Exam (elaborations)
C425 WGU Topic 1 - What Is The Role Of Consumer Protection?
C425 WGU Topic 1 - What Is The Role Of Consumer Protection?
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C425 WGU Topic 1 - What Is The RoleOf Consumer Protection?
What should healthcare organizations should institute consumer
protection practices? ✔️Ans - To foster strong provider-patient
relationship, and to stop unfair, deceptive and fraudulent business
practices.
What is ERISA (Employee Retirement Income Security Act)? ✔️Ans - a
federal law that sets minimum standards for most voluntarily established
retirement and health plans in private industry to provide protection for
individuals in these plans.
ERISA requires plans to provide participants with plan information
including important information about plan features and funding; provides
fiduciary responsibilities for those who manage and control plan assets;
requires plans to establish a grievance and appeals process for participants
to get benefits from their plans; and gives participants the right to sue for
benefits and breaches of fiduciary duty.
How is the Office of Civil Rights (OCR) involved in consumer protection?
✔️Ans - By enforcing the HIPAA Privacy and Security Rules. One of the
ways that OCR carries out this responsibility is to investigate complaints
filed with it. OCR may also conduct compliance reviews to determine if
covered entities are in compliance, and OCR performs education and
outreach to foster compliance with requirements of the Privacy and
Security Rules.
What is Market Justice? ✔️Ans - The theory that market forces can
best achieve a fair distribution of health care services in a free economy. In
such a system, medical care and benefits are distributed on the basis of
people's willingness and ability to pay.
Since healthcare is an industry, what is one of its most precious resources?
✔️Ans - Human capital
What are some of the characteristics of market justice? ✔️Ans - -Views
health care as an economic good
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