Medicare Policy Process
Brandy Marsh
HCS 455
December 12, 2011
John (Jay) Cutspec
Medicare Policy Process
The health care, policy-making process is composed of three major stages; the formulation stage, legislative stage, and the implementation stage. The policy process refers to the specific decisions and events that are required for a policy to be proposed, considered, and finally either implemented and/or set aside. It is an interactive process with multiple points of access providing opportunities to influence the multiple decision makers involved at each stage (Abood, 2007). Each stage presents a unique set of events for a policy to be proposed, considered, and either implemented or rejected. In the formulation stage there is
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In 1962 President Kennedy proposed a new version of Medicare, and again it failed in Congress. In 1964 the Medicare Program was passed by the senate, but was then blocked in conference by the House (DeWitt, 2003). It was not until twenty years later, in 1965, that President Johnson finally signed Medicare into law as an amendment to the Social Security Legislation. It was composed of two parts; Part A and Part B. Part A provides coverage for hospital insurance, and Part B provides coverage for medical insurance. In 1972 disabled persons under age 65 and those with end-stage renal disease become eligible for coverage. In 1997 Part C was added, which gave Medicare enrollees the option to choose a private provider for their medical coverage. Then in 2006 Part D was added. Anyone who is enrolled in Medicare Part A and B is automatically enrolled in the Part D prescription Drug program, which provided reduced-cost prescriptions. Because of the need for adequate health care for the elderly and disabled individuals, Medicare was formulated.
After Medicare was formulated and signed into law, it then entered the implementation stage of the policy making process. In the implementation stage the policy is put into effect, and begins after the policy is signed into law. In this phase, the proposed policy is transformed into a plan of action (International Council of Nurses, 2005). The policy then needs to be administered, funded,
This assignment requires that I develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national or international). To do this, I must reflect on several aspects of being a policy maker within the nursing profession. I was instructed to consider the following:
It is also important to emphasise that Health service providers such as the NHS are involved in the social policy making process, which seeks to achieve different goals, establishing targets and points of reference in the short, medium and long-term. Policies give the outline of priorities and an overview of the role of different groups. It also builds consensus and inform people.
It is also important to emphasise that Health service providers such as the NHS are involved in the social policy making process, which seeks to achieve different goals, establishing targets and points of reference in the short, medium and long-term. Policies will give the outline of priorities and an overview of the role of different groups. It also builds consensus as well as inform people.
Simultaneously, health and healthcare policy plays a tremendous role in the quality of life of every American. Likewise, by the government constantly interceding, health and healthcare is significantly influenced by the political climate and undertakings of administration; therefore creating a conflictual split between republicans and democrats. Health care is regarded as a product rather than a human right shaped by policymaking. Policies establish healthcare service stipulations, which are rooted in local, state, and federal statutes combined with landmark court decisions. Not only does policy focus on healthcare services; but, it also places a substantial emphasis on cost-efficiency and equality.
The American Health Care system needs to be constantly improved to keep up with the demands of America’s health care system. In order for the American Health Care system to improve policies must be constantly reviewed. Congress still plays a powerful role in public policy making (Morone, Litman, & Robins, 2008). A health care policy is put in place to reach a desired health outcome, which may have a meaningful effect on people. People in position of authority advocates for a new policy for the group they have special interest in helping. The Health care system is formed by the health care policy making process (Abood, 2007). There are public, institutional, and business policies related to health care developed by hospitals, accrediting organizations, or managed care organizations (Abood, 2007). A policy is implemented to improve the health among people in the United States. Some policies
(2001). The Formulation of Health Policy by the Three Branches of Government. Social Policy and Policymaking by the Branches of Government and the Public-at-Large. doi:10.7312/stei11682-014
There are certain steps to developing a health care policy. The first is the action taken after a legal or judicial decision can often lead to the creation of a new health policy or program. This can stem from any legal action taken against a physician or insurance company by a patient or their family. The second step is to develop the regulation, guidelines, and implementation for the new program, as they have been described in the new law. Many believe that the new health polices should be form by policy experts, but the use of health care professional can serve as an asset in developing these polices.
The organization which I have chosen to exemplify my policy change will be the Florida state board of nursing. Every aspect that pertains to the nursing, and overall healthcare is embedded into the board of nursing and that is why for these and other reasons which I will later discuss, I have chosen this organization. The Florida board of nursing plays an essential role in health care regulation as the board members and staff interact regularly with other nursing associations affiliated with state legislators, as well as the National Council of State Board of Nursing. The board of nursing works with law politicians to change or invoke new healthcare policies, which play an integrate role in patient care.
yourself how this new policy will affect the way you care for your patients, report clinical
AdvancePCS, American Gastroenterological Association, American Geriatrics Society, BlueCross BlueShield Association, California Healthcare Association, CIGNA, Missouri Hospital Association and Mutual of Omaha, also influenced the development of the legislation. Their role was to ensure Medicare modernization and competitiveness (Committee on Ways and Means, 2003).
There are many private and public sectors of the health care system that go through an action or a process and these policies impact federal,
9. Under what act was a major change in Medicare in 1989 made possible? OBRA
The major purpose of this work is to completely discuss about the Medicare Part D which will set an influence on the different interest groups and all the entities of government which have been set under the policy changing process. There has been a complete set environment which involved and shape the policy to make efforts as to how all the groups of the stakeholders are influences with the Medical Part D. All the legislation and the specific strategies are made in correspondence to the politics. (Powell et al., 2015). The Medicare Part D is also said to be Medicare prescription drug benefit which directs to setting the United States Federal government programs to work on the subsidizing costs of all the drugs of prescription which insure premiums for the Medicare in US. There is a great enactment which has been based on Medicare Modernization Act of 2003. In December 2003, there are major Medicare Prescriptions which have become into the Improvement and Modernisation Act to become a proper law. There has been a great benefit from the drugs which provides an entire coverage to all the disables and the elderly people who could not have the ability to manage it.
Interest group roots fall back on the constitution and the birth of the American version of democracy
Policies and Legislations to care planning, and influences and stages involved in the design and process of health care delivery