Running head HEALTHCARE ISSUE POLICY ! 1Healthcare I.docxcowinhelen
Running head: HEALTHCARE ISSUE POLICY
! 1
Healthcare Issue Policy
Raha Albeshr
January,4,2017
Lyn
Sticky Note
Suggestion for title to paper: "Creating a More Inclusive System: Expanding Access to Health Care with the PPACA"
HEALTHCARE ISSUE POLICY 2
Healthcare Issue Policy
Policy History: Provide some background on the health issue you are researching. What
aspects of earlier debates (key arguments, rhetoric, etc.) have shaped current
controversies on this topic?
The United States currently has many healthcare issues that it is facing. These issues
are the main reason why a large number of people in the country face a lot of health
problems. The country is currently spending the largest amount of money on healthcare
compared to other countries. Due to this reason, many people have provided proposals for
policies that can be utilized to solve these health issues and help individuals in the country
attain a healthcare improvement. An example of the many issues that the country is facing
among others includes shortage of doctors, substance abuse, tobacco, overweight, and
obesity. Access to healthcare is a major issue that many individuals in the United States feel
the need to ensure its existence.
Many people in the United States are interested in the issue of access to healthcare.
Without good access, people do not have the ability to ensure that they will remain healthy.
Access to health care is thus a significantly important aspect that people are highly concerned
with. The patient protection and the affordable care act is one of the main policy that has
attempted to address this issue. Through this act, many individuals have managed to attain
Lyn
Sticky Note
Capitalize first letters for the name of the law: Patient Protection and Affordable Care Act
Lyn
Sticky Note
A better focus for this paragraph would be to quote the numbers of individuals who were uninsured prior to the ACA, and the current numbers of uninsured, showing that the ACA reduced the numbers of uninsured by over 20 million. Then talk about the programs that brought more people into the health care system.
HEALTHCARE ISSUE POLICY 3
access to healthcare. A large number of individuals who were initially uninsured have
currently managed to attain access to healthcare provision. This is due to the fact that the
affordable care act has made access to health care significantly cheap and thus those without
the ability to pay high for them to access healthcare provision have managed to attain cheap
options that they can take and thus attain access. The government, through the act, has also
established programs that both cater for the poor, the old and the disabled individuals
ensuring that they are fully covered for health under the government’s cost (Sederstrom,
2014).
Despite these changes and governmental efforts to ensure access to healthcare for all
individuals within the united states, Healthcar ...
Assignment 1Public Administration – The Good, th.docxtrippettjettie
Assignment 1
Public Administration – The Good, the Bad, the Ugly
hhhhhhh
Modern Public Administration
Prof. hhhhh
Date: hhhhh
The White House Issue: Health reforms
The Health Care Reforms are the best obsession for the United States, Majorly most of the American citizens who were responsible for originating the improvement found it helpful. Back in the year 2011, a countrywide crackdown was conducted as a way to oppose the frauds that were becoming a health concern, and the federal administration recovered almost $ 4.1 billion. The Health Care Improvement for capturing the healthcare frauds and scams allowed President Obama’s policy to enhance on strict penalties like compensation and fines. By providing the United States citizens with Patient Protection as well as, ACA (Affordable Care Act) was the ultimate presidential success for President Barack Obama (.whitehouse., 2014).
The public policy
As most of the leaders decided to adopt a firm stand with the many important issues within the American State, the essential point was the definition of the improvement of the Health Care in the United States by President Barack Obama and when discussing the fitness and care reform a lot of issues are put on focus.
The public policies are categorized into four groups which are the regulatory policy, the distributive policy, the redistributive policy and lastly the constituent policy. Every issue in the White House is organized it the way it is related to any of the four types of public systems (NCBI, 2016). The financial regime faces most of the significant issues, and many may need to be in a position to determine the problems which are related to funding system because some of these issues affect some of the American citizens.
Distributive policy as mentioned above, it is a policy that focuses on supporting the selected issues; the strategy that is behind the distributive health care is the local understanding and having a flexible organizational design. The idea of distribution is quite broad as it classifies distributive policy action towards including all the public processes that are responsible for developing as well as providing equitable access to the resources. In regards to the health issues, this may have financial aid for assisting the excluded to have access to the healthcare. Also, across funding aid to assist in the inside operations of the health institutions such as the combination of threats which enhances the inclusion of reasonably inadequate health services. Also, the appointment systems facilitate the secondary concern for the needy to access health services (Mackintosh, 2013). It also reduces the shifts regarding the fitness care regime in processes that will be able to satisfy and offer the proper access to those who are deprived by supporting the distributive promises that the government has made and having full access to healthcare services. In this kind of shift, the significant disadvantage is ...
DEVELOPMENT OF AN ADVOCACY CAMPAIGN (Part 2) 2
The Case for Frontotemporal Degeneration (FTD)
(Part 2)
NURS-6050N-23: Policy & Advocacy for Pop Health
Introduction
The present US health care policies and regulations established by the various government agencies, insurance companies and other healthcare organizations pose certain challenges to us as nurses and of course the patients who are generally the ones caught in the middle of cost and payment constraints and access to applicable quality care. According to the 2005 data from the United States Census Bureau about 50 million Americans are uninsured while at the same time the cost of health care is still rising. With the continued rising costs of care, degenerating and lack of access to comprehensive care, and poor-quality services, there is an urgent need to improve our health care performances in the United States. (Carey, 2006). As such, changes are required in government, health care organizations and insurance policies that tackles most of the health-related issues. (Kendig, 2006). This project focuses on the development of an advocacy campaign with a view towards addressing how current laws or regulations may affect how to proceed in advocating for a proposed policy and how to influence legislators and other policymakers to enact a policy. The project also examined possible barriers to the legislative steps that could impede a proposed policy from being enforced as designed. (WaldenU, 2017).
The existing laws and regulations that are used can address the situation and contribute to changing the chronic illnesses that plague the world but using these strategies by themselves will not be suffice for addressing the problems associated with Non-Communicable Diseases across the world. This is because many countries have weak health care systems, even those that are considered “First” world countries such as America. The existing laws and regulations are encapsulated in global legal doctrines as well as national doctrines to provide budgeting for healthcare prevention but this often is negatively impacted by under-budgeting that occurs, poor demand forecasting, and poor distribution of services to those most in need. (Cherry, & Trotter Betts, 2005).
Governments across the world are implementing fiscal policies that are predicated upon raising taxes, utilization of subsidiary statutory instruments such as regulations that establish standards that must be met toward cigarettes, alcohol, and other major contributors to NCDs, and the improvement of access to NCD treatments. Government agencies also play a role in monitoring and enforcing regulations that are established to address this global healthcare problem. Other measures that are taken by governments are predicated upon the allocation of resources to train healthcare providers, developing policies that ensure the retention of healthcare providers, establi.
1 3Defining the ProblemRigina CochranMPA593August 1.docxsmithhedwards48727
1
3Defining the Problem
Rigina CochranMPA/593
August 19, 2019
Peter ReevesDefining the Problem
The health care system in Colorado is a composition of medical professionals providing services such as diagnosis, treatment, as well as preventive measures to mental illness and injuries ("Healthcare policy in Colorado - Ballotpedia," 2019). Health care policy involves the establishment and implementation of legislation and other regulations that the states use to manage its health care system effectively. Further, this sector consists of other participants, such as insurance and health information technology. The cost citizens pay for medical care and also the access to quality care influence the overall health care providers in Colorado. Therefore, the need for the creation and implementation of laws that help the state maintain efficiency in the health sector in Colorado.
