Third Party Validation: The Heart of Sound Regulatory Programs

Third Party Validation

 The validation of events and transactions by a recognized third-party is of increasing significance in federal regulatory policy development. CRE has had been asked to perform such a role in numerous regulatory proceedings, see for example activities underway in the Hospital Consolidation IPD to the right of this post which will contain a major report planned for release by CRE  in September 2013.

In the regulatory world the credibility of the third-party validator is of extreme importance as CRE has stated:

The consideration and ultimate acceptance of the material on an IPD by federal regulators and their regulatory overseers depends in large part on the recognized regulatory expertise and federal credentials of the managers of the organization which hosts the IPD.”

 Here is an interesting article regarding the use of third party validation  published by members of the Mintz Levin Law firm.

Examining Charitable Patient Assistance Programs Part Three in a Series: Using Third Parties to Evaluate Charitable Patient Assistance Programs (PAPs)

 

Joseph P. Hammang, PhD

Alexander Hecht

 Examining Charitable Patient Assistance Programs Part Three in a Series: Using Third Parties to Evaluate Charitable Patient Assistance Programs (PAPs)

 In today’s challenging health care environment, Charitable Patient Assistance Programs (Charitable PAPs) have emerged to meet the needs of the nearly 30 million Americans that are underinsured and have difficulty paying out-of-pocket medical costs. As potential donors make strategic decisions to invest in Charitable PAPs, there are many elements which must be considered to ensure compliance with all applicable laws and regulations. For the previous alerts in the series, please refer here.

When considering donating to Charitable PAPs, consider the importance of third party validators to ensure that the donation is made to an upstanding and effective organization:

  • The Charitable PAP Seeks Third Party Validation. Not only do reviews carry additional weight when done by third parties, the vetting requires a time and resource commitment, demonstrating a desire to meet high standards by the Charitable PAP.

 

  • Not All Evaluations Are Created Equal. When contemplating a donation, look for evaluations from leading charity validators such as Charity Navigator, GuideStar, the Better Business Bureau, and the American Institute of Philanthropy.

 

  • Some Charitable PAPs May Not Meet Third Party Validation Requirements. There are many validation points used to evaluate any non-profit; many of which are pulled from Charitable PAP’s IRS Form 990.

 

  • How to Evaluate the Charitable PAP without Third Party Vetting. As many metrics are pulled from an organization’s Form 990, it is important to evaluate how large expenses are categorized. For example, do the Charitable PAPs largest expenses truly go to patient services? If not, how much does the organization spend on fundraising?

 

 

 

 

 

 

 

 

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