8 Important Regulations in United States Health Care
The Affordable Care Act (ACA) brought mandatory, subsidized healthcare to the U.S., but this is only one part of the ACA. The full name is “The Patient Protection and Affordable Care Act,” and it's the “Patient Protection” portion of the act that has arguably had the biggest impact on healthcare compliance.
It's now illegal for insurance companies to cancel your coverage simply because you made an honest mistake or left out information that has little bearing on your health.
The Statutory Law has a great impact on the health care industry it helps set the path for correcting any issues that occur within the health care industry. ... A regulation is often passed by the executive branch of government When it comes time to the regulatory law this is created by legislature or by court decisions.
Examples of how health laws are used include laws that: advance important health policy goals such as Universal health coverage; establish the basis for organizing, governing and financing a country's health system; ... regulate the collection and use of health information.
Today, federal, state, and local authorities — in addition to various regulatory agencies — establish rules intended to protect the public, promote access to care, and ensure that medical professionals both adhere to high standards and receive the compensation that is their due.
A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more.
What Are the Top 10 Regulatory Challenges in the Healthcare Environment?
Federal regulation is largely intended to ensure that health care patients receive safe, high-quality care. ... Patients also are affected through less time with their caregivers, unnecessary hurdles to receiving care and a growing regulatory morass that fuels higher health care costs.
Future insurers will ask if you've ever had a policy cancelled or voided before and, depending on the reason for it, they could refuse to offer you cover as well.
Generally, there is no prohibition against insured or plan members canceling their health insurance coverage or their participation in a health service plan. ... Otherwise, there is no financial penalty per se to canceling health insurance coverage. If you cancel the policy, you may not get your entire premium back.
You can cancel your individual health insurance plan without a qualifying life event at any time. ... On the other hand, you cannot cancel an employer-sponsored health policy at any time. If you want to cancel an employer plan outside of the company's open enrollment, it would require a qualifying life event.
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