Problem Statement
The declining standards of medical care within the United States has caused significant concern in the world. Due to these rising concerns, there have been various policies implemented, leading to mixed reactions among the different states. Some of the active policies implemented offer a long-term solution to this problem including Medicaid and Medicare. After acquiring state control, the Republicans dismissed the idea to expand and create medical insurance for Medicaid in Colorado. Sustaining the structure of the health care payroll calls for the deductions from the employees and the employers, which may lead to loss of jobs and increased burden of expenditure (Garcia, 2019).
Identify the Methodology
The main objective of this policy plan is to investigate the role of legislation in the management of the health care sector in the United States. Due to the need for achieving in-depth exploration, this paper uses a combination of both qualitative and quantitative methods of data collection by addressing both practical and theoretical aspects of the research. Based on the answers that the policy requires, choosing survey as the research design. This method involves collecting and analyzing data from a few people who represent the principal group within health care. However, the survey method faces some challenges such as attitudes and perception of the health workers leading to the delimitation of the study. The target population for the study includes the nurses within the health sectors in Colorado. The selection of the participants involved in the use of stratified random sampling.
Identify your Stakeholders
The major stakeholders in the creation and implementation of the policy plan include the legislatures, local government, patients, and other private parties such as the insurance companies. Collectively, these bodies are involved in the making of thousands of decisions, overseeing hospitals, making budgetary appropriations, assisting the health workers to acquire licenses, determination of services that the insurers cover, and the management of.
Running head: PUBLIC HEALTH
1
PUBLIC HEALTH
6
Public Health
Student’s name
University affiliation
Public Health
•
Briefly describe the public health problem and the policy that addresses the problem.
The public health problem of interest is limited accessibility of quality and affordable health care due to a rising cost of health care services. This is a major issue which has affected millions of Americans especially those who cannot afford to pay for their health care insurance or pay directly for health care services. The rising cost of health care services includes the rising prices of prescription charge, primary care, and specialized care which have limited the accessibility of quality health care. Some of the effects of rising health care cost include; i) rising insurance premiums, ii) limited access to specialized care such as breast cancer screening and maternal care for women, and iii) limited access to specialized care for different vulnerable groups such as persons who have chronic health conditions or those who are at a high risk of getting chronic illnesses.
To address this public health problem, the federal government introduced the Patient Protection and Affordable Care Act which famously known as Obama Care. This policy was signed by President Barack Obama in March 2010 with the goal of bringing key reforms in the health care sector to address the problem of health care cost, quality, and access. The primary objectives of the Affordable Care Act (ACA) were to; prevent the increase in the cost of prescription drugs and health care services, ensure that all citizens could have access to affordable health insurance coverage, promote patient protection, and deliver better services (Amadeo, 2019).
• Examine the nature and magnitude of the problem and the people who are affected.
Generally, the issue of increasing health care cost affected all Americans, especially those who could not afford health insurance coverage and the vulnerable population groups. Persons who could not afford health insurance could not access quality health care services since they were very expensive and they would not afford to cater for out-of-pocket payments. Vulnerable population groups included the aging population who are the most vulnerable group to be affected by chronic illnesses. The high cost of medication limited the ability of the affected group to access quality health care thus leading to a high mortality rate. The magnitude and nature of the high cost of health care can be analyzed as follows.
Rising insurance premiums
As of 2004, the cost of health care services had increased by 4 percent. Quality health care services and prescription drugs were getting expensive forcing the healthcare insurance providers to increase their premiums. Premiums were rapidly increasing between 2000 and 2010 at a rate of 8 percent for family premiums covered by employers (Amadeo, 2018). Due to this, hundreds of tho.
Running head HEALTHCARE ISSUE POLICY ! 1Healthcare I.docxcowinhelen
Running head: HEALTHCARE ISSUE POLICY
! 1
Healthcare Issue Policy
Raha Albeshr
January,4,2017
Lyn
Sticky Note
Suggestion for title to paper: "Creating a More Inclusive System: Expanding Access to Health Care with the PPACA"
HEALTHCARE ISSUE POLICY 2
Healthcare Issue Policy
Policy History: Provide some background on the health issue you are researching. What
aspects of earlier debates (key arguments, rhetoric, etc.) have shaped current
controversies on this topic?
The United States currently has many healthcare issues that it is facing. These issues
are the main reason why a large number of people in the country face a lot of health
problems. The country is currently spending the largest amount of money on healthcare
compared to other countries. Due to this reason, many people have provided proposals for
policies that can be utilized to solve these health issues and help individuals in the country
attain a healthcare improvement. An example of the many issues that the country is facing
among others includes shortage of doctors, substance abuse, tobacco, overweight, and
obesity. Access to healthcare is a major issue that many individuals in the United States feel
the need to ensure its existence.
Many people in the United States are interested in the issue of access to healthcare.
Without good access, people do not have the ability to ensure that they will remain healthy.
Access to health care is thus a significantly important aspect that people are highly concerned
with. The patient protection and the affordable care act is one of the main policy that has
attempted to address this issue. Through this act, many individuals have managed to attain
Lyn
Sticky Note
Capitalize first letters for the name of the law: Patient Protection and Affordable Care Act
Lyn
Sticky Note
A better focus for this paragraph would be to quote the numbers of individuals who were uninsured prior to the ACA, and the current numbers of uninsured, showing that the ACA reduced the numbers of uninsured by over 20 million. Then talk about the programs that brought more people into the health care system.
HEALTHCARE ISSUE POLICY 3
access to healthcare. A large number of individuals who were initially uninsured have
currently managed to attain access to healthcare provision. This is due to the fact that the
affordable care act has made access to health care significantly cheap and thus those without
the ability to pay high for them to access healthcare provision have managed to attain cheap
options that they can take and thus attain access. The government, through the act, has also
established programs that both cater for the poor, the old and the disabled individuals
ensuring that they are fully covered for health under the government’s cost (Sederstrom,
2014).
Despite these changes and governmental efforts to ensure access to healthcare for all
individuals within the united states, Healthcar ...
Assignment 1Public Administration – The Good, th.docxtrippettjettie
Assignment 1
Public Administration – The Good, the Bad, the Ugly
hhhhhhh
Modern Public Administration
Prof. hhhhh
Date: hhhhh
The White House Issue: Health reforms
The Health Care Reforms are the best obsession for the United States, Majorly most of the American citizens who were responsible for originating the improvement found it helpful. Back in the year 2011, a countrywide crackdown was conducted as a way to oppose the frauds that were becoming a health concern, and the federal administration recovered almost $ 4.1 billion. The Health Care Improvement for capturing the healthcare frauds and scams allowed President Obama’s policy to enhance on strict penalties like compensation and fines. By providing the United States citizens with Patient Protection as well as, ACA (Affordable Care Act) was the ultimate presidential success for President Barack Obama (.whitehouse., 2014).
The public policy
As most of the leaders decided to adopt a firm stand with the many important issues within the American State, the essential point was the definition of the improvement of the Health Care in the United States by President Barack Obama and when discussing the fitness and care reform a lot of issues are put on focus.
The public policies are categorized into four groups which are the regulatory policy, the distributive policy, the redistributive policy and lastly the constituent policy. Every issue in the White House is organized it the way it is related to any of the four types of public systems (NCBI, 2016). The financial regime faces most of the significant issues, and many may need to be in a position to determine the problems which are related to funding system because some of these issues affect some of the American citizens.
