Health Care Finance

 

Write a 175- to 265-word response to the following:

Why are ethics and compliance in finance so important in the health industry? What are the compliance considerations? Provide an example.
Think about the current day economic and financial trends in the market. Why are ethics and compliance in health care finance so important?

Examples Include:

Pharmaceutical Cost
Mergers & Acquisitions (M&A) in health care
Disruption from established players and newcomers (think CVS, WalMart, Walgreens)
Transitions in Payment/Reimbursement Models
Provider Shortage
Consumerism of health care
Virtual or telehealth
Increased patient responsibility (high insurance cost/deductibles)
Baby Boomers
Pricing transparency
Electronic Health Records (EHR)
Movement of health care service delivery from traditional settings toward more distributed settings

Sample Solution

Health Care Finance

The law requires that the healthcare providers put in place a compliance and ethics program. While compliance means following the law, ethics means doing the right thing even without a law. Compliance is often reviewed as a burden for corporation who must follow countless laws, regulations and endure audits and government review. But in the broadest and best sense, healthcare compliance and ethics simply promote the rights of patients and provide care and treatment free of financial influence. Ethics and compliance enables professionals in healthcare to work competently and impartially. Compliance in healthcare can cover a wide variety of practices and observe internal and external rules. But most healthcare compliance issues relate to patient safety, the privacy of patient information, and billing practices.

Free trade has led increased access of economic resources to developing countries and utilization of limited available resources thus stimulating their economic and social development. Small developing countries struggle with scarce and underutilised resources. Free trade allows free entry of other countries and investors to small developing countries and as a result, they participate in conversation of the available resources to economic development resources through ‘mobilization of capital and labour thereby improving the status of the country in the economy’ (Unger, 2010 P 171). Moreover, free trade gives small developing nations chances to obtain resources such as capital from already developed countries that assist them to attain economic development resources or utilize what they have. For example, countries from Asia such as India have developed due to trade liberalization where they have been able to obtain capital, labour and other necessary resources from already developed countries. If there were restriction and barriers between countries, it would have been very difficult for countries like India to realize their development. Therefore, free access to economic resources by developing countries have shaped their economies and helped in consecutive developments.

However, free trade has been argued to be unrealistic to small developing countries and instead it is detrimental to its economy by increasing level of unemployment, exploiting domestic companies, increasing pollution and lowering people’s standard of living.
Free trade is viewed as means by which developed countries exploit domestic industries of developing countries thus affecting their economic development. Multinational companies such as Nike have been reported to exploit developing countries, (for example Asian countries) by recruiting cheap labour and taking advantage of reduced barriers to maximise on their profits (Irwin, 2009 p. 204). Free trade causes increased influx of imports in a country resulting to increased supply of goods in the market. This causes decrease in prices of goods and services causing domestic companies and industries to reduce their prices, which may result loss and reduced share of the market. Therefore, they become less competitive. This may affect the domestic industries by causing decreased growth and as a result crippling. Hence, for countries to protect their domestic industries, they ‘impose taxes on imports and policies that restrict imports’ that may cause price fluctuations in the market (Hanson, 2010 p. 204). For example, increased steel import to UK

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