Regulations refer to systems, principles, laws and rules that are necessary for the day to day running and managing of a government, institution or even a sector as is the case with the healthcare sector regulations. In America, one cannot ignore the place of the government through the Centers for Medicare and Medicaid Services (CMS) in healthcare regulations. It is also important to take note of the fact that the economical and political system of the United States has put in place key measures to ensure that the influence the government has on healthcare is limited and thus not detrimental to the provision of the same. Any legal underpins necessary in the healthcare system emanates from the government under the licenses that one has to acquire from the government. These licenses go a long way in affecting key issues such as finances, potential hazards to the environment as well as quality of care in the various facilities not forgetting the financial resources that the government pump into the health sector (Jones, 2013).
Healthcare regulation takes place from all the three levels of government that is the federal government and the state governments as well government organization at the local level. The legislature in all the levels come up with the legal framework through which the delivery system in the health sector works ensuring there is legality on consumers, providers as well as regulators (Goldsteen et. al., 2016). All these regulation happens under the Centers for Medicare and Medicaid Services (CMS) which gives the regulations. These regulations are what form the basis for Conditions of Participation (CoPs) and Conditions for Coverage (CfCs). These Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) are the minimum standards that healthcare organizations must meet in order to start and continue taking part in programs run by Medicaid as well as Medicare in the country. CMS comes up with these standards to ensure quality of healthcare as well as the safety of the beneficiaries is in place in the country thus averting any adverse effect in the health sector. The standards of accreditation of organizations by the CMS is designed such that they either meet at the bare minimum or exceeds the ones set in the CoPs and the CFCs. Some of the agencies regulated by CMS under the CoPs and CFCs include hospitals, hospices, Critical Access Hospitals (CAH), and Ambulatory Surgical Centers (ASCs) among others ( Tulchinsky & Varavikova, 2014) .
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Regulations in the healthcare sector has brought to the fore improvement on quality, accessibility as well as affordability with the improvements in the service delivery process both from the government as well as the numerous service providers that must adhere to these regulations in order for them to operate in the country. The regulations ensures that there is quality, effectiveness, accessibility as well as affordability by a vast majority of Americans (Garber, 2006).
References
Garber, K. M. (2006). The U.S. health care delivery system: Fundamental facts, definitions, and statistics. Chicago: Health Forum.
Goldsteen, R. L., Goldsteen, K., & Goldsteen, B. (2016). Jonas' Introduction to the U.S. Health Care System (8th Ed.). New York, NY: Springer Publishing Company.
Jones, P. A. (2013). Fundamentals of US regulatory affairs. Rockville, MD: Regulatory Affairs Professionals Society.
Tulchinsky, T. H., & Varavikova, E. (2014). The new public health. Amsterdam: Academic Press.
