Premium Essay

Regulatory Agency

In: Other Topics

Submitted By djuanico31
Words 508
Pages 3
skip to content
Home
The CHCS NetWork
Log In

Adults with Complex and Special Needs
Children's Health
Consumer Issues
Financing
Health Reform Implementation Resources
Long-Term Supports and Services
Medicaid Policy
Primary Care Improvement
Quality and Equality

About UsBoard of TrusteesStaffPresident's MessageJobsHistory & FundersDirectionsFAQs About CHCS Slide Deck_Dec_2010 (229K)

Medicaid Fact Sheet (44K)

About CHCS Fact Sheet (61K)

Download Adobe Acrobat Reader to read PDF files.
Our Mission

The Center for Health Care Strategies (CHCS) is a nonprofit health policy resource center dedicated to improving health care quality for low-income children and adults, people with chronic illnesses and disabilities, frail elders, and racially and ethnically diverse populations experiencing disparities in care. We work with state and federal agencies, health plans, providers, and consumer groups to develop innovative programs that better serve people with complex and high-cost health care needs.

Our Priorities

Enhancing access to coverage and services. Under health care reform, Medicaid is poised to serve more than a quarter of all Americans. CHCS is helping states and health plans to understand the care needs of the Medicaid expansion population and streamline linkages between Medicaid and the insurance exchanges.

Improving quality and reducing racial and ethnic disparities. Medicaid currently serves more than 60 million Americans including a significant portion in racial and ethnic minority populations. Quality outcomes in Medicaid are significantly lower than in commercial insurance. CHCS is working to close the gap by improving the quality of care for all Medicaid beneficiaries.

Integrating care for people with complex and special needs. Children and adults with complex needs account for a substantial portion of total

Similar Documents

Free Essay

Regulatory Agencies

...Regulatory Agencies HCS437 June 2, 2014 Regulatory Agencies Several regulatory agencies are responsible for licensing long-term care facilities to ensure compliance of laws and regulations. Regulatory agencies also receive and investigate complaints that are related to the facility and the services in which the facility provides (Walsh, 2014). All long-term care facilities are expected to abide by these regulations in an effort to ensure long-term care patients proper care, ethical treatment, safe living environments, and health care reimbursement. These agencies expect long-term care facilities to maintain an environment that will emphasize the importance of one’s quality of life and quality of care (Walsh, 2014). This paper will discuss three regulatory agencies including the Centers for Medicare and Medicaid Services, the Department of Licensing and Regulatory Affairs, and the Administration on Aging/Long-Term Care Ombudsmen Program, which have made huge impacts on the way long-term care is delivered in the United States. Centers for Medicare and Medicaid Services The Centers for Medicare and Medicaid Services (CMS) has become a staple among regulating long-term care facility practices. The CMS produces and maintains federal regulations for long-term care facilities that choose to accept residents that rely on Medicare and Medicaid benefits as a form of payment (Long-Term Care Facilities, 1989). Local licensing agencies are responsible for surveying, licensing...

Words: 1106 - Pages: 5

Premium Essay

Regulatory Agency

...Regulatory Agency Paper Aisha Syed HCS/ 430 July 3, 2014 Valerie Platt Regulatory Agency Paper The healthcare regulatory agency selected for this article is The Federal Bureau of Prisons also known as (BOP). The role of BOP is to confine statewide offenders in prisons. These criminals are cost-efficient, and secure (BOP). The responsibility of BOP is to help inmates against their future criminal activities. This is done through educating them to stay involved in programs that stand proven to reduce criminal activities. The BOP employees help inmates with programs and services that offer mainstream values. Some other duties of BOP also, include delivering medical treatment to inmates with health care standards. In 2007 the (BOP) healthcare cost was 736 million in health care for providing healthcare to inmates. This agency continues health care services to inmates from medical providers and in-house medical providers employed within the agency. The BOP health care cost remains affordable in comparison to insurance rate with other agencies. There are numerous ways and means the BOP controls the budget to make the health care inexpensive for inmates. The BOP found ways to control the cost of health care by implementing initiatives that provided more effective and efficient inmate health coverage. By implementing new systems it helps the BOP reduce the cost for inmate health care coverage. Some of the strategies consist of selecting convicts to be organizations built...

