Legal and Regulatory Compliance

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

Indiana Health Group Patients Turn to Online Registration Forms

New patients can access and submit referral and registration paperwork via a link on the IHG website. That information is then passed on electronically to the billing, preauthorization departments, and scheduling departments, saving patients and staff time.

Chris Byers November 21, 2017

Key Actions to Prepare for the 2018 Medicare Final OPPS Changes

With little time until the OPPS final rule goes into effect, finance leaders should take action now to address the key issues that may impact their organizations both financially and operationally.

MEDICARE: Mike Kovar November 21, 2017

Survey Underscores Growing Importance of Compliance and Ethics Training

In general, compliance professionals are not satisfied with the level of training provided to their boards. A lack of effective training could open organizations up to lawsuits and litigation.

J. Stuart Showalter November 15, 2017

Designated Health Services Under the Stark Law

The Stark Law lists designate health services that are targeted to address overutilization.

HFMA November 15, 2017

Stark Law Compliance Relies on the Basics

The strict liability nature of the Stark Law and its many exceptions require legal counsel, healthcare compliance officers, and finance executives to pay scrupulous attention to physician contract details.

J. Stuart Showalter, JD, MFS November 15, 2017

6 Tips for Rural Hospital 340B Drug Pricing Participation

As 340B drug pricing legislative changes grow, there are proactive steps that rural hospital leaders can take to get the most out of 340B plan participation.

Lidia Rodriguez-Hupp November 7, 2017
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