Nu 412 Health Policy Analysis

The face of healthcare has been changing over the last decade. The role of nurse practitioners has become ever more important. This paper conducts a policy analysis as a systematic investigation of alternative policy options, for the emerging nationalized healthcare plan and the increased use of nurse practitioners. It looks at the goals of nationalized healthcare 's use of nurse practitioners and discusses to what extent this policy meets these goals. This paper begins with a detailing of the problem addressed by the policy and the goals and objectives of nationalized healthcare 's increased use of nurse practitioners. Next, alternatives to meeting the increased needs of the health industry,

In 2010, the Affordable Care Act invoked a $75 millon dollar demonstration project known as the Medicad Emergency Psychiatric Demonstration that was amended in section 2707 of the Affordable Care Act (ACA). The change seemed to be just what the nation needed, however, there was fine print added to the amendment that changed the interpretation. The fine print stated, patients who are on Medicaid from the ages of 21-65 seeking inpatient mental health care can receive treatment under the law. However, the inpatient facility will receive no

The Internal Revenue Service (IRS) recently released its report to Congress on government-owned and private tax-exempt and taxable hospitals as mandated by Section 9007(e)(1) of the Affordable Care Act (ACA). The ACA requires the IRS to annually submit to Congress a report providing data with respect to private tax-exempt, taxable, and government-owned hospitals regarding (1) the levels of charity care provided; (2) bad debt expenses; (3) unreimbursed costs for services provided with respect to means-tested government programs; and (4) unreimbursed costs for services provided with respect to non-means-tested government programs. The ACA also requires the report to include information with respect to private tax-exempt hospitals regarding costs incurred for community benefit activities.

NU 412 Health Policy Week 2 Discussion Board student response to Catherine Pereira by Kathryn Moultrie

What is (CHIP)? In this paper I will be looking at the history of the CHIP program from legislation to the current state. I will also look at who originally proposed the CHIP program. Was the program under a different name? What year was the CHIP program proposed to Congress? Who was the CHIP program designed to serve, has this changed throughout the course of time? What challenges did Congress face in implementing the CHIP program? What changes/improvements have been made to the CHIP program since implementation?

Concern for the care of the patient was one of the mitigating factor for our nation’s development of Emergency medical treatment and labor act (EMTALA) . Enacted by congress in 1986, Emtala was government’s way of ensuring basic screening, stabilization and care for all patients. Non participation with emtala was not an option, since the law tied in government payments to the institutions. Simply put if you want Medicare/ Medicaid payments you will abide by this law. There shouldn’t have been need for emtala since there were already safeguards for indigent patients, but they were not followed, rather seen as guidelines. With the backing of Emtala, patients had better care assurances, and guarantee of not being dismissed. The Joint Commission on Accreditation of Hospitals stated that “individuals shall be accorded impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, nationality, or sources of payment for care” It has been strongly inferred that based on the implementation of emtala, increased numbers of uninsured were using the emergency rooms as their primary source of care. The thought was those without insurance, did not seek preventative care through a primary care doctor, as they did not have way to pay for services, but still received treatment through emergency rooms.

In Massachusetts, the Massachusetts Health Care Reform Act had a considerable impact on hospitals and the health care system. Most community health centers were benefiting from coverage expansions and safety net hospitals were struggling financially due to the fact that the state put more funding towards insurance subsidies to expand coverage. Academic medical centers (AMC) were able to

The first child to ever be from using test tube techniques happened in the late 1970’s. Although many have applauded this new type of technology, there is an ethical issue on whether or not embryos should be created in test-tube knowing that fact that many are not implanted and have human development. “Octo-Mom” is a classic case that may have changed many people’s perception when it comes to in-vitro fertilization. Many felt that it was ethically wrong for her doctor to conduct that type of procedure to a woman who will not have the ability to provide adequate care for the well-being of her children who may have health issues.

The judiciary, executive, legislature, at both state and federal levels, are the three branches of government primarily responsible for the formulation of healthcare policies in the United States. There are other non-governmental organizations such as professional and ethics bodies that provide rules and guidelines in some health care policies.

Like I mentioned in my post, if ever I am presented with the opportunity to influence a health policy analysis, I will be better prepared to deliver a good recommendation

Why should health care leaders, of all types and levels, be aware of health policy and the policy process? The healthcare leader should have an awareness of the policy and the policy process because the policy influences the way society manages its resources, oversees its establishment, and articulates its values.

Globally, the United States has one of the largest and most convoluted healthcare systems, whereas universal healthcare coverage seems extremely farfetched. Annually, the US spends over $3 trillion on healthcare. Nevertheless, we have the worst health outcomes when compared to other industrialized countries. As stated by Anja Rudiger (2008), “Recent data suggest that around 101,000 deaths a year can be attributed to the underperformance of the US healthcare system.” Thus, the United States’ healthcare system greatly relies on revenue. Both funding and the distribution of services are commercially structured and held accountable by investors to increase financial gains. According to Andrew Jameton and Jessica Pierce (1997), “the US healthcare system increasing appears to have

and the general high-profile status and challenges of the healthcare sector. Health care is consistently in the media headlights and, according to polls, on the public’s mind. It is viewed by many as both problematic and emblematic—a reflection of the high costs and diminishing access that increasingly frustrate and perplex the country, collectively and individually. Consequently, calls to address the problem and initiate change can be heard from all sides, including employer groups and political figures, resulting in federal and state legislation and regulation and other high profile efforts to improve the system. Onewell-known example is Massachusetts’ decision to provide health insurance for all its residents. Another is the recently announced rebasing initiative, in which the Centers for Medicare and Medicaid Services is recalibrating diagnosis related groups for the inpatient prospective payment system. Dynamism in the DetailsThe painful reality of many strategic plans is that, once completed,

Under the table payments for health care services are detrimental to a health system, affecting those with the lowest income and highest need for health care services. For this reason suggested policy options are those which increase transparency and accountability as well as focus on new funding mechanisms to ensure facilities are sufficiently staffed and equipped to deal with the demand. However, overall there is a greater need to focus on creating adequate management policies rather than creating funding mechanisms systems.

To find out what level of utility will this individual’s expected wealth yield, we simply have to put the value of the E(w) in the utility equation. We know U= √w, so in our case -> U(E(w)) = √(E(w)) U(E(w)) = √60,050  U(E(w)) ≈ 245.051