Words: 1452 - Pages: 6

Free Essay

Regulatory Agency

...Regulatory Agency Regulatory agencies ensure health care practitioners and facilities promote safety, legal compliance, and quality patient services. If health care were not regulated of if accreditation were not required patients would not have a sense of comfort and safety. The regulatory agency the Joint Commission on the Accreditation of Healthcare Organizations commonly known as JCAHO, which “conducts periodic on-site surveys to verify that an accredited organization substantially complies with Joint Commission standards and continuously makes efforts to improve the care and services it provides” (The Joint Commission, 2010, p. 3). The JCAHO ensures that health care providers and facilities are maintaining the required standards of care in place by the regulatory agency. JCAHO is constantly improving the quality and safety of care provided in any health care facility. History of the Joint Commission of Health Care Organizations In 1910, Ernest A. Codman, M.D., found that many health care practitioners were practicing medicine that was outside their scope of training. It was then that he “proposed the end result system of hospital standardization. Codman thought that if hospitals were to track every patient and the patient were treated long enough it could be determined whether the treatment was effective and use the results to improve care” (2010, A Circular Century, p. 26). In 1913, the American College of Surgeons (ACS) was established and by 1917, the...

Words: 501 - Pages: 3

Free Essay

Regulatory Agencies

...Several different agencies regulate residential care homes for the dual purposes of protecting the welfare and rights of residents and assuring they receive an appropriate level of quality care. Residential care homes provide care to persons unable to live wholly independently but not in need of the level of care and services provided in a nursing home. Toward that end, these regulations are designed to foster personal independence on the part of residents and a home-like environment in the homes. Residential care homes are licensed as either Level IV or Level III. Both levels must provide room and board, assistance with personal care, general supervision and/or medication management as necessary for each individual. Level III homes also must provide the additional service of nursing overview. The intention of the Department of Aging and Disabilities is to assist residential care home providers to attain and maintain compliance with these regulations. One effective agency that is working to ensure essential services for those in need of long-term care is the Department of Aging and Disability Services (DADS) in the state of Texas. This organization provides a plethora of programs for those needing special help within the state. These programs include, but are not limited to, adult day care, assisted living facilities home health care, and residential care for those citizens who have intellectual and developmental disabilities. To qualify for the services this department offer...

Words: 922 - Pages: 4

Premium Essay

Regulatory Agency

...Regulatory Agency Paper University of Phoenix HCS 430 Legal Issues in Healthcare: Regulation and Compliance June 8, 2008 The Department of Health and Human Services (DHHS) is one of the many agencies that handle an array of healthcare departments as well as research. The DHHS caters to citizens of all nationalities, race, and ethnicities. The DHHS focus is to protect the health of all Americans and providing the highest level of human services, especially for those who are least able to help themselves. The Public Health Service is divided into 42 subdivisions (Department of Health and Human Services, 2007). This paper will give highlights of the history of the DHHS, the source and scope of authority, how the day-to-day operations are guided and performed, and how DHHS is structured. In addition, examples are given as to the duties that are carried out within the department of the DHHS. History of the Agency The Department of Health and Human Services (DHHS) was established in 1953 and was referred to as the Department of Health, Education and Welfare. In 1979, the agency was recreated and renamed as the Department of Education. The DHHS agency has many components within the agency that handles and maintains day-to-day operations. (U.S. Department of Health and Human Services, 2008). Source and scope of authority According to the statement Office of Inspector General (OIG), the text reads that OIG will ensure that disseminated information meets...

Words: 1188 - Pages: 5

Premium Essay

Regulatory Agency

...Regulatory Agency Paper University of Phoenix HCS 430 October 22, 2012 This paper will better inform how the Joint Commission Accreditation of Healthcare Organizations (JCAHO) came into existence. The JCAHO is responsible for the accreditation of healthcare organizations nationwide. JCAHO’s goal is to ensure that specific guidelines are meet and that the organizations operate in a safe manner for their patient’s and its employees. The Joint Commissioned Accreditation of Healthcare Organizations (JCAHO) came along side of the American College of Surgeons (ACS) which established its program in the early 1900’s until 1952. This agency was responsible for on-site inspections of hospitals. Only a few hospitals meet the requirements of the minimum standard. The start up of JHAC was governed by Arthur W. Allen who sat on the chairman of the American College of Surgeons (ACS) (Saulf, 2005). In 1952 the ACS officially transfers its hospital Standard Program to JHAC this was the start of hospital’s accreditation. In 1953 JHAC publishes their standards for hospital accreditation. As time moves on congress passes the social security amendments in 1965 making this one of the hospital’s provision to be in compliance with the Medicare conditions for the hospital’s to participate in the program. In 1971 the accreditation for long term care is established. The social security act amended that the Secretary of the U.S.Department of Health and Human Services (DHHS) validate JHAC findings...

Words: 1490 - Pages: 6

Premium Essay

Regulatory And Non-Regulatory Agencies

...Regulatory and non-regulatory agencies are made up of professional organizations and government agencies that issue infection control guidelines in dentistry. It is very important for everyone in the dental practice to know the very different roles of each of these agencies. Some of these agencies are regulatory; they issue all rules and regulations that dental practices must follow. There are penalties set in place for not complying with these regulations that include fines, imprisonment or suspension or revocation of licenses. The other half of these agencies is non-regulatory also called advisory or recommendation agencies. These agencies issue recommendations that are based on strong scientific evidence but they do not hold any authority...

