Essay Module 9
Intro to Health Law and Policy
Fall 2014
Nancy Vincent
TO: Hospital Board of Directors
FROM: Office of the General Counsel
RE: CEO Compensation
Per the CEO’s anticipated renewal of his contract, the CEO has provided this Office with data the CEO personally obtained concerning salaries of the CEOs of other hospitals in the area. The CEO has requested that he participate on the committee to determine his compensation package, and specifically to participate in determining his own fair market value. Both the data and the CEO’s request to be on the relevant committee are problematic. This Office recommends that the CEO’s requests be denied, and that alternative measures be taken.
Background
The context for the issues presented is the effect of the CEO’s request upon the tax-exempt status of the Hospital. As a 501(c)(3) charitable organization, the Hospital must abide by basic requirements for the federal tax exemption by staying true to its charitable purpose. One of those requirements is that in order to be considered charitable, the Hospital cannot be seen to substantially benefit a private interest. There are two related prohibitions at work here: private inurement and private benefit. Private inurement is the more relevant prohibition, as it focuses on private benefits to those who are “insiders” (those who have a say in a hospital’s actions and decisions). The CEO would qualify as such an individual. A private benefit, by contrast, applies
Medicare and Medicaid, created by the Social Security Amendment Act 1965, added Title XVIII and XIX to the Social Security Act. President Lyndon B Johnson was responsible for bringing about this change. Social Security Program started during the Great Depression of 1930s because of the stock market crash and bank failure, which wiped away the retirement savings of the Americans. Poverty rate among senior citizen exceeded 50% during this time. Social Security Act was created in an attempt to limit the five dangers of modern American Society. The Social Security Act was
House Resolution (H.R.) 370 was introduced to Congress on January 9th, 2017 by Republican Rep. Bill Flores of Waco, Texas. The bill itself is quite simple, totaling two pages in length. The main purpose of the bill is repeal the Patient Protection and Affordable Care Act of 2010 (ACA), completely restoring or reviving the laws it amended as if it had never existed. Unlike similar repeals to the ACA, this bill does not have a replacement plan or any sort of alternate plan. It simply takes the ACA away and restores the law to their pre-ACA state. This is concerning for many reasons, but it may also have some benefits as well. The future of America’s health care is ever changing and it is more important
What action should President Obama take to attenuate the problem of drug abuse among expecting mothers during pregnancy?
When it comes to understanding the process of legislative health policy in the United States we first need to understand what is a health policy. To create a successful health care system many rules and regulations have to take place. When those have taken place it is forms the health policy. It outlines priorities and the expected roles of different groups; and it builds consensus and informs people (Healthy Policy, 2017).
As a healthcare system which includes 8 acute care hospitals (one being an academic medical center,) 6 urgent care centers and 2 surgery centers, it is crucial that we stay abreast of current policy and changes to policy as they occur, in an effort to stay competitive in the marketplace. This is the most current research as it relates to the development of ACOs in New Jersey and an overview of how this activity may impact our health system. I am providing this to the board of trustees for review.
Thanks for your input, I understand that the new health care law remarks the importance of a suitable job and a stable income. Under the Affordable Care Act law, everyone with a steady job could have access to health care benefits and services besides a stable income will provide the opportunity to pay for a private health care insurance. Indeed, the marketplace is income based and included not just the family incomes but also the income of any individual who lives in the same household even though they are not applying for an insurance, however the Federal Poverty Level (FPL) is the factor used to determine the eligibility and the access to health care benefits so if the Income is between 100% and 400% FPL the individual will qualify for
Over the past century, individual health-care costs in the United States of America have tripled. Just in 2014, the annual health-care spending hit $3.8 trillion. (Munro) Not only does the overall cost of healthcare keep rising, but also the number of uninsured citizens is staying stagnant. Even with the recent controversies over Obama care, American citizens are not gaining the advantages that they need in obtaining basic health-care. The cost will only further increase, unless some action is taken. As much as implementing a universal health care system would seem to benefit the United States, it is fiscally impossible to do it with the current state of our economy. (Gibberman) The opportunity
In 2010, President Obama signed the Affordable Care Act (ACA) which put into place health insurance reform with the purpose of providing health care access to those who are uninsured and underinsured. The goals of the law are to make health care affordable, accessible and higher quality. In 2013, open enrollment began and now that three years have passed, it is time to evaluate how this law has impacted Ohioans (U.S. Department of Health and Human Services, 2014-a). In this paper, I will discuss health care reform in Ohio, examine positive and negative outcomes, and look at the effect of the ACA on health care economics.
For almost a year now, prescription drugs continue to be one the pressing issues in healthcare reform. Drug pricing specifically, has made its way center stage as a result of numerous revenue-lifting actions from pharmaceutical companies, the most recent case being the arrest of Turing Pharmaceuticals’ CEO, Martin Shkreli. Shkreli was arrested on federal fraud charges a week before Christmas, but his infamy stems from his company’s price jack of Daraprim, an anti-parasite drug that is pivotal in the treatment of cancer and HIV patients. In at least 14 states, legislators have introduced “drug pricing transparency” bills, which have been designed to gather information from pharmaceutical companies about the cost to manufacture drugs.
The first section to be filled out on the CMS 1500 form in boxes one through 13 include patient demographic information as well as insurance information. This information is captured to ensure the proper claim is associated with the correct patient.
A wellness process, additionally often known as health care system or healthcare system, is the organization of individuals, institutions, and assets that supply health care services to fulfill the wellness needs of target populations.
It's very imperative for all members of the medical team to know the different types of laws and the consequences, so that all practices and treatments are precise and professional. No one would want a doctor to work quickly and inefficient, so these laws regulate the health care. If these laws are broken the medical team could lose their licensure and practices. Patients will also want to keep their health records confidential. The laws that govern the medical field help protect patients confidentially and rights. The laws also protect medical teams from getting sued when helping in an emergency situation, such as CPR on a victim in a serious accident.
One of the Large Dialysis Organizations (LDO’s) in the United States with an in-center hemodialysis in Southeast Michigan (SE MI) defines integrity, one of its eight core values, as “We say what we believe, and we do what we say. We are trusted because we are trustworthy. In our personal, team, and organizational values, we strive for alignment in what we say and do.” Before 2011, patients paid co-pays or paid out of pocket for the full price of their numbing sprays. The company did not inform the patients of how the new Medicare bundling payment worked when it came to their medications. Only after one year of the Federal Government changed into the new dialysis payment system
Additionally, the unwillingness of the business office employees to accept onsite help from the hospital financial analyst team. They appear to be content with the status quo, which has resulted in their current financially precarious situation. They do not have the foundation needed, which should be as described by Weiss, Hassell, and Parks (2013) “…fertile enough to accept the seeds of change and to nurture them to grow” (p. 492).
The unhealthy hospital case is about a hospital named Blake Memorial that has been in a very bad shape, lacks in providing the best quality of care, is in debt, and financially imbalanced. It is important for a healthcare set up to maintain balance in the financial system so the stakeholders and customers who are the patients their interests are met. If the hospital is lacking in providing the best quality of care for its community and the community is in high needs of the care than the CEO’s of the hospitals need to make a change. The patients (customers) look for getting the best services and better results from a hospital and the stakeholder’s looks for better profitable gain from their business by running the hospitals. In this case