In the business world, especially in the Medicare system, there are many rules and regulations that the industry must follow to be successful. There must be someone to fight against the rules that seem to inhibit the prosperity of the private healthcare sector. Some of these rules are those associated with the physician self-referral system. In a place where new rules are being developed, suggestions can be made depending on the changes that need to be made. In my country there are no state bans on self-referrals. As they were drafted by my boss, Congresswoman Starkey, I chose to make suggestions about what the draft should at least capture. The act of doctor self-referral is when a doctor working in a particular medical center refers a patient to another health center in which he has a personal interest. no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay Doctor self-referral bans will tend to prohibit doctors who have a personal Medicare center or who have a family member who has Medicare from referring patients to the same center. The rules should prohibit self-referral of a doctor if the doctor expects to gain financially from this. The rules should also prohibit Medicare centers from receiving substandard services or that the person who will care for the patient is not qualified. The rules should also address unfair market values in terms of the price of the services provided. The rules should require that any compensation be made without considering the volume of referrals made from one party to the other. The rules should be against doctors who refer patients to certain Medicare centers with bad intentions. Violation of these rules should be punished with fines and other types of sanctions. These rules would therefore prevent some things which include: Additional costs: When a doctor is referred to a certain health center, most of these centers are expensive compared to regular Medicare facilities. They tend to charge for almost all the services they provide. Some of these services may be provided free of charge by other health centers. Then, such centers have complicated and long procedures that bind the patient to them when accessing the service. Therefore, banning the self-referral system of doctors is important as it prevents the exploitation of patients by doctors with personal interests. Frequency of unqualified staff: Most of these centers that you can be referred to provide limited services. This is due to the fact that most of them do not have qualified personnel and major medical facilities to provide the required standard services. When you go to such a health center, you usually find that the desired services may be there but they are of legal quality or only part of these services are provided. For example, a person with cancer might be referred to a medical center where they offer the usual prescription drug services without anything more special. Services such as chemotherapy may not be available, meaning the patient will have to go to another hospital if they need chemotherapy. Personal gain: The essence of referring the patient to such a health center by a doctor was simply to get the share of money that the patient had and then let it pass to other centers where the required services are provided. This makes it an inhuman form of activity in which the doctor is only interested in the profit that will be made from treating a person of thegender, but the person's life does not have much importance to him. Banning a doctor self-referral system is important as it prevents cases where profit-driven doctors exploit patients. If the activity is prohibited, the patient can be referred to a medical center where he can get the services he deserves. Overuse of resources and services - Eliminating and preventing a self-referral system ensures that there is no overuse of facilities and services. This is because for such a medical center to attract more patients, numerous unnecessary incentives are provided to attract patients. The continued provision of unnecessary incentives places a strain on available services and resources due to their overuse. Providing such incentives also involves the use of a lot of manpower that could have been better managed or used if such unnecessary services had not been available. Overuse can also come in the form of prescribing numerous tests that may not be that essential. For example, public employees whose healthcare burden falls on the government may be provided with services that are not essential. This then leaves the government with the task of compensating a large amount of money that could have been avoided if the patient had received drugs in a normal health center, thus prohibiting the act of self-referral of doctors avoids excessive use of services and structures. Market imbalance – Doctors – Self-referral system. it also brings an imbalance in the market where doctors tend to refer the most profitable patients to the hospitals and medical centers of their interest. When these patients arrive at such medical centers, they are put through systems and procedures that provide a higher reimbursement. If this happens in an economy, other hospitals are unable to compensate for the losses they suffer in providing basic services to patients. Other medical facilities tend to operate making little or no profit which burdens them so much. This is because these high-interest patients are the ones who make up for what may have been lost by providing essential and relevant services that may not earn them anything. A good example is a case of an epidemic of a disease. The medical centers not mentioned could be at the forefront of providing medical care to patients affected by the epidemic in order to curb the disease. At such a time, such a medical facility may have to incur many expenses which may lead to losses. If high-profit patients are kept away from these hospitals, they will never be able to make up for the losses they suffer. This in return creates unnecessary and unhealthy competition. All this can be avoided if the self-referral system of doctors was banned. In this regard, various provisions can be adopted to ensure that patients are not exploited. There should be a refund of the amount collected by the facility for the self-referral system of doctors. The law would ensure that patients pay for a service equivalent to the payments they make. Some services provided for the purpose of earning more money will be eliminated as they do not serve any purpose. This would also reduce unhealthy competition as each medical facility would get the share it deserves for high-income patients. When a medical facility goes against established laws, it should be barred from providing certain services. This serves as a lesson to it and other similar facilities that tend to profit from the exploitation of patients. It also ensures that non-essential services that incur additional costs are eliminated leaving you with the essential services that keep you going. The structures.
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