Words: 1118 - Pages: 5

Free Essay

Federal Regulatory Agencies

...Federal Regulatory Agencies Teresa Bryant Barry University Public Law and Administration PUB 647 Dr. Stephen Sussman June 26, 2014 Federal Regulatory Agencies The United States Fish and Wildlife Service (FWS) is the principal Federal agency dedicated to fish and wildlife conservation. The Service’s history spans nearly 140 years, dating from the establishment of its predecessor agency, the Bureau of Fisheries, in 1871. First created as an independent agency, the Bureau of Fisheries was later placed in the Department of Commerce. A second predecessor agency, the Bureau of Biological Survey, was established in 1885 in the Department of Agriculture. In 1939, the two Bureaus and their functions were transferred to the Department of the Interior in 1940, They were consolidated into one agency and redesignated the Fish and Wildlife Service by Reorganization Plan III (Fish and Wildlife Service, n.d., p. 1). The Fish and Wildlife Service’s works to conserve, protect and enhance fish, wildlife and plants and their habitats. To contact the agency or department you can access the agency website at http://www.fws.gov or http://www.fws.gov/duspit/contactus.htm. The agency is located at Fish and Wildlife Service, 1849 C Street NW, Washington, DC 20240 and the telephone number is (202)-208-5634 (Public Affairs routes all call from here) or toll free at (800) 344-9453. The parent agency is the Department of the Interior (DOI) at http://www.usa.gov/directory/federal/department-of-the-interior...

Words: 1890 - Pages: 8

Free Essay

Regulatory Agency Paper

...Regulatory Agency Paper Lori Lewellen HCS 430 Throughout this paper I will discuss and explain the application as well as how the Family and Medical Leave Act, which is also known as FMLA is implemented, as well as Worker’s Compensation Occupation and Safety and Health Act, which is also known as OSHA. I will also discuss the regulatory laws in which are implemented by organizations to make sure that these acts are adhered to and mandated while still providing employees with a working environment that is safe. Most of all organizations and agencies are forced to make sure that all of the governmental along with all city laws, are implemented to protect employee safety, welfare, health, and also to make sure that commitment is maintained to people within the community in which that it serves. The Family Leave Act, also known as FMLA, is an act in which each and every working employee, whether it is a male or female, a non-union or a union member, is allowed to take a leave of absence from their place of employment in which is a part of their employee benefits in accordance to the law for the following reasons: Employee gives birth to a newborn and needs to care for them; Employee fosters or adopts a child; Employee needs to care for an immediate family member such as their parent, their spouse, or their child that has a serious condition and needs constant care; or if an employee has a serious medical condition where a leave is needed ("Encyclopedia Of Everyday...

Words: 1307 - Pages: 6

Free Essay

Market Respinsiveness to Societal Interest

...nav DOI: 10.1177/0276146709344954 http://jmmk.sagepub.com Abstract The authors provide evidence that firms can enhance their own objectives by internalizing the objectives of most stakeholder groups. This suggests that society’s objectives, as defined by stakeholders to the firm, can be augmented by the self-interest motivation at the heart of a market system. Specifically examined was the impact of stakeholder responsiveness on innovativeness. The second objective of this study was to explore the impact of compliance-based versus strategic-based regulation approaches on firm innovation and overall corporate social responsibility (CSR). Findings suggest that regulatory responsiveness decreases innovation when firms expend resources only on compliance. Firms adopting strategic-based approaches, such as voluntary regulatory...

Words: 11381 - Pages: 46

Premium Essay

Government Agencies Regulatory

...University of Phoenix Material Health Care Marketing Information Matrix There are a variety of information sources that may be used by consumers to obtain information relating to the marketing of health care products and services. The following matrix is intended to assist you in organizing the information contained in these sources. Consider the types of marketing messages that these information sources may contain and the reliability of the marketing message. Following the provided example, identify three examples of your own. Source of Health Information Type of Health-Related Information Marketing Messages How the Consumer May Assess the Accuracy or Reliability of the Marketing Messages List the information source, such as Internet websites, WebMD, MedLine, or the news media. Type of information provided by the source List at least one marketing message being communicated to the consumer within this information source. List one approach the consumer may use to verify the accuracy of the marketing message. Example: Website relating to Zyrtec McNEIL-PPC, Inc. (n.d.). Zyrtec. In Zyrtec. Retrieved from http://www.zyrtec.com/econsumer/zyrtec/index.view Example: Information relating to the use of Zyrtec in the treatment of allergies Example: Zyrtec is a fast-acting allergy medicine that maintains its effect for 24 hours after a single dose. Example: Use the product to assess whether it works as stated. Website relating to Flonase http://www.webmd...

