The health care regulatory agencies have been around for centuries. The role of the U. S. government in health care regulations is embedded in the Constitution of the United States of America. The Constitution and legislative branch of Congress give power to the government, both federal and state, to protect the welfare, health, and safety of all Americans. The Social Security Amendment Act of 1935 was signed into law to provide federal assistance to the elderly during the Great Depression of 1930. In 1965, President Lyndon B. Johnson endorsed a comprehensive legislative bill that introduced Medicare.
“The UR plan must provide for review for Medicare and Medicaid patients with respect to the medical necessity of— • – (i) Admissions to the institution; • – (ii) The duration of stays; and • – (iii) Professional services furnished, including drugs and biologicals” (CMS, 2013). JCAHO Standard: • LD.1.30 “The organization complies with applicable law and regulation. o Elements of Performance 1. The organization provides all services in accordance with applicable licensure requirements, law, rules, and regulation” (University of Michagan, n.d.). The UR plan activities are directly tied to Mac Audit and coverage requirements.
Davis Easton (2001) argued that public policy making has to do with the policy environment and he applied the systems theory to give an understanding of the policy process. Public policy is actually concerned with public problems. In the health sector problems facing the workers and individuals in the health sector are responsible for demonstrating what public health is .Public policy goes through certain stages of implementation .The problem formulation and agenda setting is the first stage in public policy implementations. H... ... middle of paper ... ...limited to its application to public policy. Health care system in Canada is funded publicly.
HHS. (2014, March 2nd). Health Information Privacy. Retrieved from United States Department of Health and Human Services: http://www.hhs.gov/ocr/privacy/ The United States Department of Health and Human services is tasked with providing information regarding laws associated with Healthcare operations. Additionally, this federal authoritative entity provides acceptable practices with a strict emphasis on patience protection in which data will supplement this research with.
Canada’s healthcare system started in 1946 and is made up of a group of socialized health insurance plans that provides coverage to all Canadian citizens. It is publicly funded and administered on a provincial or territorial basis with in the rules set by their federal government. Since the late 1960’s Canada essential has had a universal health insurance system covering all services provided by physicians and hospitals. In 1966 Lester B Pearson’s government subsequently expanded a policy of the universal healthcare with the medical care act. Canada’s healthcare system is the subject of political controversy and debate in the country.
Federal regulation of organ donation and transplantation under title 42 has two main parts of transplantation which are Part 121 of Title 42 that describes the regulation of OPTN which is called Final Rule. This was implemented on October 21, 1999. This explains the regulation of OPOs and transplant hospitals under the heading of the center for Medicare and Medicaid Services (Crowe & Cohen, 2006). The OPOs and transplant hospitals paly main role to get Medicare and Medicaid coverage service but must be the member of the OPTN. The 42 CFR 121.4 list explains policies that OPTN is responsible which includes distribution of cadaveric organ, testing of donors to avoid the spread of infectious diseases, inequalities caused by socioeconomic status, and training of transplant surgeons and physicians.
Mercy Ascot Hospital A hundred fourteen years ago, Mercy Ascot Hospital, was built to render healthcare services to the community of Auckland. While the hospital is growing over the years, we have retain the quality of our care continuously that we use to be the foundation of our institution to introduce to our clients. Mercy Ascot Hospital is one of the largest private hospitals in New Zealand. We have 22 operating theatres, coronary care unit and intensive care facilities. Each patient is given a treatment individually every year together with the commitment of the highest degree of excellence of the care specialists.
CANADA HAS TWO-TIER HEALTH CARE SYSTEM The issue of a universal approach to Canadian Health Care has been contended for several years. Canada's national health insurance program, or Medicare, was designed to ensure that all people can have medical, hospital and physician services. The cost is to be paid for by Ontario medical insurance program (OHIP). The Canada Health Act was intended to represent certain principles of our health care system. It was intended to be a symbol of the Canadian values.
It has been written in Finland’s constitution that the authorities must provide for every citizen social, medical and health services they need including promotion of health. In Finland The Ministry of Social Affairs and Health (STM) is in leading role of public health care. They provide legislation and guidelines for public health, control the implementing and also evalu-ate the implementation process. In Finland we have actually three different health care sys-tems: municipal, private and occupational health care systems. All these receive public fund-ing.
After Indonesia gained its independence in 1945, the regulation regarding civil servants’ health insurance in effect during the Dutch Indies government went into effect for government officers through the early Asuransi Kesehatan (Health Insurance), or Askes, scheme (Guadiz-Padmohoedojo 1995). The budget was provided to the Ministry of Health (MoH) and hospitals were reimbursed for services provided to civil servants with salaries below a fixed ceiling. Health services were free of charge in public hospitals and reimbursable in private hospitals. For inpatient services a 3 percent copayment was charged. The reimbursement system worked as follows: Health inspectors at the province level verified claims that were brought to the reimbursement office in the central MoH office.