019
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );