¶ … appease the allegation that medical errors beset the healthcare industry and generate major risk to patients. As with any matter posing a potentially significant impact on a population, the government has a sizable interest. Lately, the government decided to take action toward enacting quality of care and patient protection regulation. In an optimal setting, this would appear easy to execute, but reality indicates such top-down regulatory answers to health care quality and patient safety lead to negative domino effects, including increased health care costs, unforeseen conflicts with pre-existing regulation, and decline of provider self-governance.
Regulation carries its weight in gold through its function ratio of benefits to costs. In regards to the cost side of the equation, it includes costs to the government, consumers, and regulated entities. A study conducted in 2002 to assist research in understanding the estimated comprehensive value of health care regulation found the figures led to a net cost of $169 billion as of 2002. "Of that total, the study projected quality-related governmental oversight ran an estimated $51.6 billion but only returned an estimated benefit of $30.1 billion -- thereby contributing a projected $21.5 billion, or 13%, to the overall net fiscal burden of health care regulation" (Mekel, 2010, p. xx-xx ). In regards to how net cost was determined: "the questions concern compliance costs in relation to benefits obtained, transaction costs associated with regulatory administration and enforcement, and unanticipated or unwanted responses on the part of the regulated industry"(Mekel, 2010, p. xx-xx) .
Regulation in an already heavily regulated area only leads to higher costs as shown by the data represented in the study. Regulations sometimes lead to high individual adherence costs, particularly organization attempt to comply with existing regulations that conflict with new ones. This conflict often results in one preventing the other from achieving their intended benefit. So instead of better compliance with the previous and current regulations, additional regulation only leads to conflict of compliance, reduction in compliance,...
PPACA Two provisions in the PPACA (Patient Protection and Affordable Care Act) that impact my current nursing practice are 1) the call for increased access to care and 2) the call for more preventive care. The Institute of Medicine (IOM) in its Future of Nursing report stated that nurse practitioners should be allowed to practice to the full scope of their education and training (IOM, 2010), which is something they are
Patient Protection and Affordable Care Act The health of a nation's population is the most important sector in the building of the nation's economy (Kovne, Knickman & Jonas, 2011). A sick nation cannot effectively produce anything substantial to keep it running. Thus, it is in this view that each government seeks to provide better quality and affordable health services. In so doing, the governments set up rules and laws that
The Act authorizes the Office of Personnel Management (OPM) to contract out with private health insurers to offer at a minimum of two multi-state qualified health plans (to include at least one non-profit) to provide individual or small group coverage through state-based exchanges. In the area of long-term care, this creates a voluntary and national long-term care insurance program to help purchase services. In addition, this provides support for people
Workers can opt out and as an alternative obtain coverage from their state's insurance exchange. The PPACA standards will considerably affect industries that employ part-time, provisional, seasonal and float-pool workers at length (Clarke, Keckley & Kraus, 2012). A hospital will have to look at whether hiring part time employees and float pool workers will still be beneficial for them or if they will need to go to only having
PPACA Nurse The Patient Protection and Affordable Care Act's Impact on Evidence-Based Practice in Nursing: The National Quality Strategy The recently enacted Patient Protection and Affordable Care Act (PPACA), a landmark and controversial piece of legislation still years away from coming into full effect and currently being challenged (at least in part) in the nation's courts, is primarily seen by the public as impacting upon healthcare payment systems and insurance practices. These
students complete a policy analysis Patient Protection Affordable Care Act (ACA) . The paper include unbiased discussion sides issues, impact existing programs/agencies, costs implement, relevant statistics, role government (federal/state) influence special interest groups.ID RECCOMENTATIONS Patient Protection Affordable Care Act (ACA) The Affordable Care Act (ACA) is one of the most controversial bills passed by the U.S. Congress in recent memory. Its provisions include an individual mandate that all Americans purchase some form
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