Legal and Regulatory Compliance

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

Improving Satisfaction with MOON

Tim Kelly describes how following a new CMS rule can lead to higher patient satisfaction.

Tim Kelly January 3, 2018

Preparing for MACRA Year 2: What Providers Need to Know

Sonya Bess outlines the changes coming to the MACRA Quality Payment Program in 2018. 

Sonya Bess December 20, 2017

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

The Year Ahead: What 2017 ACA Changes Could Mean for 2018 and 2019

Healthcare providers can expect an impact in 2018 from changes made by the Trump administration in 2017 that could lead to a decline in the number of Americans with health insurance and an increase in health plans with fewer benefits.

Lia Winfield, PhD December 20, 2017

Negotiating Tough Physician Deals: Preparing for Success and Regulatory Compliance

Stuart J. Schaff and Karin Chernoff Kaplan examine how to improve the negotiating position of hospitals and health systems entering into contracts with physicians, while ensuring compliance.

Stuart J. Schaff December 4, 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
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