Regulatory

Northwell CEO named chair of Institute for Healthcare Improvement August 14, 2017 | Susan Morse - Associate Editor, Healthcare Finance
Northwell Health President and CEO Michael J. Dowling begins two-year term as board chair of IHI.
Litigation underway in fee-for-service vs. managed care coverage in California August 14, 2017 | Emily Bazar, Kaiser Health News
The lawsuit alleges the state illegally reversed doctor and court decisions for patient to remain in fee-for-service Medi-Cal.
Small practices plagued by complexity of Medicare regulations, show dim view of MIPS, MGMA study shows August 14, 2017 | Beth Jones Sanborn - Managing Editor of Healthcare Finance News
Survey evaluated responses from 750 group practices, with largest representation from independent practices, groups of 6 to 20 physicians.
Texas doctor slapped with 35-year sentence and $268M in restitution for massive fraud scheme August 14, 2017 | Beth Jones Sanborn - Managing Editor of Healthcare Finance News
The Department of Justice said the elaborate fraud scheme "takes brazen to a whole new level."
The Every Prescription Conveyed Securely Act, filed in the U.S. House of Representatives, would mandate e-prescribing for controlled substances under Medicare Part D.
ONC kicks off EHR certification tool transition August 07, 2017 | Bill Siwicki - Managing Editor of Healthcare IT News
The Office of the National Coordinator for Health IT will shift its testing portfolio over the next five years to include as many industry-developed and maintained testing tools as possible.
CMS finalizes 90-day reporting for meaningful use August 07, 2017 | Bill Siwicki - Managing Editor of Healthcare IT News
The agency, seeking to ease EHR reporting burdens, will also allow both 2015 and 2014-certified EHRs for 2018.
Trump can still cut Medicaid with state waivers August 01, 2017 | Phil Galewitz - KHN Staff Writer
Despite failed ACA repeal efforts, states can request waivers from the administration but experts say this goes beyond executive branch's authority.
Providers relieved 'skinny' bill fails, say it's time for bipartisan solution August 01, 2017 | Susan Morse - Associate Editor, Healthcare Finance
President tweets that he's ready to let Obamacare implode.
HSAs under GOP bill expand options for out-of-pocket cost savings July 25, 2017 | Kaiser Health News - www.kaiserhealthnews.org
The new bill can change HSA-eligible plans if list of services covered pre-deductible were expanded, particularly for those with chronic conditions.
CMS proposes paying for more telehealth services in new rule July 25, 2017 | Tom Sullivan - Executive Editor, HIMSS Media
Regulations would keep meaningful use Stage 3 reporting requirements, increase some patient reimbursements and cut drug payments.
Former Bupa employee posts 1 million records for sale on dark web July 17, 2017 | Jessica Davis - Associate Editor, Healthcare IT News
The employee was fired after stealing data from the health insurer. DataBreaches.net found a dark web listing that shows the employee was selling between 500,000 and 1 million medical records.
California physicians, others charged in $147 million fraud schemes that included distributing oxycodone to addicts July 17, 2017 | Beth Jones Sanborn - Managing Editor of Healthcare Finance News
Cases stem from landmark nationwide sweep that saw more than 400 defendants charged, caused $1.3 billion in losses, the DOJ said.
Obamacare repeal will swell ranks of self-pay patients, cut revenue for hospitals, report says July 17, 2017 | Beth Jones Sanborn - Managing Editor of Healthcare Finance News
The convergence will create a new 'ground zero' for hospitals, with a potential average revenue loss of one percent and increase in AR days.
Senators press CMS to recoup EHR overpayments under meaningful use July 17, 2017 | Tom Sullivan - Executive Editor, HIMSS Media
The agency overpaid hospitals $730 million and now two U.S. Senators want to know why it hasn't tried harder to get that money back.
Dr. Jerome Adams is an anesthesiologist who promoted needle-exchange programs in Indiana while serving under Vice President Mike Pence.
Montana insurers deny market 'collapse' but say Medicaid cuts in GOP bill would ensure it July 10, 2017 | Kaiser Health News - www.kaiserhealthnews.org
Montana was among the last states to expand Medicaid, and its Obamacare marketplace has fared reasonably well. It has 50,000 customers, decent competition and no "bare counties," where no insurers want to sell plans.
CMS won't punish eClinicalWorks customers for meaningful use EHR attestations July 10, 2017 | Tom Sullivan - Executive Editor, HIMSS Media
The agency said clients that attested in good faith will not have to pay the money back despite the vendor's $155 million settlement over alleged false claims.
Genetic testing could haunt patients' insurability under new GOP bill July 05, 2017 | Kaiser Health News - www.kaiserhealthnews.org
With the protections of ACA, doctors screened for diseases feeling confident it wouldn't affect insurability. Now, many are concerned it will.
Most physicians are lagging in MACRA understanding, preparedness, joint AMA/KPMG study shows July 05, 2017 | Beth Jones Sanborn - Managing Editor of Healthcare Finance News
Only 8 percent describe themselves as "deeply knowledgeable" about the program and its requirements, the survey said.

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