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Risk Management in Health Care

   

Added on  2020-05-16

6 Pages1089 Words165 Views
1Running head:HEALTHCARERisk Management in Health CareName of student:Name of university:Author note:

2HEALTHCAREOverviewTrends in the healthcare system are remarkably influenced by local, state, and federal health care legislation. The present paper describes the general trends in healthcare legislationover the past five years. Further, it describes a particular legislation, namely Medicare Access and CHIP Reauthorization Act of 2015, how it governs a long trending healthcare concern, and the motivating factors behind the legislation. The impact of the trending legislation on health care overall in the United States are highlighted thereafter. The next section of the paper describes how the selected legislation effects hospital care setting. The changes that have occurred in a selected healthcare setting for meeting the needs of this legislative trend have been identified. Lastly, the impact on stakeholders has been analysed. Trends in health care legislation over the past 5 yearsHealthcare legislation reforms have been an evolving one in the United States, and thelast one decade is of prime significance in history. Precisely, the past five years time frame has witnessed remarkable trends in health care legislation. Legislations have been laid out, and a number of them have been proposed in relation to reduction in medical care costs. As indicated by evidence, the trends in healthcare legislation are directed towards insurance availability and cost, quality of healthcare services and minimisation of fraud (Young & Kroth, 2017). Specific legislation and how it governs a long trending health care concernThe Medicare Access and CHIP Reauthorization Act of 2015 (MARCA) also termed as the Permanent Doc Fix, is a statue passed in the United States aiming to change the payment system for physicians treating Medicare patients. This piece of legislation revises the Balanced Budget Act of 1997. The Act has been noted as the largest scale change

3HEALTHCAREbrought about to the healthcare system of the country after the Affordable Care Act in 2010 (Clough & McClellan, 2016). According to Pullen (2017), international comparisons of the healthcare system of US would find that the country spends more per-capita than other developed countries but fails to achieve the same health metrics as theirs. This indicates that the US healthcare system is inefficient and needs urgent reforms at the core of it. Moreover, the country has major underinsurance and impending unfunded liabilities from the social insurance programs and ageing demographic. Medicare and Medicaid contributed significantly to this issue. Motivating factorsThe fiscal and human impact of the mentioned issues acted as the motivating factors behind the Medicare Access and CHIP Reauthorization Act of 2015. The MACRA’s primary provisions are increased funding, changes to the way Medicare physicians are reimbursed and extension to the Children's Health Insurance Program (CHIP). A significant change that has been brought about due to MACRA relates to the use of health information technology. MACRA related regulations address incentives for the use of advanced health information technology by healthcare providers. This has evoked a positive change in the way in which care is delivered across settings promises to bring along better patient outcomes. The Secretary of the Department of Health and Human Services (DHHS) is supposed to implement the Merit Baed Incentive (MIP) program that consolidates three incentive programs into one. Effects of the trending legislation on health care overall in the United States and onetype of health care settingThe overall impact of the legislation has been drastic when speaking on a national level. The country is set to undergo a transition from a ‘fee for service’ system to a ‘pay for

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