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Centers for Medicare and Medicaid Services (CMS)

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  • New initiative targets Medicaid's 2014 primary care rate increase

    Six state Medicaid programs are currently coming up with strategies to maximize the benefits of the mandated primary care rate increase, as participants in Leveraging the Medicaid Primary Care Rate Increase, an initiative from the Hamilton, NJ-based Center for Health Care Strategies (CHCS).
  • Could we someday see full federalization of Medicaid?

    Interestingly, the Patient Protection and Affordable Care Act (PPACA) takes some steps toward federalization of Medicaid from both a philosophical and a financial perspective, says Nicole Huberfeld, an associate professor at the University of Kentucky's College of Law in Lexington.
  • ED especially vulnerable to temp risks, doctor says

    The emergency department (ED) is perhaps the worst hospital unit in which to have strangers working together, says Dan Sullivan, MD, FACEP, JD, president and CEO of The Sullivan Group, a risk and safety consulting group in Oakbrook Terrace, IL, and an associate professor of emergency medicine at Cook County Hospital/Rush Medical College in Chicago.
  • Alleged failure to monitor high fall risk leads to brain injury, $500,000 settlement

    News: A 66-year-old man presented to the hospital with symptoms of alcohol withdrawal. The man was placed on an IV and put in bed. The patient later attempted to get out of bed, but he fell down and struck his head on the floor. The hospital settled with the man for $500,000.
  • Leon Rodriguez to head up OCR

    Leon Rodriguez, the new leader of the government's HIPAA privacy and security enforcer, last served as chief of staff and deputy assistant attorney general for the Department of Justice Civil Rights Division.
  • HHS reports complaints and breaches to Congress

    More than 57,000 complaints of Privacy Rule violations were received by the Health and Human Services' (HHS) Office for Civil Rights (OCR) between April 2003 and December 2010. More than 250 large data breaches, defined as those involving the protected health information of more than 500 individuals, occurred in 2009 and 2010.
  • Temps, PAs may be cited in malpractice claims

    With the increasing usage of temporary staff and physician assistants (PAs) in the emergency department (ED), it is likely that the healthcare industry will see lawsuits alleging their status was key to alleged malpractice, says Paul C. Kuhnel, JD, an attorney with the law firm of LeClairRyan in Roanoke, VA.
  • Stanford responds to breach of patient data

    A patient of Stanford Hospital & Clinics in Palo Alto, CA, recently alerted the provider to a disturbing find: Detailed medical and billing records for 20,000 of the hospital's patients were posted on a homework help site. Even worse, the records had been posted for nearly an entire year.
  • The worst IT threats can come from inside

    Imagine the havoc if one day your organization's critical data just ... disappeared.
  • Settlement for alleged failure to diagnose

    News: After returning to North Carolina following a trip, a young man presented at his local hospital feeling ill. The man was seen by a physician, and a chest radiograph was ordered. The physician ordering the test and the radiologist interpreting the test noted different findings, and there was later a disagreement as to whether the two physicians met to discuss the contrary findings.