Distributive policy as mentioned above, it is a policy that focuses on supporting the selected issues; the strategy that is behind the distributive health care is the local understanding and having a flexible organizational design. The idea of distribution is quite broad as it classifies distributive policy action towards including all the public processes that are responsible for developing as well as providing equitable access to the resources. In regards to the health issues, this may have financial aid for assisting the excluded to have access to the healthcare. Also, across funding aid to assist in the inside operations of the health institutions such as the combination of threats which enhances the inclusion of reasonably inadequate health services. Also, the appointment systems facilitate the secondary concern for the needy to access health services (Mackintosh, 2013). It also reduces the shifts regarding the fitness care regime in processes that will be able to satisfy and offer the proper access to those who are deprived by supporting the distributive promises that the government has made and having full access to healthcare services. In this kind of shift, the significant disadvantage is ...
DEVELOPMENT OF AN ADVOCACY CAMPAIGN (Part 2) 2
The Case for Frontotemporal Degeneration (FTD)
(Part 2)
NURS-6050N-23: Policy & Advocacy for Pop Health
Introduction
The present US health care policies and regulations established by the various government agencies, insurance companies and other healthcare organizations pose certain challenges to us as nurses and of course the patients who are generally the ones caught in the middle of cost and payment constraints and access to applicable quality care. According to the 2005 data from the United States Census Bureau about 50 million Americans are uninsured while at the same time the cost of health care is still rising. With the continued rising costs of care, degenerating and lack of access to comprehensive care, and poor-quality services, there is an urgent need to improve our health care performances in the United States. (Carey, 2006). As such, changes are required in government, health care organizations and insurance policies that tackles most of the health-related issues. (Kendig, 2006). This project focuses on the development of an advocacy campaign with a view towards addressing how current laws or regulations may affect how to proceed in advocating for a proposed policy and how to influence legislators and other policymakers to enact a policy. The project also examined possible barriers to the legislative steps that could impede a proposed policy from being enforced as designed. (WaldenU, 2017).
The existing laws and regulations that are used can address the situation and contribute to changing the chronic illnesses that plague the world but using these strategies by themselves will not be suffice for addressing the problems associated with Non-Communicable Diseases across the world. This is because many countries have weak health care systems, even those that are considered “First” world countries such as America. The existing laws and regulations are encapsulated in global legal doctrines as well as national doctrines to provide budgeting for healthcare prevention but this often is negatively impacted by under-budgeting that occurs, poor demand forecasting, and poor distribution of services to those most in need. (Cherry, & Trotter Betts, 2005).
Governments across the world are implementing fiscal policies that are predicated upon raising taxes, utilization of subsidiary statutory instruments such as regulations that establish standards that must be met toward cigarettes, alcohol, and other major contributors to NCDs, and the improvement of access to NCD treatments. Government agencies also play a role in monitoring and enforcing regulations that are established to address this global healthcare problem. Other measures that are taken by governments are predicated upon the allocation of resources to train healthcare providers, developing policies that ensure the retention of healthcare providers, establi.
1 3Defining the ProblemRigina CochranMPA593August 1.docxsmithhedwards48727
1
3Defining the Problem
Rigina CochranMPA/593
August 19, 2019
Peter ReevesDefining the Problem
The health care system in Colorado is a composition of medical professionals providing services such as diagnosis, treatment, as well as preventive measures to mental illness and injuries ("Healthcare policy in Colorado - Ballotpedia," 2019). Health care policy involves the establishment and implementation of legislation and other regulations that the states use to manage its health care system effectively. Further, this sector consists of other participants, such as insurance and health information technology. The cost citizens pay for medical care and also the access to quality care influence the overall health care providers in Colorado. Therefore, the need for the creation and implementation of laws that help the state maintain efficiency in the health sector in Colorado.
Problem Statement
The declining standards of medical care within the United States has caused significant concern in the world. Due to these rising concerns, there have been various policies implemented, leading to mixed reactions among the different states. Some of the active policies implemented offer a long-term solution to this problem including Medicaid and Medicare. After acquiring state control, the Republicans dismissed the idea to expand and create medical insurance for Medicaid in Colorado. Sustaining the structure of the health care payroll calls for the deductions from the employees and the employers, which may lead to loss of jobs and increased burden of expenditure (Garcia, 2019).
Identify the Methodology
The main objective of this policy plan is to investigate the role of legislation in the management of the health care sector in the United States. Due to the need for achieving in-depth exploration, this paper uses a combination of both qualitative and quantitative methods of data collection by addressing both practical and theoretical aspects of the research. Based on the answers that the policy requires, choosing survey as the research design. This method involves collecting and analyzing data from a few people who represent the principal group within health care. However, the survey method faces some challenges such as attitudes and perception of the health workers leading to the delimitation of the study. The target population for the study includes the nurses within the health sectors in Colorado. The selection of the participants involved in the use of stratified random sampling.
Identify your Stakeholders
The major stakeholders in the creation and implementation of the policy plan include the legislatures, local government, patients, and other private parties such as the insurance companies. Collectively, these bodies are involved in the making of thousands of decisions, overseeing hospitals, making budgetary appropriations, assisting the health workers to acquire licenses, determination of services that the insurers cover, and the management of.
Running head: PUBLIC HEALTH
1
PUBLIC HEALTH
6
Public Health
Student’s name
University affiliation
Public Health
•
Briefly describe the public health problem and the policy that addresses the problem.
The public health problem of interest is limited accessibility of quality and affordable health care due to a rising cost of health care services. This is a major issue which has affected millions of Americans especially those who cannot afford to pay for their health care insurance or pay directly for health care services. The rising cost of health care services includes the rising prices of prescription charge, primary care, and specialized care which have limited the accessibility of quality health care. Some of the effects of rising health care cost include; i) rising insurance premiums, ii) limited access to specialized care such as breast cancer screening and maternal care for women, and iii) limited access to specialized care for different vulnerable groups such as persons who have chronic health conditions or those who are at a high risk of getting chronic illnesses.
To address this public health problem, the federal government introduced the Patient Protection and Affordable Care Act which famously known as Obama Care. This policy was signed by President Barack Obama in March 2010 with the goal of bringing key reforms in the health care sector to address the problem of health care cost, quality, and access. The primary objectives of the Affordable Care Act (ACA) were to; prevent the increase in the cost of prescription drugs and health care services, ensure that all citizens could have access to affordable health insurance coverage, promote patient protection, and deliver better services (Amadeo, 2019).
• Examine the nature and magnitude of the problem and the people who are affected.
Generally, the issue of increasing health care cost affected all Americans, especially those who could not afford health insurance coverage and the vulnerable population groups. Persons who could not afford health insurance could not access quality health care services since they were very expensive and they would not afford to cater for out-of-pocket payments. Vulnerable population groups included the aging population who are the most vulnerable group to be affected by chronic illnesses. The high cost of medication limited the ability of the affected group to access quality health care thus leading to a high mortality rate. The magnitude and nature of the high cost of health care can be analyzed as follows.
Rising insurance premiums
As of 2004, the cost of health care services had increased by 4 percent. Quality health care services and prescription drugs were getting expensive forcing the healthcare insurance providers to increase their premiums. Premiums were rapidly increasing between 2000 and 2010 at a rate of 8 percent for family premiums covered by employers (Amadeo, 2018). Due to this, hundreds of tho.
HeadnoteGovernments with universal healthcare systems are increa.docxisaachwrensch
Headnote
Governments with universal healthcare systems are increasingly bemoaning the costs of their systems and the need to contain these costs if affordable healthcare services are to be sustained into the future. In a bid to reduce the costs of healthcare, politicians and bureaucrats have championed the need for reform. Although avoiding the language of rationing, the kinds of 'reforms' being championed (eg. greater government regulation of universal health coverage, reducing reimbursement for medical costs, cutting funding to public hospitals) seem however, to be more concerned with restricting universal healthcare coverage, rather than reforming it.