Words: 423 - Pages: 2

Premium Essay

Fslrc

...chaired by B. N. Srikrishna, former judge of the Supreme Court and the other board members consisted of virtuoso of various fields like Finance, Economics, Laws and Public Administration. The Commission took up a intense two year process starting from April, 2011 and submitted its “text of the findings and recommendations” in March,2013. For better and effective functionality in finance sector and avoid conflicts of interest among different regulatory, the Financial Sector Legislative Reforms Commission (FSLRC) recommended to have well structured Government agencies. The Commission has pitched for specialized and consolidated set of provisions on regulatory governance by bringing a bill, called Indian Financial Code Bill. Government agencies are required to perform complicated functions in eight major areas of finance sector: consumer protection, micro-prudential regulation, resolution of failing financial firms, capital controls, systemic risk, development, monetary policy and debt management. And if we have quick review of India’s regulatory, we find that it mainly follows product-specific regulator system. We have: Reserve Bank of India (RBI) that regulates...

Words: 1556 - Pages: 7

Premium Essay

Legal, Safety, and Regulatory Regulations in Hr

...Legal, Safety, and Regulatory Requirements HCS/341 February 1, 2014   Legal, Safety, and Regulatory Requirements The course syllabus for Human Resources in Health Care by Brown (2010) makes a debatable statement: "Common sense and compassion in the workplace has been replaced by litigation" (Version One). I disagree with this statement. Common sense and compassion are relative to the supplier. Therefore, federal regulatory agencies have ebeen created to establish and enforce legal, safety and regulatory requirements. In an effort to originate these regulations, the federal government has established the U.S. Department of Labor, U.S. Equal Employment Opportunity Commission, the Americans with Disabilities Act of 1990 and the Department of Homeland Security. Legal Regulations Legal regulations about topics such as wage requirements, work hour requirements, and medical or family leave time is enforced by the U.S. Department of Labor. One example of this agency's oversight is the provision of protected break times for breastfeeding mothers. According to "U.S. Department Of Labor" (2014), "The Patient Protection and Affordable Care Act amended section seven of the Fair Labor Standards Act to require employers to provide reasonable break time for an employee to express breast milk for her nursing child for one year after the child’s birth each time such employee has the need to express the milk" (Wage and Hour Division: Break Time for Nursing Mothers). Signed...

Words: 779 - Pages: 4

Premium Essay

Swdsd

...less taxes that get taken out will make your more be able to spend more on products. Discretionary income is disposable income available for spending and saving after individual has purchased their basic necessities. If people still have enough money after getting what they need they will be more able to spend money on what they want. 4. What factors influence a buyer’s willingness to spend? Willingness to spend is inclination to buy because of expected satisfaction from a product. A products price and value also influence almost all of us. Another factor is if people have the power to buy. 5. What are the goals of the Federal Trade commission? List the ways in which the FTC affects marketing activities. Do you think that a single regulatory agency should have such broad jurisdiction over so many marketing practices? Why or why not? They are trying to stop false advertising, misleading pricing, and deceptive packaging and labeling. The effect marketing because people need to be more honest or they will have to choose their words when trying to...

Words: 847 - Pages: 4

Premium Essay

Regulation and Investment: Case Study of Bangladeshregulation and Investment: Case Study of Bangladesh

...World Dialogue on Regulation for Network Economies Regulation and Investment: Case study of Bangladesh Harsha de Silva[1] and Abu Saeed Khan[2] August 2004 Abstract The paper considers the available evidence in determining a relationship, if any, in the Telecom Regulatory Environment [TRE] of Bangladesh and investments in to its telecommunications industry over the last decade. TRE is segmented in to market entry, access to scarce resources, interconnection, tariff regulation and regulation of anti-competitive practices while investments are all non-divestiture foreign and domestic private and public investment. The TRE in Bangladesh is found to be wanting in all defined aspects. Interconnection is the worst of the five components, where a mobile only parallel network is being created due to regulatory ineffectiveness where almost ninety percent of mobile users do not have access to a fixed phone. Investments in to the fixed sector in Bangladesh dominated by the state owned virtual monopoly have been sorely inadequate and continue to be dictated by the funds availability [or lack thereof] of the Government. The mobile sector on the other hand has seen some amount of investments flowing in led by the widely acclaimed GrameenPhone. However, once standardized to compare across the region, it is found, even though using imperfect data to compare, that the reason for this flow could...

Words: 12440 - Pages: 50