Healthcare Industry Laws and Regulatory Agencies

Healthcare Regulations and Operational Challenges


There are numerous healthcare rules and regulations at the federal, local, and state levels. In actuality, however, the regulations present operational challenges and lead to procedures that do not benefit the patient or the organization. The price of providing healthcare services rises as a result of these rules and laws. For example, the Health Insurance Portability and Accountability Act is a federal law that was passed to enhance the efficacy and efficiency of the healthcare system. (Paul et al., 2012). The use of electronic medical data is required by law, but it is costly for rural hospitals.


Accreditation and Governing Organizations


In the healthcare sector, accreditation and governing organizations play crucial roles in establishing standards and overseeing healthcare facilities, enforcing compliance with set standards and evaluating the performance of healthcare organizations. The


Data Collection and Analysis


two bodies assess healthcare organizations by collecting and analyzing data.


Legal and Regulatory Requirements


The legal and regulatory requirements have necessitated that healthcare organizations come up with policies that will protect all the stakeholders. They are policies that if followed, they will improve the provision of services in the industry.


CMS Regulations and Data Security


One of the regulatory issues that have an impact on healthcare is the CMS regulations. The value-based purchasing programs are now in place, and qualified physicians are starting to feel the penalty phase of CMS quality reporting and use of meaningful initiatives. On the trends, use of technology has led to data security issues as the patient privacy issues are being violated. Healthcare providers are continually looking for ways to step up data security and avoid violation of Health Insurance Portability and Accountability Act which can negatively impact the organization.


Liability System and Medical Care


The liability system gives physicians an incentive to take the optimal amount of care against medical injury. Doctors, therefore, bear the cost of damages that they negligently cause. The physicians should consequently balance the costs of injuries against the cost of precautionary medical treatment (Daniel P, 2017). They should embark on procedures that are sensible from a social welfare perspective.

References


Daniel P. Kessler. (2017, November). The Effects of Liability Rules on Medical Practice. Retrieved from http://www.nber.org/reporter/winter00/kessler.html


Paul Larrat,, Rita M. Marcoux,, & Randy Vogenberg, (2012). Impact of Federal and State Legal Trends On Health Care Services. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3351856

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