Question

Create health care enterprise policies and procedures that comply with federal mandates such as the release of information, HIPAA, HITECH and The Cures Act

Create an enterprise policy and procedure for each of the mandates

• HIPAA
• HITECH

          The Cures Act

Answer 1

Health policies

public policies that pertain to or influence the pursuit of health.

represent a combination of factors that affect the distribution of resources, services, as well as includes political influences that influence and impact the health of the population.

DIFFERENT FORMS of HEALTH POLICIES

1.We have public social policies enacted by the government.

2.We have health policies that affect all levels of health care including policies affecting the production, provision, and financing of health care services.

3.We have health policies that affect groups or classes of individuals, such as physicians, the poor, elderly and children.

4.We have health policies that affect Types of organizations, such as medical schools, HMOs, nursing homes, medical technology producers and employers

HEALTH POLICIES: Regulatory Tools

Health Policies need to be supervised to prescribe and control the behavior of a target group by monitoring the group and imposing sanctions if it fails to comply.

Two main types of health policies:

1. Distributive

2. Redistributive

Different policies that comply with federal mandate are :-

- Franklin Roosevelt (1930s)

Social Security Act in 1935

- Truman (1940-1950s)

Employee Sponsored Insurance Programs

- Kennedy and Johnson (1960-1960s)

Medicare and Medicaid

- Nixon (1970s)

Expanded Medicare to cover patients with chronic illness and permanent disabilities

- Clinton (1990s)

CHIP and HIPAA

- Bush (2000s)

Medicare Part D (Prescription coverage)

- Obama (2000-2010)

Patient Protection and Affordable Health Care Act

- Affordable Health Care Act - Since 2014, All Americans must be insured and insurance must provide "minimum essential coverage"

Primary Care

Maternity

Prescription Drugs

Prevention and wellness

Chronic Disease Management

Rehabilitation and Devices

Pediatric Services

- Affordable Health Care Act -Groups that are exempt from having health insurances include:

People with financial hardships and with religious objections.

American Indians who receive care through the federal Indian Health Services.

Those who have been un-insured less than three months.

Those who are incarcerated and receive care from the federal or state government.