tci Medicare Compliance & Reimbursement - 2016 Issue 17
Regulations: Take 6 Steps Now to Comply with New Nondiscrimination Rules
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Article Overview
This article reviews a recent healthcare nondiscrimination rule tied to ACA Section 1557 and summarizes the main compliance areas organizations should know about. It is aimed at providers, health programs, and other covered entities that may need to update notices, training, accessibility practices, language assistance resources, grievance processes, and compliance oversight. The article also notes enforcement considerations and pending legal challenges that could affect how the rule is interpreted.
Why This Topic Matters
Healthcare organizations may need to adjust policies, patient communications, accessibility practices, and internal procedures to align with the updated nondiscrimination framework. The topic matters because it affects how covered entities communicate with patients, manage complaints, and prepare for oversight or legal scrutiny.
Article Sections
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Understand the New Nondiscrimination Requirements
Introduces the regulatory background, the federal sources behind the rule, and the types of healthcare programs and entities addressed by the update. Also notes key compliance timing and training availability.
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Cater to LEP Patients and Those with Disabilities
Summarizes the rule’s focus on protected classes and discusses broad accessibility and language access expectations for covered entities.
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Tread Carefully Regarding Gender Identity
Describes how the rule addresses sex discrimination and related protections involving gender identity and related categories.
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Post Nondiscrimination Notice and ‘Taglines’
Covers required public notices, translated resources, and related communication obligations for covered entities.
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Determine if You Need a Grievance Procedure
Addresses internal complaint handling and the designation of compliance responsibilities for organizations that meet certain size thresholds.
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Brace Yourself for Enforcement
Outlines the enforcement framework, available remedies, and the possibility of legal challenge.
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Expect Some Bumps in the Road
Notes that litigation and competing legal arguments may affect the rule’s future application.
What You Will Learn
- The federal nondiscrimination framework discussed in the article
- Which types of healthcare organizations are covered
- General compliance areas involving notices, grievance processes, language access, and accessibility
- How the rule addresses sex discrimination and gender identity at a high level
- What enforcement and legal challenge issues may arise
Who Should Read This
- Healthcare providers
- Covered entities
- Health system compliance staff
- Practice managers
- Healthcare administrators
- Medical office staff
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