WGU D223: Healthcare Policy and Economics
|Latest Update with complete solution
Nicholas Moore
D223: Healthcare Policy and Economics
Amy Forbes
Mar 7, 2025
A1:. . Federal. . and. . State. . Public. . Healthcare. . Policy
Federal..Policy:..The..Health..Insurance..Portability..and..Accountability..Act..(
HIPAA)..of..1996..was..enacted..to..protect..patient..privacy..and..secure..sensiti
ve..health..information...HIPAA..established..national..standards..for..safeguar
ding..electronic..health..records..(EHRs)..and..governs..the..sharing..of..protect
ed. . health..information..(PHI)..between..healthcare..providers,..insurers,..and.
.other..entities...This..legislation..ensures..that..patients’..private..health..infor
mation..is..safeguarded..while..fostering..trust..between..patients..and..healthc
are. . providers...By..protecting..privacy,..HIPAA..empowers..individuals..to..se
ek..medical..care..without..fear..of..discrimination..or..unauthorized..disclosure
..of..their..medical..history..(SNM..Journals,..2021).
State..Policy:..Ohio’s..Telehealth..Services..Law..(ORC..5164.95),..amended..by..
Substitute..House..Bill..122..in..2021,..sets..comprehensive..guidelines..for..tele
health..services...This..law..ensures..reimbursement..parity..for..telehealth..visit
s..and..in-person..care..under..Medicaid...It..enhances..access..to..healthcare
, for..rural..and..underserved..populations..and..promotes..the..use..of..telehealth..
to..overcome..barriers..such..as..lack..of..transportation..and..time..constraints...
By..integrating..new..rules..implemented..by..the..State..Medical..Board..of..Ohio
,..this..law..applies..to..multiple..healthcare..providers,..including..advanced..pra
ctice..registered..nurses..(Ohio..Department..of..Health,..2023).
A2:. . Public. . Healthcare. . Policy. . Process
Federal..Policy:..HIPAA..compliance..is..mandatory..for..all..organizations..han
dling..PHI,..including..hospitals,..insurers,..and..healthcare..providers...The
U.S...Department..of..Health..and..Human..Services..(HHS)..Office..for..Civil..
Rights..(OCR)..enforces..HIPAA..through..audits,..investigations,..and..penalti
es..for..noncompliance...To..remain..compliant,..healthcare..organizations..m
ust..implement..stringent..security..measures,..conduct..staff..training,..and..re
gularly..evaluate..their..practices..to..prevent..breaches...Violations..can..lead.
. to..financial..penalties..or..legal..consequences,..highlighting..the..importanc
e..of..rigorous..oversight..(Government,..2005).
State..Policy:..Ohio’s..Telehealth..Services..Law..is..administered..by..the..Ohio..
Department..of..Medicaid...The..law..mandates..that..Medicaid..providers..recei
ve..equivalent..reimbursement..for..telehealth..and..in-
person..care,..which..incentivizes..healthcare..facilities..to..integrate..telehealth.
.services..into..their..care..models...Healthcare..providers..must..comply..with..t
he..technical..and
|Latest Update with complete solution
Nicholas Moore
D223: Healthcare Policy and Economics
Amy Forbes
Mar 7, 2025
A1:. . Federal. . and. . State. . Public. . Healthcare. . Policy
Federal..Policy:..The..Health..Insurance..Portability..and..Accountability..Act..(
HIPAA)..of..1996..was..enacted..to..protect..patient..privacy..and..secure..sensiti
ve..health..information...HIPAA..established..national..standards..for..safeguar
ding..electronic..health..records..(EHRs)..and..governs..the..sharing..of..protect
ed. . health..information..(PHI)..between..healthcare..providers,..insurers,..and.
.other..entities...This..legislation..ensures..that..patients’..private..health..infor
mation..is..safeguarded..while..fostering..trust..between..patients..and..healthc
are. . providers...By..protecting..privacy,..HIPAA..empowers..individuals..to..se
ek..medical..care..without..fear..of..discrimination..or..unauthorized..disclosure
..of..their..medical..history..(SNM..Journals,..2021).
State..Policy:..Ohio’s..Telehealth..Services..Law..(ORC..5164.95),..amended..by..
Substitute..House..Bill..122..in..2021,..sets..comprehensive..guidelines..for..tele
health..services...This..law..ensures..reimbursement..parity..for..telehealth..visit
s..and..in-person..care..under..Medicaid...It..enhances..access..to..healthcare
, for..rural..and..underserved..populations..and..promotes..the..use..of..telehealth..
to..overcome..barriers..such..as..lack..of..transportation..and..time..constraints...
By..integrating..new..rules..implemented..by..the..State..Medical..Board..of..Ohio
,..this..law..applies..to..multiple..healthcare..providers,..including..advanced..pra
ctice..registered..nurses..(Ohio..Department..of..Health,..2023).
A2:. . Public. . Healthcare. . Policy. . Process
Federal..Policy:..HIPAA..compliance..is..mandatory..for..all..organizations..han
dling..PHI,..including..hospitals,..insurers,..and..healthcare..providers...The
U.S...Department..of..Health..and..Human..Services..(HHS)..Office..for..Civil..
Rights..(OCR)..enforces..HIPAA..through..audits,..investigations,..and..penalti
es..for..noncompliance...To..remain..compliant,..healthcare..organizations..m
ust..implement..stringent..security..measures,..conduct..staff..training,..and..re
gularly..evaluate..their..practices..to..prevent..breaches...Violations..can..lead.
. to..financial..penalties..or..legal..consequences,..highlighting..the..importanc
e..of..rigorous..oversight..(Government,..2005).
State..Policy:..Ohio’s..Telehealth..Services..Law..is..administered..by..the..Ohio..
Department..of..Medicaid...The..law..mandates..that..Medicaid..providers..recei
ve..equivalent..reimbursement..for..telehealth..and..in-
person..care,..which..incentivizes..healthcare..facilities..to..integrate..telehealth.
.services..into..their..care..models...Healthcare..providers..must..comply..with..t
he..technical..and