The rhetoric of healthcare reforms has also had a political ideological objective shifting the provision of and accountability for public healthcare services to private sector providers. This objective has been pursued despite experts warning that such a shift will ultimately lead (and in some cases has already led) to inequities and unjust disparities in access to healthcare and related health outcomes, especially in vulnerable populations who cannot afford private health insurance.
Australia has not been immune from ideologically driven machinations about the sustainability of its universal healthcare scheme, ie. Medicare. Despite health expenditure in Australia reportedly reaching a record low for the period 2012-2013, there has been a political campaign of spreading false and misleading information about Medicare's sustainability (Keast 2015).This misinformation has included 'blaming' vulnerable populations (eg. an ageing demographic, the 'undeserving poor') for their allegedly disproportionate over-utilisation of public healthcare services and the need to curb this costly 'wanton' demand. What has been overlooked in this situation, however, is that a key driver of the spiraling costs of healthcare is not the over-utilisation of services by people in need, but rather 'the use of wasteful tests and treatments' prescribed by doctors (Tilburt & Cassel, 2013) together with the rising costs of drugs (driven by the business behaviours of the pharmaceutical industry) and medical technology, particularly in hospitals. Also overlooked is the problem of language and the tendency to treat the terms 'healthcare', 'hospital care', and 'medical care' as being synonymous, when they are not. Failure to distinguish what each of these terms refers to unnecessarily muddles debate about what healthcare reforms are needed as well as where and how these should occur.
Question of nursing ethics
The ethics of healthcare rationing has been the subject of debate for decades. This debate has primarily rested on the issue of whether it is ever acceptable to ration healthcare and, if so, on what grounds. It has also prompted unresolved controversies about the interests of individuals versus the collective interests of society in accessing limited healthcare resources and how best to balance these competing inter.
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
SOCW 6351 Wk 9 Discussion 1. Need Responses.Respond in one of t.docxrosemariebrayshaw
SOCW 6351 Wk 9 Discussion 1. Need Responses.
Respond in one of the following ways:
· Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.
· Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.
Support your response with specific references to the resources. Be sure to provide full APA citations for your references.
NA:
Top of Form
Medicaid is a medical assistance program developed specifically for low income individuals of any age, unlike Medicare, which is designed for those over 65 and have no income requirements (“Difference between Medicare and Medicaid”, n.d.). When health care policies are change, they affect programs such as Medicaid and Medicare. For example, when the ACA (Affordable Care Act) was implemented, it led to an increase of enrollment as it made the process easier and reached more individuals and it expanded Medicaid eligibility to low-income adults (Wachino, Artiga & Rudowitz, 2014).
In the state of Pennsylvania, a Medicaid policy that I would amend would be the Healthy PA policy, which was a Medicaid expansion that included drug and alcohol services (IRETA, 2015). The issue is the length of time it takes for someone to be admitted into a program. Whether it’s getting into an inpatient or outpatient program, the process needs to be expedited and more streamlined. Many who are suffering from substance abuse disorders struggle with finally getting themselves into a program and delaying the process could result in someone hesitating and deciding not to move forward with treatment that is crucial (IRETA, 2015).
In Pennsylvania, stakeholders include a steering committee, which is made up of hospitals, health care providers, consumers, foundations and academic institutions (“HIP”, 2019). This committee comes up with ways to improve population health and control health cost including Medicaid and Medicare. They developed a plan for heathcare delivery that will improve the quality of life for everyone, without limitations on income or background (“HIP”, 2019). This committee has 5 work groups that develop implementation plans for the goals that were developed by the committee and focus on specific aspects such as payment, price and quality transparency, population health, healthcare transformation and health information technology (“HIP”, 2019).
References:
HIP stakeholders. (2019). Retrieved from https://www.health.pa.gov/topics/Health-Innovation/Pages/Stakeholders.aspx
IRETA. (2015). Pennsylvania’s Medicaid expansion smooths the road to addiction treatment, but barriers remain. Retrieved from https://ireta.org/resources/pennsylvanias-medicaid-expansion-smooths-the-road-to-addiction-treatment-but-barriers-remain/
Wachino, V., A.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxtoddr4
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxhealdkathaleen
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu ...
Healthcareby Reta TarlueSubmission date 03-Sep-2019 08.docxpooleavelina
Healthcare
by Reta Tarlue
Submission date: 03-Sep-2019 08:48PM (UTC-0500)
Submission ID: 1166891706
File name: patientprotectionandaffordablecareAct_1_.docx (11.01K)
Word count: 1032
Character count: 5477
51%
SIMILARITY INDEX
14%
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4%
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1 13%
2 8%
3 5%
4 5%
5 4%
6 4%
7 3%
8 3%
Healthcare
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to Bridgepoint Education
Student Paper
Submitted to Colorado Technical University
Online
Student Paper
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Managment Education
Student Paper
Submitted to Columbus State Community
College
Student Paper
en.wikipedia.org
Internet Source
Submitted to Saint Leo University
Student Paper
Submitted to Grand Canyon University
Student Paper
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9 3%
10 2%
11 1%
Exclude quotes Off
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Exclude matches Off
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Student Paper
Healthcareby Reta TarlueHealthcareORIGINALITY REPORTPRIMARY SOURCES
1
3
Focusing on a Strategy Rigina CochranMPA/593
August 26, 2019
Peter ReevesFocusing on a Strategy
The health care policies in Colorado have led to the increase in household expenses for many years and it is anticipated to keep increasing. This increase in expenses impacts a significant amount of families specifically those who are trying to make ends meet. Challenges on health care costs and spending are typically used interchangeably by policy makers but have different meanings. Determining ways to handle the issue of health care costs as well as other issues related to health care policies in Colorado is essential for the state’s residents (William, 2017).
Transparency
Increasing transparency is one way that can be used to address the issue of healthcare policies in Colorado. The raising of drug prices has brought about a huge conflict among the policy makers and the consumers. New drugs are introduced and put on the market at high prices and many individuals know that the high prices are a great risk in the pharmaceutical industry. These high-priced drugs have confused and disappointed the customers and the policy makers. The various states use the policies that require transparency of pharmaceutical prices in order to force the pharmaceutical companies to take responsibility for the high prices. The manufactures are expected to provide information on rising prices and making the information available to the public. Price transparency enables cost control through customer motivation which has become the main goal among the policymakers.
Transparency aids in enhancing the quality of care as well. It helps hold the physicians responsible for patient care, thus encouraging better patient care, as well as enhancing healthcare productivity. The healthcare administrators control the system that is used for motivating the providers and set pol ...
Running Head HEALTHCARE STAKEHOLDER CONFLICTS1HEALTHCARE .docxcowinhelen
Running Head: HEALTHCARE STAKEHOLDER CONFLICTS
1
HEALTHCARE STAKEHOLDER CONFLICTS
5
Stakeholder Conflicts in Healthcare Visions
Kendra Smith
Grand Canyon University: HCA 675
Introduction
The stakeholders in the healthcare service in any jurisdiction entail the government, the healthcare providers or the physicians, the payers, the patients as well as healthcare professional organizations.
These stakeholders work hand in hand to ensure efficiency and professionalism in healthcare delivery (Blair et al, 1988). They do this by developing succinct policies and effectively implement them for the sole purpose of improving healthcare services. However, there have been serious conflicts in opinion regarding enhancing healthcare service practices and proper administrative mechanisms for the achievement of better services, among the stakeholders.
