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Healthcare regulation |
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Introduction Regulation of healthcare in America continues to be a divisive topic. The regulatory process is complex, impacting healthcare payers, providers, and consumers. Polar views on market dynamics and the right to healthcare contribute to the quagmire. Healthcare regulations thus far have been made in piecemeal fashion. ... • Regulation and Policy - Differences Regulation and policy are different. According to the Merriam-Webster’s dictionary, a policy is a high-level overall plan embracing the general goals and acceptable procedures especially of a governmental body and a regulation is a rule or order issued by an executive authority or regulatory agency of a government and having the force of law. ... • Need for Regulation and Policy Regulations are needed for three primary purposes: (1) to promote adherence to standards, (2) to manage and simplify market complexity, and (3) to fill gaps due to private sector inaction. ... For healthcare providers, association-set standards of care and medical guidelines establish treatment protocols. ... Without regulation, variation would naturally exist. Second, complexity and competing interests invite regulation. ... healthcare system and the myriad insurance provisions and financing sources led government to simplify Medicare, for example. ... Third, as the evolution of Food and Drug Administration (FDA) policies exhibits, governmental regulation can arise to fill private sector gaps. ... Importantly, healthcare coverage provided by Medicaid and Medicare enables targeted, underserved populations such as the poor and elderly to access needed services. ... • Reasons for Regulation - Regulators The main reason for the introduction of regulation on food, drugs, and cosmetics is protection of consumers. Early health regulation dealt with the quality of products on the market. ... Product regulation continued to evolve and grow as new public health crises developed and our understanding of health risks grew. Regulation concerning access and cost were slower to develop, but have become the main topics of health policy discussions today. ... healthcare industry due to our capitalistic, market driven society. Healthcare is a right of each citizen in many other countries; this is not the case in America. ... The government only provides healthcare to vulnerable portions of the population such as the elderly, the disabled, the chronically ill, and the poor. Furthermore, government sponsored regulation is only applied when market forces fail or do not function efficiently. Regulation must be enacted when the profit motive overtakes the needs for quality, cost efficiency, and access. ... Today, the department of Health and Human Services (HHS) oversees most healthcare regulation. ... Doctors are regulated by the their own professional organization, the American Medical Association, and Hospitals accredit each other as meeting standards of the Joint Commission on Accreditation of Healthcare Organizations. ... • Regulation Beneficiaries Primarily, regulations protect the public. ... Regulated funding for programs in medical research (such as the NIH) ensure continued advances in technology of healthcare, and, thereby, availability and quality of care to the general public. Regulation also ensures protection for the people and agencies that are delivering healthcare (e. ... , insurance companies are unable to be sued, and regulation of malpractice suits against physicians is under consideration). • Regulation of Health Care Goods and Services The number of healthcare goods and services that are regulated either by the U. ... Today drugs, dietary supplements, and healthcare services are regulated to ensure high standards of the whole healthcare industry. ... Regulation of herbal remedies in the U. ... When Congress passed the DSHEA, which changed supplements’ classification from "food or drug" to "dietary supplement," less stringent standards for regulation for herbal remedies were implemented. ... While FDA controls mainly healthcare goods, there are several institutions that control the quality of health services provided to patients and fairness of the treatment. • Development of Regulation Development of regulation and policy is characterized by some major themes: a mixture of private and public interests, fragmented reform, the involvement of interest groups and the impact of legislators. Due to conflicting interests, reform of the healthcare system is usually a form of compromise. ... Furthermore, Presidential leadership championed most of the major reforms in healthcare like Medicaid. ... Most health legislation originates from the House of Representatives given that its committees have the power to fund and control Medicare, Social Security, public health reform, and healthcare providers. |
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Title: Healthcare regulation
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