Government healthcare regulatory agencies and bureaus
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Government Healthcare Agencies
Business Trends...
  • Government's role in healthcare is ever expanding; healthcare reform spurred government agency size and created new entities for more oversight
  • Commercial, Medicaid, Medicare, 340B and DHA / TRICARE sectors all impacted by ongoing regulatory and policy changes; insurers, pharmaceutical and medical device manufacturers continually re-aligning marketing strategy

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Government Healthcare Agency Market Sector Overview

The six major government healthcare programs—MedicareMedicaid, the State Children’s Health Insurance Program (SCHIP), the Department of Defense ( DOD ) DHA / TRICARE and TRICARE for Life programs (DOD TRICARE), the Veterans Health Administration (VHA) program and Indian Health Services (IHS) program—provide healthcare support to roughly one-third of Americans.  Their combined budgets total roughly $500 billion.

Cost and care hurdles coupled with ceaseless healthcare policy and regulatory changes are keeping industry and government on the move.  As the marketplace evolves in response to clinical and financial changes triggered by healthcare reform, government is tasked with monitoring, modifying, managing and enforcing the legislation.  The Federal government has always tried to keep pace with broad healthcare industry changes.  These developments have become more granular with more specific patient, clinician, reimbursement and technology perspectives along the way.

Patient Care Delivery Clinical And Business Model Changes Impact Reimbursement 

Examples of changes in the marketplace which have spurred Federal and State governments to take further action as a result of healthcare reform measures include:

  • Health plans withdrawing from state health exchanges
  • New physician practice, health system and managed care organization business models
  • Continual revisions to Federal and State reimbursement arrangements in multiple sectors

Technology Is Transforming Healthcare And Regulatory Oversight Is Necessary

Technology has created enormous innovation and change. Examples include telemedicine/telehealth, IoT, mobile, privacy / security of patient information, growing varieties of social media venues and their use by consumers / patients, clinicians, insurers, healthcare marketers and other stakeholders. Administration, privacy, security, standardization, technical quality assurance and regulatory authority are some of the key considerations Federal and State lawmakers are dealing daily with as technology makes rapid inroads across the continuum of care.

... A profile of the primary Government Healthcare Agencies and Government Institutes plus articles, presentations and Federal regulation trends; scroll down for a list of the largest Government Healthcare Agencies, Bureaus and Institutes  ...
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Compliance with Federal Government healthcare regulations
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