Legal and Regulatory Compliance

Yet One More Legal Attack by Republicans on the ACA

Arguing that the removal of the insurance mandate means Affordable Care Act is no longer a tax, the DOJ has now challenged its constitutionality in court. The author also discusses some of the likely outcomes, depending on the court’s decision.

Gail R Wilensky, PhD June 26, 2018

Decoding MSPB: Trending Better Faster

Dale Schumacher and Fern Nerhood describe how trends in Medicare spending per beneficiary can affect hospital finances.

Dale N. Schumacher May 16, 2018

Making Decisions About Monetizing Social Media Data

Healthcare leaders confronted with the decision to monetize sharing of social media data should consider the impact on all stakeholders, the oath to “first do no harm,” and how technology is used and designed.

William Marty Martin May 11, 2018

PHI Disclosure Management in the Business Office: Two Options for Greater Efficiency

Don Hardwick describes ways healthcare organizations can improve the process of releasing medical records to insurers.

Don Hardwick May 9, 2018

Congress Most Likely Pass Regulatory Reduction Bill, Says Leader

May 8—Although many healthcare issues are calling for congressional action this year, the run-up to the mid-term elections likely will limit legislative advancements to a regulatory relief package, according to a congressional health leader.

HFMA May 8, 2018

Supreme Court Narrows Whistleblower Law

A Supreme Court decision affects whistleblowers in for-profit companies; those working for not-for-profits are protected by other statutes.

J. Stuart Showalter May 4, 2018

BCBS Case is a Lesson on Antitrust

A U.S. district court judge recently questioned the reasonableness of the claims against BCBS that accuse the health plan of increasing coverage opportunities by eliminating competition.

J. Stuart Showalter May 4, 2018

Medicaid Waivers: Work Requirements Are Not the Only Changes Coming

Work requirements present unknown changes and impacts, but the impact may not be as big as some assume. However, what providers and recipients need to consider are the other and seemingly less significant changes that will intensify the overall impact of an 1115 Medicaid demonstration waiver.

Marie Hinds April 10, 2018

April 9-13 Policy Watch: CMS Tells Providers to Prepare for New Medicare Cards

April 6—Providers will start to see new identification cards presented this month by Medicare enrollees, and that may require action steps.

Rich Daly April 5, 2018

Healthcare Sector Awaits Regulatory Reform

Two actions that minimize the impact of federal agency guidance documents concern some healthcare experts. Although these changes do not apply directly to healthcare regulatory agencies, government litigators could use them to determine the relevance of HHS or CMS guidance.

J. Stuart Showalter April 5, 2018
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