Health Law and Regulations Crystal Young HCS 545 October 3‚ 2011 Louise Underdahl Health Care Regulation Regulation plays a major role in the healthcare industry and healthcare insurance coverage. Through various regulatory bodies‚ the Department of Health and Human Services protects the public from a number of health risks while providing programs for public health and welfare. Agencies like the Centers for Medicare and Medicaid
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American vs. Canada‚ Who Has the Better Health Care System? Canada In the 1960’s‚ Canada reformed its system providing a universal single payer health care system which covers all services provided by physicians and hospitals it is mostly free at point of use and has most services provided by private entities. Single payer health care is the financing of costs of delivering universal health care for an entire population through a single insurance pool. The government took over full funding
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Modernization Act of 2003 | 2010 | The Patient Protection and Affordable Care Act (PPACA) is a United States federal statute signed into law by President Barack Obama on March 23‚ 2010. | 1986 | The Emergency Medical Treatment and Active Labor Act (EMTALA) is a U.S. Act of Congress passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). It requires hospitals to provide care to anyone needing emergency healthcare treatment regardless of citizenship‚ legal status or ability
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treatment. The statute which protects individuals requiring medical treatment from an emergency room will be provided care no matter their financial standing or if they have health care coverage is called the Emergency Medical Treatment and Labor Act (EMTALA‚ 2013). However‚ the scenario does not mention what department in the hospital the woman goes to. Therefore‚ if the woman was seen in the emergency room‚ then the nurse practitioner would have to perform treatment whether or not coverage was allowed
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individuals to have access to health care already has a form of legal binding within the United States as seen in the Emergency Medical Treatment and Active Labor Act. “In 1986‚ Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA)‚ which forbids Medicare-participating hospitals from “dumping” patients out of emergency departments” (Pozgar‚ 2010‚ p. 221). The act provides that: In the case of a hospital that has a hospital emergency department‚ if any individual (whether
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420 Week 7 DQ 1. What are the most critical components of state regulation for managed care organizations? Which federal regulations also bring specific requirements for the operation of such entities? Discuss state and federal regulation of MCOs. State oversight of managed care generally focuses on two aspects: the techniques and processes used by a payer‚ and in particular an HMO‚ to deliver or arrange for the delivery of health care services to enrollees‚ and the organizational structure
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means that the physician or staff may not have followed proper protocol in ensuring the patients safety (Betterhealth.gov.au‚ 2011). Another risk that hospitals take is patients who do not pay. In 1986 The Emergency Medical Treatment and Labor Act (EMTALA) was passed‚ which in short states that emergency rooms have to stabilize and treat anyone who goes into an emergency room regardless if they have insurance or can’t pay (American College of Emergency Physicians‚ 2013). This also affects the quality
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The False Claims Acts is the federal government’s primary civil remedy for improper or fraudulent claims. The False Claims Act prohibits activity that does not fall under the definition of fraud. Fraud is the actual knowledge and the intent to defraud. For example “On March 10‚2000‚ the department of Justice filed claims under the FCA (False Claims Act) seeking recovery of over $1 billion from Vencor Inc.‚ a long-term healthcare provider‚ for its alleged knowing submission of false claims. The
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STUDY GUIDE FOR UNITS 1-3 1. Evolution of Practical Nursing: Chapter 1 a. What main contribution to nursing are attributed to each period? b. What contributed most to African-Americans’ involvement in nursing? The Civil War‚ beginning in 1861 c. What were Florence Nightingale’s and Mary Seacole’s specific contributions? 2. The Image of Nursing: Chapter 2 a. How has it changed over the decades? b. What is the public’s perception of nurses and nursing? c. What is the new image that
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associated with his questionable financial status. • The potential outcome health care for both is clearly different and evident. In the first scenario‚ Raymond could be faced to an enormous health problem unless he is considered an emergency room with EMTALA program for instance; while in the second scenario‚ Emmanuel be able to make his routine checkup and consequently‚ take care of his possible medical problems when diagnosed. RHIhub (2017). Rural residents often experience barriers to healthcare that
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