Nobody downloaded yet

A Policy in Healthcare that was Implemented as a Result of Regulatory or Legislative Requirement - Research Paper Example

Comments (0) Cite this document
Summary
Introduction California Sutter Health is revolutionizing the way that uninsured patients pay for their care. Their method is requiring uninsured patients to pay for services up front, which means that the patient pays for services before the services are rendered (Souza & McCarty, 2007)…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER98% of users find it useful
A Policy in Healthcare that was Implemented as a Result of Regulatory or Legislative Requirement
Read TextPreview

Extract of sample "A Policy in Healthcare that was Implemented as a Result of Regulatory or Legislative Requirement"

Download file to see previous pages This bill went into effect on January 1, 2007. This bill states that all acute, psychiatric and special hospitals must make patients aware of charity care, payment discounts, and government-sponsored health insurance. It also requires hospitals to standardize its billing and collection procedures (California Assembly Bill 774). Basically, this law requires transparency in hospital billing, as all hospitals must have detailed information about their charity policies, including who is eligible and what procedure must be taken for eligibility, and a written description of how the hospitals collect the debts. Also required is a written disclosure of the hospital billing practices and debt collection procedures for everybody (California Assembly Bill 774). Analysis The rationale for this particular change in the way California Sutter Health is doing business is rather simple – health care costs are spiraling out of control, and uninsured patients contribute much to the ever-burgeoning cost of health care to this country. As of 2005, some $45 billion worth of medical care is not being paid by uninsured patients (Families USA, 2005). What this means is that those with insurance pick up the tab for the people who cannot pay in the form of higher premiums. Another rationale for implementing this scheme is to encourage uninsured patients to get the care that they need, when they need it. Prior to the California Sutter Health scheme, many individuals did not visit the doctor when it was necessary, for fear that they would be hit with high medical bills (Families USA, 2005). This is because there was a great deal of uncertainty going in how much a certain procedure or visit would cost. What California Sutter Health did was show the patient, up front, what the costs would be, and this greatly empowers patients. The reason why this empowers patients is that they can see how much they will pay for something in advance. Then, they could either decide to get the procedure done, at that time, if they had the money for it, or they could decide to put the procedure off until they had the chance to save up the money that was needed. Therefore, everybody wins – the patient is allowed to know, up front, how much a procedure might cost, which helps the patient, and the hospital itself does not find itself stuck with uncollectible bills that makes the cost of health care higher for everybody. This scheme allowed CSH to reduced its account receivables by $78 million in just three months (Souza & McCarty, 2007). These are some of the benefits of the program. Which is not to say that the policy is without its costs. There were a few bugs that needed to be worked out before the policy was implemented. For instance, the patient financial services staff member, and the Central Business Office could not access real-time financial information and management could not generate detailed reports (Souza & McCarty, 2007). Moreover, there was the costs of properly training the patient financial services (PFS) staff, for they had to be trained in spotting errors and correcting them, such as when the occurrence code is incorrectly filed or accident information is missing from the claim (Souza & McCarty, 2007). Further training had to be done with registration employees, who were never accustomed to asking for money; they had to be tr ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“A Policy in Healthcare that was Implemented as a Result of Regulatory Research Paper”, n.d.)
Retrieved from https://studentshare.org/nursing/1424941-a-policy-in-healthcare-that-was-implemented-as-a
(A Policy in Healthcare That Was Implemented As a Result of Regulatory Research Paper)
https://studentshare.org/nursing/1424941-a-policy-in-healthcare-that-was-implemented-as-a.
“A Policy in Healthcare That Was Implemented As a Result of Regulatory Research Paper”, n.d. https://studentshare.org/nursing/1424941-a-policy-in-healthcare-that-was-implemented-as-a.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF A Policy in Healthcare that was Implemented as a Result of Regulatory or Legislative Requirement

Florida Legislative Policy

...?To, {The Local Legislator}, {Office Address}, Florida. Revision of policy on nurses’ power to prescribe drugs Respected Sir/Madam, I would like to bring to your notice the policy restriction on nurses from prescribing certain drugs to patients. Drugs not allowed for prescription to nurses include certain painkillers and controlled substances. (Quintero & Sentinel, 2009) This practice necessitates the involvement of physicians to prescribe these controlled drugs. The absence of physicians from certain clinics especially in rural areas poses unique challenges. Patients suffer as they wait for doctors to prescribe these controlled drugs. Moreover, health care bills increase significantly...
7 Pages(1750 words)Research Paper

HEALTHCARE POLICY- HEALTHCARE FINANCING

...?Running Head: CURRENT HEALTHCARE POLICIES AND IMPACT CURRENT HEALTHCARE POLICIES AND IMPACT IntroductionA number of healthcare bills have been introduced in the modern times across nations. In the United States, some of these new legislative bills have sought to implement reforms in the healthcare industry as they seek to protect public welfare in the modern times. One of these bills is the Healthcare Bill 1003 that was created by the Mississippi state in 2012 (Wolf, 2001). In analyzing this legislative bill and its impact to the economy of the country, this essay seeks...
3 Pages(750 words)Essay