Conflicts in Health Vision
One of the major health reform visions which have generated considerable debate concerns the accommodation of evidence-driven healthcare service practice, which the government of the United States has instructed all healthcare service providers or organizations to adopt. The major emphasis on this aspect of medicine is the requirement by the government that all healthcare service providers or organizations should document which healthcare services they provide and why they provide such healthcare services to the communit
y.
The argument behind this requirement is that it will enable the government, or it will be generally helpful in gauging the benefits the community gains from such healthcare services. In addition, establishing evidence-driven healthcare practice according to healthcare practitioners will help in identifying specific health problems within a community, and subsequently, design the most appropriate medical response. Some healthcare stakeholders also believe that this is an avenue that the government intends to use in creating and forging a closer working relationship between private and public healthcare providers. However much most stakeholders, both private and public, appreciate this evidence-based healthcare practice, as a vital component in improving healthcare services, the major concern is about how such data should be obtained. Some healthcare providers have reasoned that these data should be generated from the already existing data, due to the costs associated with activities that may lead to acquiring and establishing sound data or information domain. In response to this requirement, most of the healthcare organizations have established community-based information or data collection and management mechanisms, which enable them to collect data concerning community health concerns and threats, then define effective ways of response.
With the introduction and implementation of a series of healthcare reforms in the United States, such as the Obamacare and Trumpcare, there is general expectation that there will be enhanced access to healthcare service ...
Study Guide Health Care ReformHealth Care Reform OverviewWhe.docxpicklesvalery
Study Guide: Health Care Reform
Health Care Reform: Overview
When it comes to healthcare in America, we seem to believe that more is better--but does more healthcare result in better health? As a nation, we spend more on healthcare per person than any European country, yet our health outcomes are worse. The PBS documentary, Money and Medicine was aired in 2012, and addresses one of the key issues of healthcare reform--the cost of health care. Watch the trailer below, or the entire episode here: http://video.pbs.org/video/2283573727/
(Links to an external site.)
http://youtu.be/a9oEtRwoVxs
(Links to an external site.)
The Affordable Care Act
The Patient Protection and Affordable Care Act (ACA), passed in 2010, is a collection of laws that were created to reform health insurance and healthcare.
The ACA significantly impacts nurses both personally and professionally. Bedside nurses are impacted by organizational changes that affect patient care, and may be providing information and resources to patients and caregivers about the ACA. However, as Hynds, Hatch and Samuels (2014) noted, nurses indicate they need more knowledge to understand the ACA policy implications of their practice.
Now, you can either read the 974 pages of the law itself, or you can watch this short, animated video produced by the Kaiser Family Foundation, and visit the helpful online resources below:
http://youtu.be/JZkk6ueZt-U
(Links to an external site.)
The YouToons Get Ready for Obamacare
0:01 / 6:52
<div class="player-unavailable"><h1 class="message">An error occurred.</h1><div class="submessage"><a href="http://www.youtube.com/watch?v=JZkk6ueZt-U" target="_blank">Try watching this video on www.youtube.com</a>, or enable JavaScript if it is disabled in your browser.</div></div> Minimize Video
Affordable Care Act: Five Years Later
The Commonwealth Fund has developed several online, interactive resources to illustrate the impact of the Affordable Care Act in its first five years of implementation. Through personal stories, population and health systems data analysis, and graphics, the Commonwealth fund paints the picture of the impact of the ACA on individuals, businesses, providers and healthcare systems. Take some time to explore these resources in preparation for this week's discussion board. Link: The Affordable Care Act: A Look Back at the First Five Years.
(Links to an external site.)
Review the two interactive digital features: Coverage Reform
(Links to an external site.)
and Delivery Reform
(Links to an external site.)
.
Value-Based Purchasing--"Pay for Performance"
Increasingly, hospitals and healthcare providers are reimbursed not just for the amount of services provided (fee-for service), but for the results that are achieved for a particular patient population. As nurses, you may have observed policy changes that emphasize patient experience, prevention of hospital-acquired infections, and effective discharge planning ...
IntroductionThe introduction of the Affordable Care Act in Ameri.docxnormanibarber20063
Introduction
The introduction of the Affordable Care Act in America was highly beneficial since it increased the number of low-income covered by Medicaid. It ensures that they are able to acquire medical coverage and access to healthcare services. Essentially, they have an opportunity to increase their eligibility despite their poverty level state. The Act has been able to improve the quality of Medicaid in the country to the same level as Medicare. Currently, people who fall between ages 19 to 64 and below the federal poverty level of 133% can be covered under Medicaid.3 Before the introduction of ACA, such patients would not be eligible.
Stakeholders
The Medicaid program affects different groups of people in the country. Millions of people have a direct stake in the program, meaning any changes will directly affect their decisions on health care coverage. They include low-income earners, the federal government, private insurance companies, and healthcare providers.
Overview
The Affordable Care Act certainly affected the number of people covered under Medicaid. Moreover, the amount of healthcare coverage in the county had a direct correlation with the availability of the Act in the United Sates. Currently, questions have been circulating as to whether the Act should be revised. However, the pertinent issue that arises from such questions is the manner in which any changes in the Federal Law might affect the Medicaid program. The program covers approximately 50 million Americans from low-earning families.1 Medicaid involves a partnership between the Federal and local governments over funding. It is optional for states to participate in the program, but all local governments are currently involved in the partnership. For a state to participate, it has to meet federal requirements. One of the requirements is that the state cover a particular group of people and offer certain benefits.
However, most of the eligibility in the program is dependent upon a person's income and the category in which he or she belongs. Many young adults with no children previously lacked coverage because they did not fall under the categories provided for by the program.
However, the Federal poverty guidelines would help to solve this problem since it lists a cut-off point for young adults with low income. The program now has a component that facilitates reporting of quality through patient measurements. An example is patient satisfaction and adherence to treatment, which has reportedly dropped by 40%.2 The challenge is that the program may fail to be beneficial for patients who need it since they may be turned away by healthcare providers. The component entails utilizing the measurements to determine choices of reimbursement. There is a risk that providers might begin turning away patients from low-income backgrounds
Analysis
The program has come a long way since it was first enacted, but there is the risk that such a measure might lock out large sections of .
HeadnoteGovernments with universal healthcare systems are increa.docxisaachwrensch
Headnote
Governments with universal healthcare systems are increasingly bemoaning the costs of their systems and the need to contain these costs if affordable healthcare services are to be sustained into the future. In a bid to reduce the costs of healthcare, politicians and bureaucrats have championed the need for reform. Although avoiding the language of rationing, the kinds of 'reforms' being championed (eg. greater government regulation of universal health coverage, reducing reimbursement for medical costs, cutting funding to public hospitals) seem however, to be more concerned with restricting universal healthcare coverage, rather than reforming it.
The rhetoric of healthcare reforms has also had a political ideological objective shifting the provision of and accountability for public healthcare services to private sector providers. This objective has been pursued despite experts warning that such a shift will ultimately lead (and in some cases has already led) to inequities and unjust disparities in access to healthcare and related health outcomes, especially in vulnerable populations who cannot afford private health insurance.
Australia has not been immune from ideologically driven machinations about the sustainability of its universal healthcare scheme, ie. Medicare. Despite health expenditure in Australia reportedly reaching a record low for the period 2012-2013, there has been a political campaign of spreading false and misleading information about Medicare's sustainability (Keast 2015).This misinformation has included 'blaming' vulnerable populations (eg. an ageing demographic, the 'undeserving poor') for their allegedly disproportionate over-utilisation of public healthcare services and the need to curb this costly 'wanton' demand. What has been overlooked in this situation, however, is that a key driver of the spiraling costs of healthcare is not the over-utilisation of services by people in need, but rather 'the use of wasteful tests and treatments' prescribed by doctors (Tilburt & Cassel, 2013) together with the rising costs of drugs (driven by the business behaviours of the pharmaceutical industry) and medical technology, particularly in hospitals. Also overlooked is the problem of language and the tendency to treat the terms 'healthcare', 'hospital care', and 'medical care' as being synonymous, when they are not. Failure to distinguish what each of these terms refers to unnecessarily muddles debate about what healthcare reforms are needed as well as where and how these should occur.
