Clinton proposed a "managed competition" approach, sending a detailed plan to Congress in 1993. It called for universal coverage, employer and individual mandates, competition between insurers, with government regulation to control costs. The opposition was led largely by two groups: the Health Insura...
Many firms are attempting to develop an excellent compliance program in these times of higher regulation enforcement. Understanding what compliance entails and how it is defined is the first step for any organization. To acquire a better knowledge of health care compliance, organizations should explore...
The College of Healthcare Information Management Executives (CHIME) is a professional group composed of more than 1,400 members, many of whom are healthcare CIOs. CHIME members come from across the spectrum of healthcare organizations including clinics, physician groups, health information excha...
Moncrieff, Abigail. 2013. "The Individual Mandate as Healthcare Regulation: What the Obama Administration Should Have Said in NFIB v. Sebelius." American Journal of Law and Medicine 39, no. 4: 539-72.Moncrieff, Abigail (2013). "The Individual Mandate as Healthcare Regulation: What the Obama...
The term "healthcare provider" is sometimes incorrectly used to refer to a health plan or health insurance company. However, an insurer or health plan administrator does not deliver care. Instead, that entity pays the person or other entity that provides the care (assuming the service is covere...
HMO Regulation Historically, the regulation of health insurance—including HMOs—has fallen under state jurisdiction; however, since the passage of thePatient Protection and Affordable Care Act (PPACA)in 2010, federal laws have also played a significant role.9 ...
A health care professional or health care provider depends on who's doing the defining. The AMA defines health care professionals based on how they're identified in the insurance billing. Government regulation defines health care providers differently fr
HIPAA is a regulatory standard that specifies the lawful disclosure and use of protected health information (PHI). Learn how to comply with its security requirements.
“Because these health app purveyors furnish health care services to their users through the mobile applications they provide, the information held in the app is PHR identifiable health information, and therefore many health app purveyors likely qualify as vendors of personal health recor...
Registered manager:The CQC website says: “A registered manager is in day-to-day charge of one or more regulated activities. The manager has joint legal responsibility with the provider for ensuring compliance with the regulations.” Regulation:The systems in place that keep social care services ...