Laws and Regulations
The health care industry has several governmental regulatory bodies. These governmental regulatory bodies provide the public with services that protect from insurance fraud to individual privacy. The Department of Human and Health Services help protect an individual from many health risks and at the same time provides programs for public health and welfare. This agency provides and oversees legislation for health care. Regulatory agencies provide guidelines and rules of conduct for physicians, health care practioners, health care products, health care facilities, and public health. Health care in the United States is one of the most regulated industries on the state and federal levels. These agencies were established by Congress.
Role of regulatory agencies
Government agencies such as Centers for Medicare and Medicaid (CMS) provide rules and guidelines to health care providers and health care facilities for individuals in these programs. Health Insurance Portability and Accountability Act (HIPAA) provides guidelines regarding health care privacy for individuals when interacting with physicians and health care agencies. Agency for Healthcare Research and Quality (AHRQ) provides quality, safety, efficiency, and effectiveness of health care for all Americans (Agency for Healthcare Research and Quality, 2010). This agency works with the public for what works and does not work in health care and translates this into knowledge of everyday practice and policy making (Agency for Healthcare Research and Quality, 2010). The Joint Commission (TJC), which is formally known as JCAHO (Joint Commission on Accreditation of Healthcare Organization) accredited facilities and does onsite audits to ensure guidelines are followed. These government regulatory agencies protect, maintain the quality of care and improve access to care while trying to keep costs down for Americans.
Overtime the cost of health care has continued to increase, which has...