Question

In: Nursing

Describe at least one federal regulation for healthcare. How does this regulation influence delivery, cost, and...

  • Describe at least one federal regulation for healthcare.
    • How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
    • Has there been any change to the regulation within the past 5 years? Explain.

Solutions

Expert Solution

CMS is a center for medicare and Medicaid services, it is a federal agency within the US department of health and human services that run a nation's major health care programs.it includes children's health insurance program(CHIP) medicare, Medicaid, state, and federal health insurance market place. It eliminates fraud and abuse within the health care system. it provide a better care health care system through access coverage and improves health it also releases updated Medicaid premium and deductible information every year.
A high-quality health care system ensures better care, access to coverage, and improves health. CMS manages health insurance portability and accountability act(HIPAA) use of the administrative amplification standards of HIPAA CMS implement adoption national electronic health care records ensure patient privacy, security, and HIPAA rules. it also ensures quality on long term care, clinical lab, and health insurance exchange. CMS information premium and deductible for different parts of medicare every year to the general public. CMS play important role in insurance by helping through the Affordable care Act's laws about private health insurance.
CMS increases the opportunity for innovation and additional plan choices in medicare advantages and part D. it made flexibility and efficiency in a Part D program. The calendar year(CY) 2019 PFS physician fee schedule final rules focus on a broader administration-wide strategy that results in acceptability, quality, affordability, innovation and empowerment.elimination of needs to documents the Medical necessity of home visit, removal of duplicate requirement in medical records, CMS ensure and finalize communication technology-based services. CMS implement provision from substance use-disorder prevention for opioid recovery and treatment. These are the changes to the regulation CMS made within past 5 years.


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