Legal and Regulatory Compliance

As many as 17 states could eventually have Medicaid work requirements, which may cut into the finances of hospitals in those states, according to a new analysis.

Hospitals and health systems should be prepared to see a greater financial impact from Medicare hospital admissions that end with beneficiaries being deceased than from such admissions that end with the patients leaving the hospital in an improved condition. 

340B-eligible facilities are unsure of the fate of the 340B discount drug program as they await a U.S. District Court ruling on remedies that could further alter payments.

A recent OIG video highlighting various reports offers helpful reminders for finance personnel, compliance officers, legal counsel, and others who assist in ensuring that their healthcare organizations abide by all legal requirements.

A campaign to educate clinicians on proper waste segregation can improve compliance with regulations and keep regular waste out of more costly waste streams.

Marty Puranik describes the financial benefits of compliance.

Jan. 30—In 2019, the Trump administration plans to implement regulatory overhauls of several administrative barriers to the proliferation of value-based payment, according to a senior administration official.

Moazzam Adnan Raja describes new opportunities and challenges in health IT.

Legalization of medical marijuana in 46 states raises concerns for hospitals and health systems in terms of administering the drug, patient safety, and staff impact. But sample policies and assistance exist such as three options from the Minnesota Hospital Association.  

CMS reminds healthcare providers that the format for posting is the hospital’s choice, but the information must be “consumer-friendly” and must enable patients to understand their financial liabilities and compare charges for similar services across other hospitals.