Question of nursing ethics
The ethics of healthcare rationing has been the subject of debate for decades. This debate has primarily rested on the issue of whether it is ever acceptable to ration healthcare and, if so, on what grounds. It has also prompted unresolved controversies about the interests of individuals versus the collective interests of society in accessing limited healthcare resources and how best to balance these competing inter.
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
SOCW 6351 Wk 9 Discussion 1. Need Responses.Respond in one of t.docxrosemariebrayshaw
SOCW 6351 Wk 9 Discussion 1. Need Responses.
Respond in one of the following ways:
· Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.
· Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.
Support your response with specific references to the resources. Be sure to provide full APA citations for your references.
NA:
Top of Form
Medicaid is a medical assistance program developed specifically for low income individuals of any age, unlike Medicare, which is designed for those over 65 and have no income requirements (“Difference between Medicare and Medicaid”, n.d.). When health care policies are change, they affect programs such as Medicaid and Medicare. For example, when the ACA (Affordable Care Act) was implemented, it led to an increase of enrollment as it made the process easier and reached more individuals and it expanded Medicaid eligibility to low-income adults (Wachino, Artiga & Rudowitz, 2014).
In the state of Pennsylvania, a Medicaid policy that I would amend would be the Healthy PA policy, which was a Medicaid expansion that included drug and alcohol services (IRETA, 2015). The issue is the length of time it takes for someone to be admitted into a program. Whether it’s getting into an inpatient or outpatient program, the process needs to be expedited and more streamlined. Many who are suffering from substance abuse disorders struggle with finally getting themselves into a program and delaying the process could result in someone hesitating and deciding not to move forward with treatment that is crucial (IRETA, 2015).
In Pennsylvania, stakeholders include a steering committee, which is made up of hospitals, health care providers, consumers, foundations and academic institutions (“HIP”, 2019). This committee comes up with ways to improve population health and control health cost including Medicaid and Medicare. They developed a plan for heathcare delivery that will improve the quality of life for everyone, without limitations on income or background (“HIP”, 2019). This committee has 5 work groups that develop implementation plans for the goals that were developed by the committee and focus on specific aspects such as payment, price and quality transparency, population health, healthcare transformation and health information technology (“HIP”, 2019).
References:
HIP stakeholders. (2019). Retrieved from https://www.health.pa.gov/topics/Health-Innovation/Pages/Stakeholders.aspx
IRETA. (2015). Pennsylvania’s Medicaid expansion smooths the road to addiction treatment, but barriers remain. Retrieved from https://ireta.org/resources/pennsylvanias-medicaid-expansion-smooths-the-road-to-addiction-treatment-but-barriers-remain/
Wachino, V., A.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxtoddr4
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxhealdkathaleen
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu ...
Healthcareby Reta TarlueSubmission date 03-Sep-2019 08.docxpooleavelina
Healthcare
by Reta Tarlue
Submission date: 03-Sep-2019 08:48PM (UTC-0500)
Submission ID: 1166891706
File name: patientprotectionandaffordablecareAct_1_.docx (11.01K)
Word count: 1032
Character count: 5477
51%
SIMILARITY INDEX
14%
INTERNET SOURCES
4%
PUBLICATIONS
51%
STUDENT PAPERS
1 13%
2 8%
3 5%
4 5%
5 4%
6 4%
7 3%
8 3%
Healthcare
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to Bridgepoint Education
Student Paper
Submitted to Colorado Technical University
Online
Student Paper
Submitted to Foundation for Liberal And
Managment Education
Student Paper
Submitted to Columbus State Community
College
Student Paper
en.wikipedia.org
Internet Source
Submitted to Saint Leo University
Student Paper
Submitted to Grand Canyon University
Student Paper
Submitted to Trident University International
Student Paper
9 3%
10 2%
11 1%
Exclude quotes Off
Exclude bibliography Off
Exclude matches Off
www.docstoc.com
Internet Source
medisolv.com
Internet Source
Submitted to Arizona State University
Student Paper
Healthcareby Reta TarlueHealthcareORIGINALITY REPORTPRIMARY SOURCES
1
3
Focusing on a Strategy Rigina CochranMPA/593
August 26, 2019
Peter ReevesFocusing on a Strategy
The health care policies in Colorado have led to the increase in household expenses for many years and it is anticipated to keep increasing. This increase in expenses impacts a significant amount of families specifically those who are trying to make ends meet. Challenges on health care costs and spending are typically used interchangeably by policy makers but have different meanings. Determining ways to handle the issue of health care costs as well as other issues related to health care policies in Colorado is essential for the state’s residents (William, 2017).
Transparency
Increasing transparency is one way that can be used to address the issue of healthcare policies in Colorado. The raising of drug prices has brought about a huge conflict among the policy makers and the consumers. New drugs are introduced and put on the market at high prices and many individuals know that the high prices are a great risk in the pharmaceutical industry. These high-priced drugs have confused and disappointed the customers and the policy makers. The various states use the policies that require transparency of pharmaceutical prices in order to force the pharmaceutical companies to take responsibility for the high prices. The manufactures are expected to provide information on rising prices and making the information available to the public. Price transparency enables cost control through customer motivation which has become the main goal among the policymakers.
Transparency aids in enhancing the quality of care as well. It helps hold the physicians responsible for patient care, thus encouraging better patient care, as well as enhancing healthcare productivity. The healthcare administrators control the system that is used for motivating the providers and set pol ...
Running Head HEALTHCARE STAKEHOLDER CONFLICTS1HEALTHCARE .docxcowinhelen
Running Head: HEALTHCARE STAKEHOLDER CONFLICTS
1
HEALTHCARE STAKEHOLDER CONFLICTS
5
Stakeholder Conflicts in Healthcare Visions
Kendra Smith
Grand Canyon University: HCA 675
Introduction
The stakeholders in the healthcare service in any jurisdiction entail the government, the healthcare providers or the physicians, the payers, the patients as well as healthcare professional organizations.
These stakeholders work hand in hand to ensure efficiency and professionalism in healthcare delivery (Blair et al, 1988). They do this by developing succinct policies and effectively implement them for the sole purpose of improving healthcare services. However, there have been serious conflicts in opinion regarding enhancing healthcare service practices and proper administrative mechanisms for the achievement of better services, among the stakeholders.
Conflicts in Health Vision
One of the major health reform visions which have generated considerable debate concerns the accommodation of evidence-driven healthcare service practice, which the government of the United States has instructed all healthcare service providers or organizations to adopt. The major emphasis on this aspect of medicine is the requirement by the government that all healthcare service providers or organizations should document which healthcare services they provide and why they provide such healthcare services to the communit
y.
The argument behind this requirement is that it will enable the government, or it will be generally helpful in gauging the benefits the community gains from such healthcare services. In addition, establishing evidence-driven healthcare practice according to healthcare practitioners will help in identifying specific health problems within a community, and subsequently, design the most appropriate medical response. Some healthcare stakeholders also believe that this is an avenue that the government intends to use in creating and forging a closer working relationship between private and public healthcare providers. However much most stakeholders, both private and public, appreciate this evidence-based healthcare practice, as a vital component in improving healthcare services, the major concern is about how such data should be obtained. Some healthcare providers have reasoned that these data should be generated from the already existing data, due to the costs associated with activities that may lead to acquiring and establishing sound data or information domain. In response to this requirement, most of the healthcare organizations have established community-based information or data collection and management mechanisms, which enable them to collect data concerning community health concerns and threats, then define effective ways of response.
