Class: Regulation and Compliance in Healthcare Submit a 2-page paper that compares a health care organization that is set up as a for-profit corporation and one that is set up as a not-for-profit orga
Week 1 Rubric and Lesson Content
Scoring Rubric:
| Criteria | Points |
| Describes a for-profit organization- advantages and disadvantages | 10 |
| Describes a not-for-profit organization- advantages and disadvantages | 10 |
| Includes at least one reference outside of assigned reading. | 5 |
| Follows standard mechanics; research reference is cited in APA format in a References Page at the end. | 5 |
| Total | 30 |
Health Care and the Law - The Laws Protect!
Health Laws are created to protect patients and to prohibit fraud by health care providers and others with business relationships. There are laws specifically for payors (insurance companies), health care vendors (equipment, drugs, and so on) as well as the health care clinicians (physicians and clinical staff).
Health Care Organizations such as hospitals and long term care facilities that provide these services are also governed by specific health care regulations. Violators of these laws can be fined and or imprisoned.
To sum up, health care laws are set up to regulate the delivery of care and health care operations.
Health Care and the Law - Organizations
Some of the major organizations associated with health care law are listed below. Take time throughout this course to research their websites and become familiar with what each one does in the area of regulation and compliance for health care. Which ones are at the center? Which ones are more specialized?
Department of Health and Human Services (DHHS)
Centers for Medicare and Medicaid (CMS)
Office of the Inspector General (Federal and State) (OIG)
American Association of Retired Persons (AARP)
Food and Drug Administration (FDA)
US Federal Trade Commission (FTC)
Office of Civil Rights (OCR)
Blue Cross and Blue Shield (BCBS)
National Health Care Anti-Fraud Associations (HCAA)
The Joint Commission (TJC)
