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Identify regulatory agencies that regulate health and the health care system within the US, create a table listing your 5 regulatory agencies and address the following:
1. Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system.
2. Address relevance of the organization or the organization’s authority to the APRN/DNP graduate.
3. Describe relevance to specialty area, area of practice, or setting of practice. For an example, mental health

 

Sample Solution

You’re looking for a discussion of US healthcare regulatory agencies. I’ll provide a table outlining five key agencies, describing their roles, regulatory authority, and relevance to APRN/DNP graduates, with a specific focus on mental health as an example.

Here’s the table of regulatory agencies:

Agency Abbreviation & Full Name Level of Regulatory Authority Scope of Regulatory Authority Role within the US Healthcare System Relevance to APRN/DNP Graduate Relevance to Specialty Area (e.g., Mental Health)
1. CMS <br> Centers for Medicare & Medicaid Services Federal Oversees federal healthcare programs like Medicare, Medicaid, and CHIP. Sets payment policies, quality standards, and compliance requirements for providers and facilities that serve these beneficiaries. A major payer and policymaker; drives quality initiatives, reimbursement models (e.g., value-based care), and standards of care across a vast segment of the US population. Direct & Significant: <br> – Reimbursement: CMS determines what services APRNs can bill for under Medicare and Medicaid, how they are reimbursed, and under what conditions (e.g., direct billing vs. collaborative agreements). <br> – Scope of Practice: While states define scope, CMS policies influence whether APRNs are recognized as independent providers for reimbursement purposes, impacting practice autonomy. <br> – Quality Initiatives: APRNs are directly involved in implementing CMS quality measures and participating in value-based payment

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