...Benefits of the New Health Care Law Changes to the health care system affect everyone, Today you can take advantage of five major benefits of the new health care law, and several other important provisions will go into effect by 2015.To help you better understand the Affordable Care Act, which became law in 2010, by the federal government this essay explains what's changing and when and also describes the details of the five most essential benefits that you can take advantage of today they are: 1. Coverage for Children with Pre-Existing Conditions Previously: Health plans could limit or deny health coverage to children with pre-existing conditions, such as asthma or diabetes. Now: The new healthcare law requires health plans to offer coverage to children regardless of whether their health issue was discovered or treated before getting the policy. "For the moment this only applies to children, but by the year 2014 you will not be able to discriminate against anybody who buys coverage based on a pre-existing condition. 2. Elimination of Annual Limits on Benefits Previously: Health plans could establish a limit on annual or lifetime benefits, which meant that many people with chronic health problems could end up with limited or no benefits. Now: Health plans can no longer put limits on the amount of care someone needs. 3. Young Adults Can Remain In Their Parents Health Plan Previously: Health plans could exclude young adults from their parent's health insurance when the...
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...Health Care Law and Regulations University of Phoenix Louise Underhahl HCS 545 Health Care Law and Ethics 2012 Health Care Law and Regulations One of the areas that are currently affecting the Health Care industry is Regulatory agencies. There is much dissatisfaction over the current state of healthcare in the U.S. Within all of our organizations, regulatory agency surveys are conducted to better the organizations as well as its employees. The purpose of the regulatory surveys is to focus on the areas that need improvement as well as promoting better health care access to the people in the community. Regulatory agencies serve as authority as well as enforcement to regulate laws from the government. Some examples of regulatory agencies are Food and Drug Administration (FDA), Agency for Healthcare Research and Quality (AHRQ), and Occupational Safety Health Administration (OSHA). There are many examples of laws and regulations that are currently being faced in health care. Analysis of health care laws and regulations help one understand their influences on the provider. There are many ways that laws and regulations affect our lives and community. The FDA is responsible for the oversight of drugs, medical devices, vaccines, blood products and biologics, establishing rules for testing, clinical trials and approval of new products. The AHRQ is a federal agency under Health & Human Services working to improve the quality, effectiveness and safety of health care...
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...Case Law in Health Care Health care all over the world often sometimes face many obstacles, according to (Hammer & Sage) “Lawsuits against hospitals constitute the lion’s share of antitrust litigation. Between 1985 and 1999 hospitals were defendants in 61 percent of 394 medical antitrust disputes that led courts to issue formal opinions (hospitals were plaintiffs in only 6 percent. These numbers understate the burden of hospital antitrust litigation because most filed claims do not result in a published judicial opinion).” Hospital is a business that provides medical service to patients and there will always be competitors that produce social benefits. For example, Medical Malpractice is one of the major area that fail to provide quality health care medical treatment to patients, the victims of medical malpractice seek compensation for their physical or emotional injuries, or both, through a Negligence action. When patients suffered an injury, which he or she should be compensated, the reason for his or her injuries was because the physician’s violation of the standard of care. However, although the physicians is the cause of his or her injuries like according to (Farlex, 2012) “To protect themselves against the massive costs of such claims, physicians purchase malpractice insurance. Physicians' malpractice premiums total billions of dollars each year and add substantially to the cost of health care in the United States. In some specialties, such as obstetrics, 50 percent of...
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...Health Law and Regulations Stephanie Sauceda HCS/545 March 17, 2014 Mary Cummings Health Law and Regulations Health care in the United States has changed over the years and the federal government saw need to establish regulatory agencies such as the Centers for Medicare & Medicaid Services (CMS) to ensure the elderly, disabled and low income receive quality and cost-effective health care. As a result of health care costs sharply increasing, the government determined it needed to have oversight on the health care industry and pushed for the establishment of managed care organizations (MCO). CMS enforces the Emergency Medical Treatment & Labor Act (EMTALA); this act was created to ensure health care organizations provide a minimum of a medical screening exam to determine if complaint is emergent or not. Most importantly for EMTALA is the obligation to treat emergent cases regardless of the patient’s ability to pay for services. In 1996, the Health Insurance Portability and Accountability Act (HIPAA) was approved by the United States Congress to regulate the use of and protect patient health records and the Department of Health & Human Services oversees the compliance and violations of HIPAA (Department of Health & Human Services, n.d.). The intentions of many of these regulatory agencies is to oversee that the health care industry is providing quality, affordable health care and treating patients with fairness and privacy. In 2008, the Centers for Medicare...
