Executive Brief/ Healthcare Adm Leaders and the Public Policy Process/Addressing Stark and Anti-Kickback Statutes

Part 1:

Create an 8-10 minute presentation of the Executive Brief attached. This presentation should be developed from the perspective of a healthcare administrator who is providing a recommendation to the Board of Directors.

PART 2

QUESTION 1: For the field of healthcare administration, healthcare leaders and administrators may contribute to the public policy process by advocating for and implementing policy changes to enhance delivery goals for an HSO while also benefitting the HSO’s patient population. Yet, within the public policy process, how do healthcare leaders best engage in the process?. There are four steps in the public policy process: 1) identifying a problem, 2) formulating a policy, 3) implementing the policy change, and 4) evaluating the result. While the steps identified here are simplified, they do present a cycle or sequence that healthcare administration leaders may act upon to influence public policy. Consider how healthcare leaders might have contributed to the public policy that brought about the Patient Protection and Affordable Care Act (PPACA). DESCRIBE in 2 or 3 paragraphs how a healthcare administration leader might influence the public policy process to the advantage of a health services organization or other professional association. Be specific and provide examples.

QUESTION 2: As you have examined this week, Stark and anti-kickback statutes are in place to ensure that health services organizations are in compliance for engaging in fair and equitable business practices. While adherence to these statutes is not necessarily different for a wide variety of organizations, healthcare administration leaders must be careful to ensure that healthcare delivery and health services are made available and delivered in a fair and legal manner. DESCRIBE in 2 or 3 paragraphs Stark and anti-kickback statutes for compliance within your health services organization. Then, describe what statutes you might address from compliance perspective as a current or future healthcare administration leader. Be specific and provide examples. Explain how your efforts to comply with these statutes address safe harbors and be specific about their relevance for your health services organization.

RESOURCES:

Furrow, B., Greaney, T., Johnson, S., Jost, T., & Schwartz, R. (2013). Health law: Cases, materials, and problems (7th ed.). St. Paul, MN: West Academic Publishing.

• Pages 639–698

Singer, T. G. (2013). Antitrust implications of the affordable care act [PDF]. Journal of Health and Life Sciences Law, 6(2), 1–18.