How the hcqia establishes an objective reasonableness

Reference no: EM133689954

Assignment:

Part 1

Who has ultimate responsibility for decisions about medical staff membership, and why? How should this responsibility be fulfilled?
What differences are there, if any, between the due process standards that apply to public hospitals and those that apply to private hospitals?
Explain how the HCQIA establishes an "objective reasonableness" requirement rather than a subjective "good faith standard" for peer review committees.

Part 2

Assuming that physicians' financial arrangements can inappropriately shape their treatment recommendations (whether consciously or subconsciously), is Stark a good or a bad way to counter that possibility? If you think Stark should be changed, what further amendments or exceptions would you propose? Or do you think it should be scrapped?

More than a decade ago, the federal government issued specific regulatory guidance for fraud and abuse compliance by Medicare accountable care organizations with the intent of supporting their more flexible financial arrangements. Then, beginning in 2021, CMS and OIG expanded the AKS safe harbors and Stark exceptions (and issued further guidance), with the goals of promoting sophisticated value-based care arrangements generally and care for medically underserved people specifically. What can you find out about how well or poorly these new initiatives are faring?

Reference no: EM133689954

Questions Cloud

In which way can the nurse help ensure his dietary needs met : A nutrition consult has been ordered to assess Christopher. In which ways can the nurse help ensure his dietary needs are being met during his hospitalization?

Identify smart goals objectives and tasks to train staff : Identify smart goals objectives and tasks to train staff on a new emr and how goals will be measured

Would resistance or aerobic training be more important : Would resistance or aerobic training be more important for improving your friend's performance in this challenge?

What diagnosis do you suspect : The patient presents with intense irritability, manipulative behavior, chronic feelings of emptiness and abandonment. What diagnosis do you suspect?

How the hcqia establishes an objective reasonableness : Explain how the HCQIA establishes an "objective reasonableness" requirement rather than a subjective "good faith standard" for peer review committees.

What is the nurses priority action : A school nurse is called to the playground assess a child with diabetes who is unconscientiously. What is the nurse's priority action?

Imitating the best practices of these market leaders : market leaders in the automobile industry. Wherever there is a gap, the company tries to cover that gap by imitating the best practices of these market leaders

One of senior managements most critical jobs : Given that one of senior managements most critical jobs is making sure the Board has all the facts and complete analyses, the Board has turned to you to give

How it can help to reduce behaviors of concern : Below are 4 principles of communication. For each principle, give an example of how it can help to reduce behaviors of concern.

User Account

All Pages