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...Law and Ethics in Health Care Laws and ethical principles are essential for protecting the mankind, and they play a crucial role in the practice of health care. Laws and ethics play a vital role in cases such as organ donation, human genetics, and HIV/AIDS and confidentiality. The health care issue I selected for discussion is HIV/AIDS. In the case of HIV/AIDS patients, there is always ethical conflict of protecting the confidentiality of patient and disclosing the information to others about the risks of the disease. Salient Ethical and Legal Concerns Associated with HIV/AIDS As described by Pozgar (2013) one of the legal issues is the association between blood transfusion and HIV. Law suits often arise when a person with AIDA claims that he or she contracted the disease due to the administration of contaminated blood (Pozgar, 2013). Lawsuits commonly arise when there is transfusion of mismatched blood, improper screening, and improper storage procedures (Pozgar, 2013). Since May 1985, all blood donated in the United States are screened for HIV antibodies and even then patient’s may claim that they contracted the disease due to transfusion. Another legal and ethical issue is whether to allow the AIDS infected surgeons to perform surgeries. Pozgar (2013) described that the transmission of the virus from an infected surgeon to a patient is unlikely, but there is still a possibility. There is an ethical dilemma whether to allow these surgeons to perform surgeries...
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...Health Law and Regulations Paper Veronica Jenkins HCS/544 May 26, 2014 Professor: Kelly Gantt In the health care industry, regulations play an important role “Through various regulatory bodies, the Department of Health and Human Services (HHS) protects the public from a number of health risks and provides programs for public health and welfare” (fiercehealthcare.com). Implementing these two helps protect health care agencies and also regulate public health on every level. “The Centers for Medicare and Medicaid (CMS), founded in 1965, oversee most of the regulations related directly to the healthcare system” (fiercehealthcare.com). CMS provide numerous programs through the government. The health care industry has numerous regulations in healthcare. One example of laws and regulations facing health care is HIPPA. The transformation from paper charts to electronic records raises a great concern in the breach of security. “In addition, interoperability of systems is expected to create yet more breaches, as information is traded between networks. Laptop theft is the most common type of data breach, accounting for 24 percent of reported breaches, according to HHS. Desktop computers were involved in 16 percent of breaches and portable devices such as smart phones were involved in 14 percent” (beckershosiptalreview.com). Human and Health Service (HHS) require individual to notify patients when their information was breach. “The regulations, developed...
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...THE IMPAIRED EMPLOYEE AND LIABILITY 2 Ethical Considerations According to Frank (2000), ethics is the “process of determining what one considers right and wrong” (p. 45). Right and wrong are subjective concepts that vary according to culture, moral climate, and individual circumstance. What one may see as right in one situation may be absolutely wrong in another. (Frank, 2000). To make a decision ethically on the hiring of the first candidate we must consider the actions of right and wrong. One ethical consideration as a health care executive is rather or not we are considering the needs of the individual, the organization or society. As a leader we must consider the organization’s commitment to ethical decision making through its mission or value statement and the organization’s code of ethics and leads in a manner that sets an ethical position for the organization. Secondly another ethical consideration being involved in making a decision we must consider a few ethical principles, justice and fairness. Justice is about what is fair. So you will need to balance the need for hospital against the need to hire the first candidate who is more than qualified but has a liability that may at some point interfere with his ability to work, but make the decision on the basis of what is fundamentally fair. The third ethical consideration is standing up for one’s principles and doing the right thing should be a foundation of actions and decisions of leaders. Written policy...