Healthcare Policy

...? Mandating Nurse-Patient Ratios My Strategies to Influence Votes Healthcare sector in recent scenario is facing a gargantuan trouble of falling nurse-patients ratio, which has accelerated the need for change within this particular sector. In this context, the particular change of implementing mandating nurse-patient ratio within the healthcare sector has motivated the nurses to take on the role of advocacy. Nurse’s advocacy has further initiated this change within the policies and regulations, which governs the overall healthcare unit (Blais & Hayes, 2010). In California, under new legislative policy, nurses cared fewer...
3 Pages(750 words)Essay

Legislative Healthcare Reforms

...Legislative healthcare reforms The cost of providing medical care has over become a burden to the majority of the common American because individualcoverage is mostly expensive and is sometimes unavailable due to pre-existing conditions. More funds should be spent on preventive care rather than treating the chronic conditions which within no time will overwhelm the federal and state budgets. Health care funds should not be spent on extending life of a terminal patient merely for the sake of it. Nutrition is fundamental therefore the legislation and health care initiatives aiming to improve the health of Americans should ensure that the issue of health literacy is tackled. The American...
2 Pages(500 words)Essay

Regulatory, Legislative, and Legal Impact on Healthcare Delivery Paper

...River-road hospital is a health facility situated in the of Illinois where it has been in service since its inception in 1997. It was started as a clinical facility that went on to improve its status till it was recognized as a full health care center by the regulatory board. We have since seen many improvements in the way we offer health services and are looking forward to increasing the number of patients we can handle on a daily basis. We have faced many challenges but our vision keeps us clear from reaching rock-bottom in our operations. We are determined to keep the institution as a leading health facility among the people of Illinois. The management of this health center has come under sharp criticism for being unaccountable... for the...
4 Pages(1000 words)Essay

Regulatory and legislative issues paper

...is a key part of HIPAA -- federal legislation that was passed into law in August 1996. The overall purpose of the act is to enable better access to health insurance, reduce fraud and abuse, and lower the overall cost of health care in the United States” (HIPAA, 2010). The overall common estimation is that the Security Rule has affected healthcare positively, leading to greater client confidentiality and better information access for healthcare facilities. However, cost is a major issue in implementing new technology covered by the rule, such as the establishment of electronic health records. It is important to provide a general overview of the HIPAA Security Rule, its...
4 Pages(1000 words)Essay

Legislative Polices for Healthcare

...Legislative Polices for Healthcare The healthcare legislation is a complex mode of decision making process in USA. Besides, the public sector involvement in healthcare legislation includes federal, state and local levels of government in USA. On the other side, private sector includes a number of private agencies. In addition, current healthcare legislation is shaped by a number of interest groups which deeply influence the process of legislation and implementation. Brief summary on current legislative polices for healthcare in...
1 Pages(250 words)Essay

Healthcare Policy

...that “Medicaid is funded by a mixture of state and federal taxes” (Baribault and Cloyd, 1999). This particular program is rather relevant as it is aimed to protect people who may be in high need of medical help, but do not have a possibility to pay for it. The United States of America has made important steps for improving their healthcare policy for the last thirty years. In 1993, the Family Medical Leave Act has been presented and implemented by Clinton. This act provides the allowance to employers for up to 12 weeks of unpaid leave because of family illness (Niles, 2014). The number of other different legislations has been attained in the last ten years of twentieth...
5 Pages(1250 words)Essay

UK Healthcare Policy

...UK NHS HEALTHCARE POLICY College UK NHS HEALTHCARE POLICY For any government, the development of a healthcare system is an important aspect of country development. The government is responsible for instituting various health policies that define the access, availability and the funding of National Health Service. The development of a country is measured on the ability of the government to develop a standard healthcare system that provide affordable, accessible and efficient healthcare to the public. In the UK, the National Health Service has continuously evaluated its health policy to...
11 Pages(2750 words)Assignment

Healthcare policy

...HEALTHCARE POLICY By Healthcare Policy Question Good governance is an important feature in the provision of effective, quality, and efficient health care services to the citizens. In other words, the type of health system in any country will dictate success, efficacy, competence and quality the concerned stakeholders, in this case, the Doctor of Nursing Practice (DNP) nurses, overall community as well as the sponsors. Notably important, in a bid to ensure an improvement in the quality of health care services and standards provided to the citizens, many nations have adopted different health care policies. For instance, in some countries quality health assurance has been left to health care providers and other professional bodies... , with no...
3 Pages(750 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Research Paper on topic A Policy in Healthcare that was Implemented as a Result of Regulatory or Legislative Requirement for FREE!

Contact Us