As you prepare your responses, include when and why regulation shifted from the state to the federal level. In your own words, discuss the federal regulations and acts to regulate health maintenance organization plans.
Answer: The federal government regulates managed care as well as other health plans which is also sponsored by private-sector employers whereas the states regulate plans such as a health maintenance organization (HMO) which mainly offers a managed care policy to an individual, employer etc.
As you prepare your responses, include when and why regulation shifted from the state to the...
Discuss health insurance regulation in the United States, being sure to include both state and federal regulations. What happens in the event that state and federal health insurance regulations conflict?
Discuss the federal agencies that are responsible for the oversight of HMOs, and discuss when federal regulations or state regulations would apply to situations, such as HIPAA privacy standards. According to the McCarran-Ferguson Act and the Health Maintenance Organization (HMO) Act, oversight of health insurance regulation for HMOs is left to the states. Based on your understanding of HMO oversight, do you believe the states should have such authority?
As you prepare for a site survey by an accreditation body, state licensure, or other agency, you will be reviewing the standards/regulations related to that organization. Select one specific standard/regulation/element for each of the following that you know you will need to meet in order to assure your facility is prepared. For each standard/regulation/element chosen, why is this standard/regulation/element of value to patient safety? Credentialing Joint Commission CARF (Commission on Accreditation of Rehabilitation facilities) Medicare Conditions of Participation HCQA (Healthcare Quality...
Choose a law, policy, or regulation at the state, federal, or international level that you believe will have a meaningful impact on climate change. Discuss what aspect of climate change it will benefit (e.g.: mitigation/adaptation) and why you think it is an effective approach. Pls cite scholarly
Select a state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care. Discuss the changes that have occurred because of this law or regulation. Additionally, discuss the technology associated with either your selected law/regulation or a similar one. Are there ethical dilemmas that have resulted from technology changes when delivering care to patients...
Select a state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care. Discuss the changes that have occurred because of this law or regulation. Additionally, discuss the technology associated with either your selected law/regulation or a similar one. Are there ethical dilemmas that have resulted from technology changes when delivering care to patients...
Discuss one challenge and one barrier to health interoperability. Your response must include why the challenge and the barrier to interoperability are important in the field of public health. Your answers to the questions should be at least more 100 words based your understanding in your own words
In your own words, discuss why managers must understand IT governance. Approach this from an ethical perspective, and include the effects of the Sarbanes-Oxley Act in your discussion. While doing so, also include thoughts on ethical lessons taught in these scriptures: Acts 5:1-10 Matthew 5:33-37
1. Explain in your own words why regulation is important. I would like you to use 2 examples, one from human communities and one from the human body in your explanation. Make sure to include how regulation is enabled in each case (i.e. how is communication occurring?). I will give you an example, so that you know what I am looking for. When you drive a car and approach an intersection, you will receive a signal (communication) that tells you...
Based upon your learning from this unit, and also your own experience, discuss how you would use electronic health records data to identify trends for improvement and areas of concern in your own healthcare organization. Your response must be at least 500 words in length.