Posts Tagged ‘Auditing’

Healthcare Reform Checklist

October 8th, 2022

GENERAL

Healthcare legislation in countries in transition,Guest Posting emerging economies, and developing countries should permit – and use economic incentives to encourage – a structural reform of the sector, including its partial privatization.

KEY ISSUES

· Universal healthcare vs. selective provision, coverage, and delivery (for instance, means-tested, or demographically-adjusted)

· Health Insurance Fund: Internal, streamlined market vs. external market competition

· Centralized system – or devolved? The role of local government in healthcare.

· Ministry of Health: Stewardship or Micromanagement?

· Customer (Patient) as Stakeholder

· Imbalances: overstaffing (MDs), understaffing (nurses), geographical distribution (rural vs. urban), service type (overuse of secondary and tertiary healthcare vs. primary healthcare)

AIMS

· To amend existing laws and introduce new legislation to allow for changes to take place.

· To effect a transition from individualized medicine to population medicine, with an emphasis on the overall welfare and needs of the community

Hopefully, the new legal environment will:

· Foster entrepreneurship;

· Alter patterns of purchasing, provision, and contracting;

· Introduce constructive competition into the marketplace;

· Prevent market failures;

· Transform healthcare from an under-financed and under-invested public good into a thriving sector with (more) satisfied customers and (more) profitable providers.

· Transition to Patient-centred care: respect for patients’ values, preferences, and expressed needs in regard to coordination and integration of care, information, communication and education, physical comfort, emotional support and alleviation of fear and anxiety, involvement of family and friends, transition and continuity.

The Law and regulatory framework should explicitly allow for the following:

I. PURCHASING and PURCHASERS

(I1) Private health insurance plans (Germany, CzechRepublic, Netherlands), including franchises of overseas insurance plans, subject to rigorous procedures of inspection and to satisfying financial and governance requirements. Insured/beneficiaries will have the right to apply contributions to chosen purchaser and to switch insurers annually.

Private healthcare plans can be established by large firms; guilds (chambers of commerce and other professional or sectoral associations); and regions (see the subchapter on devolution under VI. Stewardship).

Private insurers: must provide universal coverage; offer similar care packages; apply the same rate of premium, unrelated to the risk of the subscriber; cannot turn applicants down; must adhere to national-level rules about packages and co-payments; compete on equality and efficiency standards.

Washington State Living Will Laws

March 16th, 2022

It is your right to make your own healthcare decisions in Washington State. The decisions you make can be as simple as the type of meals you’d like, or as difficult as choosing whether or not to receive life-sustaining treatments.

If you become incapacitated how can you be sure that your healthcare decisions will be honored? If you plan now, with the help of a living will (advance directive) you can make your healthcare decisions known in advance in case you become incapacitated.

Washington State law enables the following people to make healthcare decisions for you should you lose the ability to communicate and make decisions. A guardian with healthcare decision-making authority, if appointed; The person appointed in your durable power of attorney with healthcare decision-making authority; Your spouse; Your adult children; Your parents; and your adult brothers and sisters.

In Washington State once your living will (advance directive) is registered, you are registered for life. After you register, annually you’ll receive an update form so that your information will always be current. This service is provided free of charge.

After your living will form is registered, you will receive a letter by mail from the U.S. Living Will Registry that contains labels to attach to your driver’s license and insurance card. These labels state that you are registered with the U.S. Living Will Registry. As soon as you’re registered your documents and emergency contact information is available to healthcare providers all over the country. This is to ensure your wishes are available wherever and whenever they are needed.

Once your done registering the living will you’ll want to keep the documents in an accessible place for safekeeping. You may also want to consider planning your estate by filing a last will form. A last will gives you the ability to make advanced arrangements for the distribution of your estate in the event of your death.