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Related Experiment Videos

An integral approach to compliance.

T G Goddard1

  • 1Goddard Consulting, Falls Church, Virginia, USA. goddardt@erols.com

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|September 30, 2000
PubMed
Summary

Financial managers must develop comprehensive compliance plans for managed care organizations, integrating legal requirements with operational standards and corporate culture. Effective plans require monitoring systems, employee motivation assessment, and cultural adaptation for robust adherence.

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Area of Science:

  • Healthcare Management
  • Legal Compliance
  • Organizational Behavior

Background:

  • Managed care organizations (MCOs) face complex regulatory environments.
  • Compliance planning is crucial for MCOs to navigate legal and operational challenges.
  • External forces, including judicial decisions and extralegal standards, significantly shape MCO operations.

Purpose of the Study:

  • To outline essential components of effective compliance plans for MCO financial managers.
  • To emphasize the need for MCOs to proactively manage compliance beyond basic legal adherence.
  • To highlight the importance of integrating internal monitoring and cultural adaptation into compliance strategies.

Main Methods:

  • Analysis of legal and extralegal factors influencing managed care operations.

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  • Review of best practices in corporate compliance program development.
  • Examination of organizational systems, employee motivation, and corporate culture in relation to compliance.

    • Main Results:

    • Compliance plans must incorporate judicial decisions and extralegal standards alongside federal and state laws.
    • Integral compliance plans require monitoring of organizational systems, assessment of employee motivation, and modification of corporate culture.
    • Empowering compliance officers with broad assessment tools is vital for proactive compliance management.

    Conclusions:

    • MCOs must adopt dynamic and comprehensive compliance strategies to mitigate risks associated with external scrutiny.
    • Proactive compliance management, including cultural integration and robust monitoring, is essential for MCOs.
    • Financial managers play a key role in structuring compliance plans that address the multifaceted nature of MCO operations.