Chernew, M. E., Cutler, D. A., & Shah, S. A. (2018). Reducing health care spending: What tools can states leverage?Commonwealth Fund. Web.
Growing healthcare expenses remain an issue for state authorities and citizens encountering higher out-of-pocket costs and charges. This article aims to look at the techniques offered to states for controlling expenditures among all consumers and how state health policy councils can help with execution. The report conducted a literature review and examined policies regarding their effects on state expenditure. States seek a range of approaches to regulate capital spending, from encouraging entrepreneurship, lowering prices through regulatory oversight, and developing benefits to decrease the use of low-value services to more comprehensive initiatives such as instituting spending thresholds and nurturing billing transformation. Though distinct states are likely to take differing industries, health policy boards can assist with a broad range of solutions by helping to present public institutions in their activities or enact new regulations. A state’s strategies will be determined by its finances, interests, and healthcare environment. Given the constraints on many federal interventions, substantive policy change to curb capital spending is expected at the state government. The article emphasizes that state health policy boards can perform an essential role in assisting any of these endeavors.
Kachalia, A., Mello, M. M., Nallamothu, B. K., & Studdert, D. M. (2016). Legal and policy interventions to improve patient safety. Circulation, 133(7), 661–671. Web.
Patient protection is a top concern for patients, clinicians, consumers, and legislators today. The Institute of Medicine’s study on misdiagnosis in 1999 sparked a frenzy of operation. They pertain to mass acceptance of error identification and investigating programs, the creation of revolutionary clinical strategies to curtail fault, and endeavors to nurture firmer safety platforms within healthcare institutions. Although there are some signs that these practices are beneficial, it is clear that most healthcare practices, notably cardiovascular surgery, remain too risky.
The various measures undertaken to strengthen safety are complicated and wide-ranging, complementing the diversity and intricacy of mishaps in healthcare, making it difficult to keep track of them. Criteria involving legitimate and policy-based actions can be classified as per their orientation. Experts can do it with one of four broad strategies: greater accountability; monetary benefits; different aspects of rules arising from within and beyond the provider group; and responsibility system restructure. Over the last 15 years, one apparent understanding has emerged in patient-safe operation contexts: silver bullets—interventions that eliminate a considerable spectrum of errors throughout different clinical areas—are rare. Instead, prospective patient safety programs will consist of techniques spread across several therapeutic areas.
Larrat, E. P., Marcoux, R. M., & Vogenberg, F. R. (2012). Impact of federal and state legal trends on health care services. National Library of Medicine, 37(4), 218–226.
The aging population’s care in the United States has always included taking into account the pervasiveness of their medical illnesses and adopting treatment options to minimize the long-term implications of these ailments. However, today’s clinicians must also be aware of healthcare insurance issues and compensation for each patient, whether private or public. Government activities, particularly the parliamentary system, have influenced several developments in the country’s health coverage industry. During the past decade, government and private insurance providers had to adapt to overriding federal measures constantly. Mainly the entry and execution of the ACA and Centers for Medicare & Medicaid Services (CMS) legislative frameworks and efforts to reduce the government budget deficit. Medicare reimbursement adjustments are essential components of the ACA and numerous congressional deficit-reduction initiatives. Many of these concepts prioritize value and quality over the volume of services offered. Healthcare businesses must continue to assess and adhere to changing regulatory advice. The sophistication of the healthcare regulatory regime is likely to diminish sometime soon. With that, it is envisaged that experts responsible for healthcare management pay heed to the legal setting as part of their tasks.
Leslie, K., Moore, J., Robertson, C., Bilton, D., Hirschkorn, K., Langelier, M. H., & Bourgeault, I. L. (2021). Regulating health professional scopes of practice: Comparing institutional arrangements and approaches in the US, Canada, Australia, and the UK. Human Resources for Health, 19(1). Web.
The purpose of health provider regulation frameworks is primarily to guarantee that the public receives the finest quality of treatment. Controlling what health professionals perform or their range of service is part of that duty. Essentially, this entails applying evidence-based expert conduct guidelines to jobs for which healthcare workers have been trained. The article provides and explores four alternative regulatory frameworks from the United States, Canada, Australia, and the United Kingdom, using a case comparison technique and equivalent systemic policy assessment architecture. In each case, the contrasts in how nations manage health professional operation boundaries in the public interest are highlighted. The authors’ relative Strengths, Weaknesses, Opportunities, and Threats (SWOT) study is grounded on historical analysis outlining the progression of organizational mechanisms for determining the regulatory strategy. The paper examines how different regulatory methods have arisen in these nations due to similar difficulties. In some circumstances, tasks are regulated, while in others, safeguarded titles are controlled and, in some instances, all. The findings and the jurisdiction-specific SWOT analysis created a synthesized table of the best strategies linked to regulating practice boundaries aligned to particular regulatory standards.