Health Assurancesickness insurance
Ministry of Health | Safety and Health Regulations
Key issues of the regulatory framework to help guide the first phase of the Health Care Homes study are primarily educational and supportive measures, as well as the implementation of the Health Care Homes Funding Assurance Toolkit. This toolkit will help healthcare professionals design and deploy guidelines, practices, systems and everyday actions that help promote an efficient healthcare financing assurance framework.
Among the main areas of risks that will provide the foundation for Health Care Home's regulatory oversight activity are: dual accounting under Health Care Homes and Medicare. A number of Medicare Benefits Schedule (MBS) items should not be used for Health Care Home patient care as these items are provided and financed through the combined Health Care Home payments.
There is also expectation that the use of a number of home healthcare products for TB will decrease. Articles in medical records for primary health insurance policies for elderly people are also under review to make sure that those who move into an elderly nursing home are excluded from the first study.
Article 6087 of Medicare Safety Net (MBS) provides for the capture of an absence for which a home resident causes an out-of-pocket expenditure for treating the patient's condition, whether chronically or otherwise, and for these out-of-pocket expenditure to help meet the patient's Medicare Safety Net thresholds. It is also checked to make sure that it is only used for home care and only for the purposes of collecting out-of-pocket information.
Division has designed an assurance and regulatory compliancy toolset for practitioners and ACCHS involved in the first phase of the Health Care Homes study.
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