Why are long-term care providers subject to so much external control by government agencies?
Long-term care refers to a series of medical and non-medical services offered to the people living with chronic illnesses or disability in the society for the purpose of making their lives better. As a result of the significance of the process in the society, long-term care providers are subjected to monitoring and evaluations by government agencies in a bid to increase the quality of their service besides establishing the cost-effectiveness of the services offered. “The regulation will set forth a quality framework focused on transparency, alignment with other systems of care, and consumer and stakeholder engagement” (Jackson, 2016). Moreover, external control from the government seeks to provide a set of standards to be followed in the provision of care services besides offering guidance to the practitioners to deliver the best. Through government control, long-term care providers are offered with incentives, financial support as well as provided with a set of expectation to guide them in the provision of care service. “External control can be divided into two categories….. They are non-voluntary and are imposed by government agencies” (Pratt, 2016 pg. 261). Some of the examples of external control by government include quality oversight and accreditation and consumer advocacy programs among others.
What is the difference between a law and a regulation?
In a broad spectrum, laws refer to the products of written statutes that are formulated and passed through the legislative arm of government to govern everyone equally while regulations refer to the standards and rules set by administrative agencies for the purpose of guiding action on how laws are enforced. An example of law is The Patient Protection and Affordable Care Act (PPACA) while an example of a regulation is the Clinical Laboratory Improvement Amendments (CLIA.
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What is the difference between licensure and accreditation? Provide examples.
Licensure refers to the non-voluntary process by which an individual or business is granted the go-way to participate in a medical profession by a government agency mandated to regulate the profession while accreditation refers to the voluntary process of evaluating educational programs and institutions by a non-governmental agency. “Licensure and reimbursement revolve around getting approval to open and operate a sub-acute care unit…” (Pratt, 2016 pg. 140). Example of licensing is when a healthcare venture is granted a license to start a business while an example of accreditation is the awarding of educational certificates.
What problems are identified (by providers) with government regulation of long-term care?
For a long time now, long-term care providers have identified a series of problems associated with government regulation of the process. Such problems include; lack of incentives, political interference, and inconsistency in government support mechanisms by the government to protect the investment in the public insurance and funding programs. “The effect of Medicare and Medicaid on the long-term care system has not been limited to that caused by the nature and amount of reimbursement (Pratt, 2016, pg.10).
References
Jackson, B. (2016). Medicaid Managed Care Rule Changes to Impact Long Term Care. Provider Magazine.
Pratt, J. R. (2016). Long-Term Care: Managing Across the Continuum (4th Edition). Burlington, MA: Jones and Bartlett Learning.
