Health Law And Regulations Paper

Topics: Health care, Health economics, Health insurance Pages: 7 (918 words) Published: December 16, 2014


Health Law and Regulations Paper
Linda Stevenson
HCS/545
November 3, 2014
Shawna Butler

Health Care Regulations
Regulation takes part in a critical position in the healthcare business and healthcare insurance coverage. Throughout many regulatory organizations, the Department of Health and Human Services (HHS) guards the community from many health threats through making available programs for public health and welfare. There are agencies that exist like the Center for Medicare and Medicaid (CMS), American Hospital Association (AHA), Health Insurance Portability and Accountability Act (HIPAA), National Committee for Quality Assurance (NCQA), the Joint Commission and Accreditation of Healthcare Organizations (JCAHO), and many more agencies that protect and legalize public health at every point. There are such a variety of features and areas of regulation involving in healthcare, including the regulations of the medical doctors and practitioners, financiers, drug, and healthcare items, healthcare facilities, hospitals, and public health and research facilities. Since healthcare is one of the majority regulated industries in the United States, every feature of the system is subject to inspection of the federal and state intensity. The regulatory agencies have great objectives of creating a healthy country and people. Sometimes they are looked at as laboring adjacent to their objectives and targets. Some regulations may seem to be all to restricted and have found a middle ground to the type of healthcare given to the community, some have delayed the competent delivery or medical care. The Role of Regulatory Agencies

The roles of these agencies are much regulated. They have every level to protect the community health and safety. The department of Health and Human Service (HHS) is the U.S. government’s standard agency for guarding the health of every American and supplying the necessary human services, especially for the ones who are less able to aid themselves. The department of Health & Human Service (HHS), is liable for approximately a one fourth of all federal out lays and administers additional grant monies than every other federal agencies combined (HHS, 2014).

The Health Insurance Portability and Accountability Act (HIPAA), in 1996, it was passed by Congress. The HIPAA regulation is to defend privacy. This is in Title IV, which identifies rules for protection of all patients’ medical information. Every healthcare suppliers, health association, and government health arrangements that use, store, uphold, or put out patients’ health care information are vital to meet the terms with the privacy regulations of the HIPAA law.

The National Committee for Quality Assurance (NCQA), is not a not for revenue association that was founded in 1990. Its function is to develop the quality of care supplied by the managed care industry, consisting of health plans, MCOs, preferred provider organization (PPOs) and disease management organization. The National Committee for Quality Assurance (NCQA) has a very popular symbol of quality. Associations that includes the seal into promoting and marketing materials must in the beginning, surpass a rigorous wide-ranging reviews and must yearly report on their performance. When a consumer or employers see the seal, they know that it is an

indicator that that particular organization is well managed and they distribute high quality care and service.
American Hospital Association (AHA) is an organization that represents the awareness of hospitals and other organizations in national policy advancement. It has been in tact since 1917 and still addresses healthcare matters right today. AHA make sure that members’ viewpoints and needs are listened to and approached in national health policy development, legislative and regulatory debates, and judicial matters. The AHA is engaged in several issues that affect hospitals including readiness for...
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