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A comprehensive overview of key concepts and organizations within the healthcare system. It covers topics such as federal and state regulations, physician licensing and credentialing, healthcare financing, quality drivers, and value-based care. A series of questions and answers that can be used for studying and reviewing the material. It is a valuable resource for students in healthcare management or related fields.
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1.HMGT 3310 Organizations (1-4) 2.HMGT 3310 Midterm F HMGT 3310 Organizations (1-4) Department of Health and Human Services (DHHS) - ANSWER Implements most of thefederal healthcare regulatory infrastructure through component agencies
Centers for Medicare and Medicaid (CMS) - ANSWER Administers the Medicare programand the federal portion of the Medicaid program and State Children's Health Insurance Program Health Resources and Services Administration (HRSA) - Answer Provides fundingprograms for health care training, the National Practitioner Data Bank for physician disciplinary actions, and coordinates the organ donation network UNOS Indian Health Service (IHS) - Answer Provides hospitals and other health care servicesfor Native Americans
Office for Civil Rights (DHHS) - Answer Enforces privacy provisions of the HealthInsurance Portability and Accountability Act of 1996 (HIPAA) and civil rights protections
Department of Defense (DOD) - Answer Operates hospitals and provides other healthcare services for active-duty military personnel, their dependents, and retirees
Department of Labor (DOL) - Answer Administers Employee Retirement Income SecurityAct of 1974, which applies to employee health benefits arrangements
Veterans Administration (VA) Answer Operate hospitals and other health care servicesfor veterans, conduct and fund research on health services
Departments of health Answer Investigate public health threats, house licensure boardsin some states, administer health planning and certificate-of-need programs in some states, regulate clinical operations of managed care organizations Boards of medicine Answer License and discipline physicians Boards other health professions Answer License and discipline allied healthprofessionals
Departments of welfare Answer Administer Medicaid programs in many states Departments of insurance Answer Regulate the sale and underwriting of private healthinsurance, including managed care arrangements, except when preempted by ERISA
Accreditation Council on Graduate Medical Education Answer Accredits medicalresidency programs
American Board of Medical Specialties ABMS Answer Coordinates activities of medicalspecialty societies
Association of Schools of Allied Health Professions (ASAHP) - Answer Coordinates theaccreditation of training programs for allied professionals
Educational Commission for Foreign Medical Graduates (ECFMG) - Answer Certifiesgraduates of foreign medical schools to enter ACGME-accredited medical residencies and fellowships
Medicare and Medicaid 1965 - Provided medical insurance for over 65s and hospitalcare for the poor
EMTALA - Prevented the hospitals from transferring the uninsured or Medicaid patientsto the public hospitals without a medical screening examination and stabilizing treatment Affordable Care Act - Law passed in 2010 to expand access to insurance marketplace,expanded medicaid coverage, increased care
Patient's Bill of Rights - Answer - Insurance cannot deny for pre-existing healthconditions
Federal government regulation - Answer - FDA-drugs, food, medical devices- CMS-Medicare, Medicaid, marketplace
Medicare coverage - Answer > age 65, end-stage renal disease, ALS Medicaid coverage - Answer - children, pregnant women, disabled