With the introduction and implementation of a series of healthcare reforms in the United States, such as the Obamacare and Trumpcare, there is general expectation that there will be enhanced access to healthcare service ...
Study Guide Health Care ReformHealth Care Reform OverviewWhe.docxpicklesvalery
Study Guide: Health Care Reform
Health Care Reform: Overview
When it comes to healthcare in America, we seem to believe that more is better--but does more healthcare result in better health? As a nation, we spend more on healthcare per person than any European country, yet our health outcomes are worse. The PBS documentary, Money and Medicine was aired in 2012, and addresses one of the key issues of healthcare reform--the cost of health care. Watch the trailer below, or the entire episode here: http://video.pbs.org/video/2283573727/
(Links to an external site.)
http://youtu.be/a9oEtRwoVxs
(Links to an external site.)
The Affordable Care Act
The Patient Protection and Affordable Care Act (ACA), passed in 2010, is a collection of laws that were created to reform health insurance and healthcare.
The ACA significantly impacts nurses both personally and professionally. Bedside nurses are impacted by organizational changes that affect patient care, and may be providing information and resources to patients and caregivers about the ACA. However, as Hynds, Hatch and Samuels (2014) noted, nurses indicate they need more knowledge to understand the ACA policy implications of their practice.
Now, you can either read the 974 pages of the law itself, or you can watch this short, animated video produced by the Kaiser Family Foundation, and visit the helpful online resources below:
http://youtu.be/JZkk6ueZt-U
(Links to an external site.)
The YouToons Get Ready for Obamacare
0:01 / 6:52
<div class="player-unavailable"><h1 class="message">An error occurred.</h1><div class="submessage"><a href="http://www.youtube.com/watch?v=JZkk6ueZt-U" target="_blank">Try watching this video on www.youtube.com</a>, or enable JavaScript if it is disabled in your browser.</div></div> Minimize Video
Affordable Care Act: Five Years Later
The Commonwealth Fund has developed several online, interactive resources to illustrate the impact of the Affordable Care Act in its first five years of implementation. Through personal stories, population and health systems data analysis, and graphics, the Commonwealth fund paints the picture of the impact of the ACA on individuals, businesses, providers and healthcare systems. Take some time to explore these resources in preparation for this week's discussion board. Link: The Affordable Care Act: A Look Back at the First Five Years.
(Links to an external site.)
Review the two interactive digital features: Coverage Reform
(Links to an external site.)
and Delivery Reform
(Links to an external site.)
.
Value-Based Purchasing--"Pay for Performance"
Increasingly, hospitals and healthcare providers are reimbursed not just for the amount of services provided (fee-for service), but for the results that are achieved for a particular patient population. As nurses, you may have observed policy changes that emphasize patient experience, prevention of hospital-acquired infections, and effective discharge planning ...
IntroductionThe introduction of the Affordable Care Act in Ameri.docxnormanibarber20063
Introduction
The introduction of the Affordable Care Act in America was highly beneficial since it increased the number of low-income covered by Medicaid. It ensures that they are able to acquire medical coverage and access to healthcare services. Essentially, they have an opportunity to increase their eligibility despite their poverty level state. The Act has been able to improve the quality of Medicaid in the country to the same level as Medicare. Currently, people who fall between ages 19 to 64 and below the federal poverty level of 133% can be covered under Medicaid.3 Before the introduction of ACA, such patients would not be eligible.
Stakeholders
The Medicaid program affects different groups of people in the country. Millions of people have a direct stake in the program, meaning any changes will directly affect their decisions on health care coverage. They include low-income earners, the federal government, private insurance companies, and healthcare providers.
Overview
The Affordable Care Act certainly affected the number of people covered under Medicaid. Moreover, the amount of healthcare coverage in the county had a direct correlation with the availability of the Act in the United Sates. Currently, questions have been circulating as to whether the Act should be revised. However, the pertinent issue that arises from such questions is the manner in which any changes in the Federal Law might affect the Medicaid program. The program covers approximately 50 million Americans from low-earning families.1 Medicaid involves a partnership between the Federal and local governments over funding. It is optional for states to participate in the program, but all local governments are currently involved in the partnership. For a state to participate, it has to meet federal requirements. One of the requirements is that the state cover a particular group of people and offer certain benefits.
However, most of the eligibility in the program is dependent upon a person's income and the category in which he or she belongs. Many young adults with no children previously lacked coverage because they did not fall under the categories provided for by the program.
However, the Federal poverty guidelines would help to solve this problem since it lists a cut-off point for young adults with low income. The program now has a component that facilitates reporting of quality through patient measurements. An example is patient satisfaction and adherence to treatment, which has reportedly dropped by 40%.2 The challenge is that the program may fail to be beneficial for patients who need it since they may be turned away by healthcare providers. The component entails utilizing the measurements to determine choices of reimbursement. There is a risk that providers might begin turning away patients from low-income backgrounds
Analysis
The program has come a long way since it was first enacted, but there is the risk that such a measure might lock out large sections of .
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Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
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Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
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1. Advocacy Through Legislation Essay.
Advocacy Through Legislation Essay. Advocacy Through Legislation Nurses often become
motivated to change aspects within the larger health care system based on their real-world
experience. As such, many nurses take on an advocacy role to influence a change in
regulations, policies, and laws that govern the larger health care system. For this
assignment, identify a problem or concern in your state, community, or organization that
has the capacity for advocacy through legislation. Research the issue and use the
"Advocacy Through Legislation" template to complete this assignment. You are required
to cite to a minimum of three sources to complete this assignment. Sources must be
published within the last 5 years and appropriate for the assignment criteria and relevant to
nursing practice.ORDER A PLAGIARISM-FREE PAPER HEREAdvocacy Through Legislation
Essay. While APA style is not required for the body of this assignment, solid academic
writing is expected, and documentation of sources should be presented using APA
formatting guidelines, which can be found in the APA Style Guide, located in the Student
Success Center. This assignment uses a rubric. Please review the rubric prior to beginning
the assignment to become familiar with the expectations for successful completion. You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical
Support articles for assistance. Attachments NRS-440V-RS4-
AdvocacyThroughLegislation.docx RUBRICIdentify a problem or concern in your state,
community, or organization that has the capacity to be advocated through legislation.
Research the issue and complete the sections below. For each topic that requires the listing
of criteria, a minimum of two criteria should be identified and discussed. Add more rows as
is appropriate for the topic/proposal. ProblemIn no more than 250 words, describe the
problem, who is affected, and the current ramifications. Explain the consequences if the
issue continues.Some of the issues affecting the state of Ohio include increased drug
overdose-related deaths and surging smoking rates. Other challenges include health
disparities and mismanaged and misdirected healthcare resources. As a result, this has
significantly contributed to decreased rankings.The majority of individuals from Ohio are
yet to join the programs of healthcare whose objective is to augment healthcare services’
access. Affected populations encompass ethnic minorities and individual disabilities mostly
residing in rural settings.Advocacy Through Legislation Essay. The Ohio state also spends
many resources on healthcare in downstream care in treating patients that suffer from
various illnesses (Schroeder, 2019). This is due to few or no opportunities in preventive
care to avert the emergence of healthcare challenges. Despite spending much on healthcare
2. services than other American states, individuals in Ohio are less healthy. Another challenge
includes inadequate access to services of healthcare as a result of economic, social, physical
environment and healthcare systems. The spending is also much higher in Ohio in regards
to individual spending in the Medicaid program for the elderly. Ohio is at risk of yielding
poorer healthcare outcomes and a healthcare system that cannot be sustained if the
challenge continues. This is as a result of a high number of Ohioans citizens seeking
secondary care.Advocacy Through Legislation Essay. Idea for Addressing SolutionIn no
more than 250 words, outline your idea for addressing the issue and explain why legislation
is the best course for advocacy.The problem in Ohio can be effectively addressed through
policies that govern spending healthcare in Ohio which will focus on preventive care.
