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.
CMS’s 2018 IPPS Proposed Rule and RFI: Signaling the Trump Administration’s Deregulation Agenda
Ken Perez describes the connection between the effort to repeal and replace the Affordable Care Act and a new proposed rule and request for information by CMS.
The Risky Business of RADVs
By identifying some of the factors that set apart those health plans chosen for RADV audits, healthcare organizations can better prepare for their own selection.
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.
Incremental Healthcare Reform: A Focus on Cost
Olakunle Olaniyan discusses the opportunity to lower the cost of care and help people stay insured.
The Fate of Value-Based Care with an ACA Repeal
The move to value-based care may not go forward under Republicans’ plan to repeal and replace the Affordable Care Act.