OMB debates whether to increase or lessen regs.
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It has been assumed that the best policy for promoting quality of life in nursing homes is direct regulation. In this paper it is argued that if our experience in regulating quality of care is any indication, we may not possess the political will to successfully regulate quality of life. Moreover, from a legal perspective, the less concrete nature of the concept of quality of life may make it more difficult to regulate than quality of care. Finally, although regulation would probably be necessary if potential nursing home residents (and their agents) lacked the information or rationality to make choices that promoted their interests, this has never been shown to be the case empirically. Therefore, we may not be forced to choose regulation to achieve an adequate quality of life. Alternative--and perhaps better--policies may be available.
Health maintenance organizations (HMOs) can help slow rising health care costs. State regulatory statutes are needed that will protect critical interests of HMO members while freeing HMOs from needless statutory requirements. A model HMO regulatory law is designed to strike a balance between protection of members and freedom for HMOs to deliver programs that can reduce health care costs.
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HHS and IRS are good examples of federal agencies that, each responsible to its own unique regulatory, manage to frequently undermine congressional health policy intent.
A five-year planning and design effort resulted in an award-winning health sciences building for Chicago's Northwestern Memorial Hospital and Northwestern University.
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Psychiatric hospitals must be regulated, and someone must write the rules, says the author. But the rules of such agencies as the Joint Commission on Accreditation of Hospitals and Medicare are rarely subjected to rigorous testing, either for efficacy or for cost-effectiveness. The author discusses the problems of expense, inconsistency, and excessive documentation created by the regulatory process, plus positive aspects such as the stimulus for improvement. One urgent need, he believes, is to reconcile more closely the views of the cost-cutters and the standard-setters before they inflict irreparable damage on some segments of the hospital system.
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Recent experiences have given the health care industry different approaches it can use to deal more effectively with government regulations.