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Essay Available:
Pages:
5 pages/β‰ˆ1375 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 29.16
Topic:

Medicine Nursing Health Services Cost Review Commission

Research Paper Instructions:

Research Paper Each student will prepare a 5-8 page paper that investigates a specific regulatory or payment mechanism impacting the delivery of clinical service. Students may choose to focus on costs, access, quality or a combination of these factors. The research paper should compare the intent of the regulation/payment mechanism to its actual application. Examples include: Medicare instruments such as RUGS III and MDS, OASIS and the home health benefit, home health IPS, or outpatient therapy benefits under Medicare. Other regulatory examples include capitation systems of large HMOs, school-based therapy coverage under IDEA, SCHIP, and hospital rate regulation in Maryland through the HSCRC or the Affordable Care Act (PPACA of 2010). Include information about the topic, such as historical information leading to the development of the mechanism, when implemented, driving forces behind it, implications, and other pertinent information e.g. stakeholders that could be potentially affected. Students should gather their information using a variety of credible sources including scholarly and professional journals, reliable websites, government data, and possible interviews with relevant health services administrators. Paper is to be written and formatted using APA style using a minimum of 5 credible sources including scholarly sources should be used and cited appropriately using APA style. Prepare a separate reference list, not included in the page count. This assignment is due in week 13 and is worth 30 points based on the following: • Content meets requirements of assignment as described above (25 points) • Quality of sources cited in research paper (5 points) Papers will be judged on the basis of content quality, background and description of issues, organization, clarity and writing style, the use of APA style and use of evidence to support arguments.

Research Paper Sample Content Preview:

HEALTH SERVICES COST REVIEW COMMISSION
OF MARYLAND
By
Institution
The Maryland’s Health Services Cost Review Commission
The regulation of the payment systems within hospitals becomes imperative in ensuring service delivery, quality and hospital charges that determines greatly the customers’ satisfaction. One of these regulatory bodies is Maryland’s Health Services Cost Review Commission, mandated with task of regulating the activities of health stakeholders within the state. The activity of HSCRC has seen it being a model in the U.S. due to its efficiency in its mandate. The investigation into the history, formulation, implications, and initiatives of HSCRC shows the reasons behind its success and it difference to other payment regulatory models.
The History of HSCRC
A Maryland Legislature act in 1971 established an independent agency called the Health Services Cost Review Commission to regulate hospitals rates (HSCRC, 2014). The law received unanimous support from the hospital industry who saw it as a solution to the many problems encountered in the hospital industry. The reason that led to the establishment of the hospital rates regulatory commission in Maryland was prompted by the high cost per admissions in Maryland’s hospitals, which was higher than in other states and was increasing every year (Murray, 2009). Additionally, some hospitals began losing a considerable amount of money treating uninsured patients, while others refused to admit patients with little or no health insurance (Kastor & Adashi, 2011).
Upon it creation, HSCRC received the power to set hospital rates to the acute care that the insurers will have to pay each year (Kastor & Adashi, 2011). According to Ibarra (2014), HSCRC is responsible for ensuring hospitals disclose their data and report on their performance to the public, and to contain costs and increase access to care by establishing hospital rates in addition to ensuring accountability and financial stability. The all-payer system came into effect in 1977, and succeeded in controlling costs per admissions in hospitals since then, becoming a model for failed systems all over the other states in the U.S. (Murray, 2009). The HSCRC has since achieved in setting regulatory rates.
The Maryland hospital rates regulation adopted “a macro-oriented approachâ€Β to correct the most common market failures, therefore, achieving the management of cost growth and improvement of access to hospital care (Ibarra, 2014). Additionally, the Center for Medicare and Medicaid Services (CMS) approved Maryland’s All-Payer Hospital System Modernization in January 2014, as a model for modernizing the all-payer system to aid in having the health care system that lowers costs, enhances health outcomes, and improves patient care (HSCRC, 2014).
The HSCRC Formulation
The HSCRC comprises of seven commissioners serving on a voluntary basis and appointed by the governor to serve for a period of four years with one year of renewal (Kastor & Adashi, 2011). The commissioners come from a pool of professionals with rich medical experience and health backgrounds. Not more than thre...
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