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Important Regulations on Health Care in the US

Health agencies in the United States make legislation to safeguard public health under Congressional oversight. The Department of Health and Human Services (HHS) is in charge of overseeing all Americans' health concerns and issues, as well as directing projects to enhance public health and advance medical research. The HHS's aim in 2016 was to improve patient outcomes while lowering medical expenses. The HHS has worked toward these aims over time by supporting a variety of new laws on affordable health insurance. As a result, the acts of law listed below have had a substantial impact on American health.



The Healthcare Quality Improvement Act of 1986 (HCQIA)


The Healthcare Quality Improvement Act of 1986 (HCQIA) grants immunity to medical practitioners and organizations during conduct evaluations. The law was inspired in part by a Supreme Court decision regarding physician peer review process misuse. HCQIA is still evolving as it is brought up in courtrooms and new judgments are handed out. The law was established to safeguard medical professionals from litigation stemming from peer review and to support physicians to register formal complaints when they witness unprofessional or harmful peer behavior.


Medicare


The Medicare program insures about 50 million people in the United States. In 1945, President Harry Truman urged Congress to provide financing for universal health care for all Americans. President John F. Kennedy made it in establishing coverage for older persons in the United States twenty years later. Because of major spending reforms, the Congressional Budget Office now predicts that the program will continue indefinitely.


President Lyndon B. Johnson's 1965 Act also included a provision to offer low-income people with health insurance. Today, Medicaid covers approximately 70 million people in the United States. The program compensated hospitals for nearly half of all medical expenditures in 2014.


Medicaid


Medicaid covers a wide range of people, including uninsured expecting moms, temporarily unemployed employees, and the disabled. New legislation recently reduced the country's uninsured rate to under 9%, marking the highest coverage rate in US history.


Children's Health Insurance Program (CHIP)


The Children's Health Insurance Program (CHIP), in conjunction with Medicaid, has laid a solid foundation for providing health coverage to children from low-income families. The Children's Health Insurance Authorization Act of 2009 (CHIPRA) gave birth to the program, which has successfully served many previously rejected customers. The program, which receives financing from the federal and the states government, has a long history of providing insurance to impoverished children. The Affordable Care Act (ACA) has made this program available to the most low-income children in the country's history.


Hospital Readmissions Reduction Program (HRRP)


An Affordable Care Act effort, the Hospital Readmissions Reduction Program (HRRP) authorizes the Centers for Medicare and Medicaid Services (CMS) to limit payments to care facilities that have a high rate of patient readmissions. The program began in late 2012 and outlines readmissions as recurring patient admission between the participating CMS hospitals in a month or 30 day duration, with exceptions for specific conditions like as pneumonia and heart failure along with factors as multiple illnesses and poor health.


Health Insurance Portability and Accountability Act (HIPAA) of 1996


Workers can also apply to a chosen group of health insurance companies to replace lost coverage and modify for family changes as births, marriages, and adoptions through the program.

HIPAA prohibits insurers from discerning against policyholders with health issues. If an insurance company declines a worker's application, he or she may be able to apply for coverage outside of the typical enrollment period. Furthermore, the act protects state laws that safeguard workers' insurance rights.

For affordable health insurance plans especially for the family and individual, see us at Oklahoma Health Options.

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