Healthcare

1. The Administrative Simplification Compliance Act of 2001 requires that all Medicare claims be submitted electronically. Discuss at least two (2) vulnerabilities in the protection of electronic health information?

This assignment will explore compliance issues with federal and state laws and regulations governing healthcare organizations, such as the Anti-Kickback Law, the False Claims Act, the Stark Law, credentialing, medical errors, and patient safety. It is important to understand healthcare compliance for the benefit of improving patient care. It is also important to promote adherence to applicable laws, payer healthcare requirements, and to protect the organization against fraud, waste, abuse, and other potential liabilities.

This assignment requires your synthesis and reflection of the elements needed to form your proposal for a community health partnership. Such partnerships are mandated by the ACA for nonprofit hospitals and offer benefits to both partners.

Doug and his wife Maria have three adult children, all of whom are married with young children of their own. Doug works as a regional sales representative for a chemical company that produces plastics, chemicals, and agricultural products. He has been in the position for 15 years, having moved into this job after leaving a different company doing similar work. The job requires him to travel to give demonstrations of the products across a six-state region. This requires him to fly and drive in unfamiliar areas. Maria works as a junior high school principal. Doug and Maria are financially set for retirement at age 65. Overall, they are in good health. At the age of 60, Doug received a diagnosis of Parkinson’s Disease (PD).

Compare the three current health care financing and funding models (i.e., employee based, government-based, and individual-based) used with the health care delivery system of the United States.