Special report on reimbursement. HCFA enacts new enforcement remedies covering nursing facilities

While the regulations are revolutionary in their use of "substantial compliance," the interpretation and application of HCFA's new remedial scheme are still uncertain, as states are given broad discretion in defining important terms and in applying and interpreting the criteria to select remedies. Further complicating the issue is the fact that some states, including California, intend to seek waivers from HCFA to substitute their own state enforcement systems for most, if not all, of the new federal system. Based upon these uncertainties, the enforcement of nursing facility standards will likely be in a state of flux for some time to come.     

Silence is not golden: U.S. government efforts to establish national information security strategies

A new threat to national security has been found: electronic information warfare (EIW). It is the hottest (and most overhyped) issue inside the Beltway and encompasses everything from encryption to technology transfer, including both legitimate battlefield applications and ominous defense measures to protect the U.S. economy and culture.