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...The Affordable Care Act (ACA) expands access to coverage to millions of Americans, a goal health plans have long supported, but major provisions will raise costs and disrupt coverage for individuals, families, employers, and Medicare and Medicaid beneficiaries. The broad market reforms outlined in the ACA take effect on January 1, 2014. Individuals and families purchasing insurance in the individual market will be guaranteed coverage for pre-existing conditions, and their premiums cannot vary based on their gender or medical history. There will also be subsidies to help consumers afford the cost of coverage, and new health insurance exchanges will help consumers find the policies that best meet their needs. At the same time, other provisions take effect that will significantly increase the cost of coverage, such as the health insurance tax, minimum essential benefits, and restrictions on age rating. $52 billion in new taxes will be imposed on businesses by mandating that employers provide health insurance. New taxes on drug companies ($27 billion) and medical device makers ($20 billion), as well as new reporting requirements and regulations imposed on physicians, will make access to health care and services more costly and difficult for seniors under Obamacare.The cumulative impact of all of these provisions increases the likelihood that some individuals will choose to purchase insurance only after they become sick or injured, further increasing the cost of coverage for everyone...
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...Asthma is an inflammatory disorder of the airways, which causes attacks of wheezing, shortness of breath, chest tightness, and coughing. Asthma is such a common disease. There is no cure for asthma, but most people can control the condition and lead normal, active lives. Different things set off asthma attacks in different people. Smoke from cigarettes or a fire, air pollution, cold air, pollen, animals, house dust, molds, strong smells such as perfume or bus exhaust, wood dust, exercise, industrial chemicals all can trigger an attack. The symptoms of an asthmatic person are cough, sometime a cough that won`t go away is the only symptom of asthma. Asthma symptoms often happen at nigh and in the morning, but they can happen any time. They get worse when you are around your asthma triggers. “During sleep, the airways tend to narrow, which may cause increased airflow resistance. Shortness of breath that gets worse with exercise or activity, Pulling in of the skin between the ribs when breathing intercostal retractions, Wheezing, Usually begins suddenly, Comes in episodes, May go away on its own, May be worse at night or in early morning, Gets worse when breathing in cold air, Gets worse with exercise, Gets worse with heartburn reflux, Gets better when using drugs that open the airways bronchodilators. Asthma affects people differently. Each individual is unique in their degree of reactivity to environmental triggers. This naturally influences the type and dose of medication prescribed...
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...1. Justify your position about the importance of the physician-patient and hospital-patient relationships. The relationships of the physician –patient and hospital-patient are both extremely important and equally impact the health of the patient as well as the success of the hospital and physician. The physician-patient relationship is the center of health care due to the fact that one of the main aspects of a patient’s care is his/her discussion with the physician. In the past, patients had to rely solely on the directions and information provided by the physician in order to make important health care decisions. Patients were also limited in their access to health care facilities as well as hospitals. In today’s society this is not the case because most patients have the ability to seek second opinions, research alternate conditions/treatments, as well as rate physician care/hospital services through social media on the internet. A cancer patient in TN may travel to TX to receive treatment from a specific specialist and/or a highly recommended facility. Since the dynamics of the physician-patient and hospital-patient has changed, the relationship has changed but its importance has not. Therefore, it is essential that both the physician and the hospital facility itself have a good rapport with the patient in an effort to continuously build the relationship. A poor relationship between the patient and the hospital and/or physician could compromise the ability of the patient to...
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...Running head: HEALTH CARE LAWS, POLICIES, AND REGULATIONS Health Care Laws, Policies, and Regulations Frank Frimpong Manso HCS 545 July 4, 2016, 2016 Prof Elam Health Care Laws, Policies, and Regulations Health Law, Regulation, and Policy has become the means of health protection and prevention for the American people. The government highly regulates these laws improving the health of the public by developing programs, resources, and tools, aiding in health care access, however, there are also different private bodies involved in regulating the healthcare sector. Health care regulation is focused on three main roles; cost control, quality control, and access expansion and control. This paper will discuss the impact of ACA on health care organizational policies. The Affordable Care Act (ACA) The Affordable Care Act (ACA) is a health care regulation signed into law on the 23rd of March, 2010. The law’s main focus had been to increase the affordability and quality of American health insurance. Its policies were focused on lowering the rates imposed on the uninsured through the expansion of both the private and public insurance covers. It had also aimed to reduce the health care costs incurred by the government along with citizens. Barely seven days after its enforcement had a new health care law come into effect with amendments to the ACA. On March 30, 2010, the president of the United States signed into law the Healthcare and Education Reconciliation Act of 2010. The law had been enacted...