Legislation is also ideal since it will help in addressing the existing inequalities in Ohio.
Spending is the sole challenge that can be addressed through the implementation of
effective policies that guide healthcare resources’ spending since Ohio receives funding
from the federal government. Therefore, Ohio will have the ability to invest in preventive
healthcare that mitigates the augmented costs as a result of treating large populaces for
various diseases (Musich et al, 2016). Further, Medicaid spending will reduce, with the
elderly population implementing interventions of treatment. Additionally, the major issue
of substance abuse will easily be addressed. Another challenge that will receive effortless
address is the disparities in healthcare through the enhancement of insurance schemes’
access in which the minority, the poor and the disabled individuals can access quality
services of healthcare. Policies are critical since they help in guiding decision making for
leaders and stakeholders in healthcare. This is due to the policies of healthcare that offer
standardization in the day to day operational activities when healthcare issues vital to the
health of the United States individuals is addressed. Thus, policy implementation will assist
in creating a plan of action in addressing the challenge that affects the state of Ohio in
attaining the desired outcomes. Research the IssuePerform research and compile
information for your idea. Present substantive evidence-based findings that support your
idea for addressing the problem (studies, research, and reports). Include any similar
legislation introduced or passed in other states.Evidence 1 Various measures and
strategies have been implemented by the government to address the constant surge on
spending on healthcare in the United States. Policies of cost-containment have also been
implemented by the government to help govern the unsustainable growth in the
expenditure of healthcare (Barke & Denisco, 2016). The aim of these legislations is to
restructure the administrative functions in the system of health and address the healthcare
gaps between the poor and the rich, where the poor do not have the ability to access
preventive services of healthcare that lead to poor outcomes of health in Ohio State
population. Evidence 2Several states have also come up with initiatives that mitigate
healthcare spending. Some of the initiatives include value-based purchasing and pay for
performance. Since healthcare funding is an obligation of the United States, it offers policies
that oversee the financial spending for each state. The programs of Medicaid and Medicare
have been put in place to ensure insurance coverage to all citizens in the United States. As a
result, access to healthcare is expanded to low-income citizens. In such a case, the
government caters for half or more of the total expenses that are incurred in accessing the
3. services of healthcare to beneficiaries. Stakeholder SupportDiscuss the stakeholders
who would support the proposed idea and explain why they would be in
support.Stakeholder(s) Supporting 1 One of the stakeholders that will be supporting the
suggested idea will be the nurses and other providers of healthcare. This will aid in
mitigating the number of people that seek secondary healthcare services since there will be
increased opportunities that will enhance preventive healthcare which will lead to the
attainment of healthcare objectives (Grand Canyon University, 2018). An increased number
of individuals in search of secondary healthcare is augmenting the workload on healthcare
provides as a result in marked nursing shortage across the United States. Stakeholder(s)
Supporting 2 The United States government which is the main healthcare sector
shareholder will support this idea since it finances a large healthcare institutions’
percentage. Further, the government is responsible for ensuring that every citizen in the
United States has access to quality services of healthcare services. The state government
will also support any legislation whose objective is to monitor healthcare spending.
Stakeholder OppositionDiscuss the stakeholders who would oppose the proposed
idea. Explain why they would be in opposition and how you would prepare to debate or
converse about these considerations.Stakeholder(s) Opposed 1 There are chances that
some stakeholders will oppose this idea. For instance, Pharmaceutical companies selling
drugs and other products of healthcare may reject the idea due to the increased sales to
facilities of healthcare in addressing the surging number of individuals in search of
healthcare services. The concept may have a negative impact on their profits through a
reduction in sales. It is important to hold a dialogue with these companies to inform them of
the accessible opportunities in preventive care where they are also assured of benefiting
through drugs’ sales. Stakeholder(s) Opposed 2 There is also a probability of private
investors owning private facilities opposing this concept since health enhancement of all
citizens mitigates the number of patients that seek services of healthcare. Consequently,
this may negatively impact these private facilities through huge losses. Nonetheless,
numerous opportunities exist for these private facilities in preventive care where they can
assist in the implementation of preventive interventions to ensure improve health for the
patients. Financial Incentives/CostsIn no more than 250 words, summarize the
financial impact for the issue and the idea (added costs, cost savings, increased revenue,
etc.). Provided support.The approval of the policy will significantly help the state of Ohio
restructure the system of healthcare and its administrative functions consequently reducing
the increased expenses of offering secondary care. Few resources will be required in the
preventive care provision since individuals have a responsibility for the implementation of
majority of the interventions. As a result, the number of admissions significantly reduces
because the healthcare workers have the ability to effectively address the few individual
that seek the secondary services of healthcare. Expenses will also reduce. Further, employee
satisfaction will lead to improved healthcare goals’ achievement. The extra funds can be
used in strengthening the systems of healthcare and addressing healthcare gap in the Ohio
state. Legislature: Information Needed and Process for ProposalDiscuss the how to
advocate for your proposal using legislation. Include the following:Provide the name and
complete contact information for the legislator. Sherrod Brown 503 Hart
4. Senate Office Bldg. Washington, DC 20510. tel (202) 224-2315. fax (202) 228-6321 Describe
the steps for how you would present this to your legislator. I would schedule a meeting
with Mr. Brown to explain the reason for this proposal. I will also present the benefits of the
proposal to the healthcare sector. Outline the process if your legislator chooses to introduce
your idea as a bill to congress. After the introduction of the bill to congress, the sponsor will
try and get support from the congress members by outlining the advantages of the
proposed bill to the target populace. The bill will be introduced during live session followed
by a debate on the bill by the house committee. Necessary changes will be made which will
consequently table it to the house subcommittee for comprehensive assessment. The bill is
later read where the members of the house vote to either pass or not pass it. In case the
passing of the bill is successful, it is sent to the head of state for a signature to become a
law.Christian Principles and Nursing AdvocacyIn no more than 250 words, discuss how
principles of a Christian worldview lend support to legislative advocacy in health care
without bias. Be specific as to how these principles help advocate for inclusiveness and
positive health outcomes for all populations, including those more vulnerable, without
regard to gender, sexual orientation, culture, race, religion/belief, etc.Christian worldview
principles offer support to healthcare legislative advocacy in the absence of prejudice by
supporting healthcare access for ethnic minorities and poor families (De L Cruz & Robinson,
2019). The Christian view advocates for equality in accessing basic health services such as
healthcare. The principles also encourage advocacy for susceptible without regards to facets
such as socioeconomic status, gender, culture or race. Individuals in key positions should
ensure the weak assess crucial services through demonstration of mercy and dignified
treatment of other individuals. This can be demonstrated by legislators that vote for bills
which will significantly help in addressing inequalities of health that avert some sectors of
the populations from accessing services of healthcare due to specific facets. Another
Christian principle is justice that needs individuals to treat each other as equals since all
humans are created in God’s image. Further, people should speak the truth about healthcare
gaps that may contribute to prejudice, where suitable legislations will be made to protect
the populations that are greatly affected. Advocacy Through Legislation Essay.