Legal and Regulatory Compliance

While technology changes over the past 22 years have allowed increasingly skillful data breaches, we can expect even more dramatic developments in the next five years. Attention to potential breaches now—in all their various forms—will be essential to managing unforeseen future threats.

OCR has proposed deregulatory rulemaking to clarify when hospitals may share certain patient behavioral health information.

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.

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

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.

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

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.

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

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.

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.