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...between the concepts of criminal law, antitrust, and health care as they apply to U.S. health law in the 21st Century. Conceptualize the primary ways in which these laws apply to U.S. health care administrators. In order to properly analyze between the concepts of criminal law, antitrust law, and the health care law I had to fully understand them individually. Worldwide, the criminal law is what protects and maintains the public well-being and safety of our communities. Criminal laws are directed to a system that is concerned with the punishment of those who commit crimes. The Antitrust law, helps prevent and/or control the intent of promoting competition within a business. Furthermore, we all understand that the health care law simply oversees all health issues whether it has to do with the physician, facility, and/or patient. In the 21st century, the primary way in which the laws apply to the U.S. health care administrator is based on how to receive proper business with affecting physician and patients. The criminal law deals with more on to properly treat someone who is in need of care within the health care establishment. The antitrust law differs tremendously. The antitrust laws in the United States is more comprehensive than those of other industrialized nations. Many other industrialized nations, perhaps because they focus on the possibility of foreign competition, have minimal antitrust law. In the United States, the original antitrust law was the Sherman Act of 1890,...
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...Affordable Care Act In today’s day in age, there are many health care payment systems that are offered to the people. One of the most well known systems is called the Affordable Care Act, which is also known as Obamacare. President Barack Obama created this health care payment system, hence the name “Obamacare”. The Affordable Care Act (ACA) is also one of the more new care systems in our country. Enacted in March of 2010, it will expand health coverage to over 25 million Americans. The Affordable Care Act is broken down into three sections: coverage, costs, and care. It offers people more guarantees than other health care systems do. There are many American citizens that do not like the idea of this new care act, while others believe it helps greatly. The purpose of this care act is mainly to offer more Americans with access to health care insurance as well as improve the quality of the care and insurance. Along with these goals, it looks to reduce the spending on health care in the United States. This history of the Affordable Care Act is not a long one, due to its recent birth. “The Patient Protection and Affordable Care Act (the ACA, for short) became law with President Obama’s signature on March 23,2010,” (Manchikanti, E35). It is one of the most remarkable transformations since Medicare and Medicaid in 1965. Obamacare argues that it changes every aspect of health care. This ranges from not only the insurance itself but to the delivery of the care. “Health care reform became...
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...Health Law and Regulations Overview This paper discusses the design of regulation agencies and the roles that they play in health care. There will also be a discussion on the current laws that health care face today, and an analysis on how these laws affect the hospital, clinic or insurer. This paper also includes how the population has little access to health care and an understanding of how HIPPA works and the role that it plays in the health care field. Healthcare The purpose of regulations is the constant need to balance the objectives of enhancing the quality, expanding access, and controlling costs in healthcare. Regulation plays a major role in the healthcare industry and healthcare insurance coverage. Through various regulatory bodies, the Department of Health and Human Services (HHS) protects the public from a number of health risks and provides programs for public health and welfare. Together, these regulatory agencies protect and regulate public health at every level ( Fierce Healthcare, 2014, para. 1). When it comes to health care there are many agencies that play a role in the management of the health care industry such as, Centers for Medicare and Medicaid (CMS) which deals with most of the regulations that deal directly to the healthcare system, they also “provides government subsidized medical coverage through a number of programs: Medicare, Medicaid, and State Children’s Health Insurance program (SCHIP)” (Fierce Healthcare, 2014, para. 2). Health...
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...The Affordable Care Act One of the most important health care moves in legislation after Medicare is the Affordable Care Act. The reason being is that it provides health coverage to anyone regardless of circumstance. The unofficial but widely recognized name for this act is Obama care. Obama care was officially signed into law on March 23, 2010. The aim of the Act is a health care law aimed at improving the health care system of the United States by widening health coverage to more Americans, as well as protecting existing health insurance policy holders. Together with the Health Care and Education Reconciliation Act, it represents the most significant government expansion and regulatory overhaul of the U.S. By 2014, the Affordable Care Act will give millions of Americans access to reliable, high quality medical care, while advancing programs to hold costs in check. Benefits of the law include, insurance subsidies for consumers, transparent exchanges to shop for insurance, new rules protecting consumers from insurance abuses, increased Medicare payments for physicians; and more. The Supreme Court's decision to uphold the Affordable Care Act ensures hard-working, middle class families will get the security they deserve and it also protects every American from the worst insurance company abuses. The way this law was designed was to specifically give states the resources and agility they need to adapt their approach to their distinctive needs. The benefits and protections that...
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