Free Report Sample on Drug Prescription Prices: Investigating the Increase in Costs

Introduction

There is a need for leaders in the health care filed to understand the pricing of drug prescriptions. In this case, there is an increase in costs of drug prescription, which has drawn attention in the media and political spectrum (Larrat, Marcoux, & Vogenberg, 2012). More than 25 bills and various oversight and congressional health care committees are meant to carry out an investigation concerning the issue. Thus, it is expected that when the problems concerning the 340B program are not solved soonest, the health care system will be forced to depend on OPPS- prospective payment system of outpatient, which will give the final ruling (Obama, 2016). In this case, the implementation of Medicare payment cuts when purchasing drugs, as described in the 340B program, will be blocked by congress.

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Leaders in health care should familiarize themselves with the act that prevents abuse of opioids when used in treatment activities. Hence, they need to have a proper understanding of why health care providers should prescribe opioids with caution, something that will not give the drug enforcement authority a chance to strengthen the requirements in such a case for monitoring use of prescription drugs (Larrat, Marcoux, & Vogenberg, 2012). Also, there is a need for leaders to note the significance of the affordable care act. There have been few cases of individuals who are not insured due to reforms within the law. (Obama, 2016).

Medicare and Medicaid Guidelines

Notably, from the reporting of Medicare and Medicaid guidelines, there are various challenges and opportunities that healthcare providers can face while trying to meet the report's requirements. Leaders in the health care field will have a problem in dealing with increased health care costs. This is expected as a result of spending, and values of health care tend to rise in a way that exceeds inflation, something that is likely to occur in the future (Datskovsky et al., 2020). As per the estimated by the Medicare services aggregate spending, an increase of 5.8 percent in the annual rate spending will be realized. This calls for alternative strategies that will help leaders sort high health care costs. Furthermore, leaders are facing the challenge of being able to achieve technological and medicinal advancement. This is due to the strict security and legal privacy requirements that increase the cost of rapidly advancing clinical technology advancement costs. Moreover, healthcare leaders need to find strategies that will allow them to remain proficient by overcoming education and training challenges. At the same time, the guidelines report provides an opportunity for healthcare leaders to point out various issues. In this case, leaders can clearly show that citizens do not benefit despite the government effort to spend a lot of money in healthcare. In the same manner, the leaders also have the opportunity to show how patients cannot receive the specific health care services they require.

Health Care Organizations

For health care organizations to comply with the government's standards, they have to utilize financial principles. By complying with the government standards, healthcare organizations can improve availability and quality of care and, at the same time, control healthcare costs (Datskovsky et al., 2020). Thus, administrators within a health organization are the ones who have the responsibility of developing and implementing the compliance program and, at the same time, give the authorization of funds to accomplish specific tasks. Organizations of healthcare utilize the billing compliance where data that is coded and the one in other forms is used to prevent allegations and provide payment for services of healthcare (Datskovsky et al., 2020). In such situations, an organization shows that it is conducting its activities ethically and lawfully. Additionally, a health organization ensures the information it has is maintained in a form that allows accurate, efficient, and timely retrieval, thereby ensuring that any case of impairment is easily detected.

Reimbursement

Various measures can help organizations receive reimbursement when they make claims and, at the same time, realize improvement during this reimbursement. Hence, a health organization should have documentation of their medical record. This means they have a well-written policy, and it addresses significant issues like patient names record, timelines of when documents were completed, and other useful health data (Crocker, 2020). At the same time, health professionals need to carry out proper coding for the procedures, diagnosis, and services that are carried out. When payers demand a specific coding, then it should be readily available. Most importantly, there is a need to make sure the process of charge entry is completed accurately and within the required time to impact reimbursement (Crocker, 2020). This can be achieved by making sure insurance numbers, and demographic information is verified, and this will minimize cases of claims being denied and not getting paid.

Conclusion

Through familiarizing with these changes, leaders in the health care field will be in a better position to support the health care system of payment which is being transformed, ensure health care workers give the right prescription during the appropriate time and be in a better position to support proper pricing of drugs.

References

Crocker, J. (2020). How to Improve Your Revenue Cycle Processes in a Clinic or Physician Practice. Library.ahima.org. Retrieved 25 July 2020, from
https://library.ahima.org/doc?oid=73917#.Xxwn31UzbIU.

Datskovsky, G., Hedges, R., Empel, S., & Washington, L. (2020). Evaluating the Information Governance Principles for Healthcare: Compliance and Availability. Bok.ahima.org. Retrieved 25 July 2020, from
http://bok.ahima.org/doc?oid=107667#.XxwjlFUzbIU.

Larrat, E. P., Marcoux, R. M., & Vogenberg, F. R. (2012). Impact of Federal and State Legal Trends On Health Care Services. Pharmacy and Therapeutics, 37(4), 218.

Obama, B. (2016). The United States health care reform: progress to date and next steps. Jama, 316(5), 525-532