Select any current local, state, or national health care policy issue/problem that interests you and analyze this policy keeping the new healthcare act in mind. Identify potential problems that might arise because of the implementation of the ACA.
Ans) While historians will draw their own conclusions about the broader implications of the ACA, I have my own. These lessons learned are not just for posterity: I have put them into practice in both health care policy and other areas of public policy throughout my presidency.
The first lesson is that any change is difficult, but it is especially difficult in the face of hyperpartisanship. Republicans reversed course and rejected their own ideas once they appeared in the text of a bill that I supported. For example, they supported a fully funded risk-corridor program and a public plan fallback in the Medicare drug benefit in 2003 but opposed them in the ACA. They supported the individual mandate in Massachusetts in 2006 but opposed it in the ACA. They supported the employer mandatein Californiain 2007 but opposed it in the ACA— and then opposed the administration’s decision to delay it. Moreover, through inadequate funding, opposition to routine technical corrections, excessive oversight, and relentless litigation, Republicans undermined ACA implementation efforts. We could have covered more groundmore quickly with cooperation rather than obstruction. It is not obvious that this strategy has paid political dividends for Republicans, but it has clearly come at a cost for the country, most notably for the estimated 4 million Americans left uninsured because they live in GOP-led states that have yet to expand Medicaid.
The second lesson is that special interests pose a continued obstacle to change. We worked successfully with some health care organizations and groups, such as major hospital associations, to redirect excessive Medicare payments to federal subsidies for the uninsured. Yet others, like the pharmaceutical industry, oppose any change to drug pricing, no matter how justifiable and modest, because they believe it threatens their profits.66 We need to continue to tackle special interest dollars in politics. But we also need to reinforce the sense of mission in health care that brought us an affordable polio vaccine and widely available penicillin.
The third lesson is the importance of pragmatism in both legislation and implementation. Simpler approaches to addressing our health care problems exist at both ends of the political spectrum: the single-payer model vs government vouchers for all. Yet the nation typically reaches its greatest heights when we find common ground between the public and private good and adjust along the way. That was my approach with the ACA. We engaged with Congress to identify the combination of proven health reform ideas that could pass and have continued to adapt them since. This includes abandoning parts that do not work, like the voluntary long-term care program included in the law. It also means shutting down and restarting a process when it fails. When HealthCare.gov did not work on day 1, we brought in reinforcements, were brutally honest in assessing problems, and worked relentlessly to get it operating. Both the process and the website were successful, and we created a playbook we are applying to technology projects across the government.
While the lessons enumerated above may seem daunting, the ACA experience nevertheless makes me optimistic about this country’s capacity to make meaningful progress on even the biggest public policy challenges. Many moments serve as reminders that a broken status quo is not the nation’s destiny. I often think of a letter I received from Brent Brown of Wisconsin. He did not vote for me and he opposed “ObamaCare,” but Brent changed his mind when he became ill, needed care, and got it thanks to the law. Or take Governor John Kasich’s explanation for expanding Medicaid: “For those that live in the shadows of life, those who are the least among us, I will not accept the fact that the most vulnerable in our state should be ignored. We can help them.”Or look at the actions of countless health care providers who have made our health system more coordinated, quality-oriented, and patient-centered. I will repeat what I said 4 years ago when the Supreme Court upheld the ACA: I am as confident as ever that looking back 20 years from now, the nation will be better off because of having the courage to pass this law and persevere. As this progress with health care reform in the United States demonstrates, faith in responsibility, belief in opportunity, and ability to unite around common values are what makes this nation great.
Select any current local, state, or national health care policy issue/problem that interests you and analyze...
Identify a nursing or health care issue that relates to a current health policy or political issue pertaining to equity, access, affordability, and/or social justice in health care.
Identify a current health or health-related policy issue in WA STATE
Write a policy brief on the Social Determinants of health Identify issue. Background information - (a) Population effected; (b) Local, state or national level; and (c) Evidence about the issues supported by resources Problem statement. Suggestions for addressing the issue (solutions) - (a) Including necessary stakeholders (government officials, administrator); and (b) Include budget or funding considerations, if applicable Impact on the Health Care Delivery System Include three peer-reviewed sources and two other sources to support the policy brief
Part 1: Topic Selection 25 points Select a topic that relates to a health care policy that interests you. This topic can be a health care policy from your local community, a new bill that is being proposed from your House Representative, or perhaps a new health care policy from your place of employment. Write a three page paper that includes the following: Describe the health care policy you selected
Part 1: Topic Selection 25 points Select a topic that relates to a health care policy that interests you. This topic can be a health care policy from your local community, a new bill that is being proposed from your House Representative, or perhaps a new health care policy from your place of employment. Write a three page paper that includes the following: Conclusions
Part 1: Topic Selection 25 points Select a topic that relates to a health care policy that interests you. This topic can be a health care policy from your local community, a new bill that is being proposed from your House Representative, or perhaps a new health care policy from your place of employment. Write a three page paper that includes the following: Describe the projected outcome of the policy in the community or work environment
Select a health-related interest group (local, state, national or international), provide an overview of the beliefs and explain how they have influenced a recent health policy.
Identify one issue facing hospitals today. Discuss the current state of the Affordable Care Act, and what impact changes may have on hospitals today? How might these changes to the law, impact the hospitals here in Northwest Indiana?
Healthcare System Transformation: Write a critical analysis addressing the current state of affairs of accountable care organizations, including any antitrust issues that may have arisen. The critical analysis should include (1) a thorough identification of the ACO/antitrust issue; (2) a background paragraph explaining why this is an issue of health administration importance; (3) a brief landscape section summarizing what scholars/policy-makers/others have written about this issue thus far; (4) your (the student's) personal opinion (written in third person) about the issue...
A local private not-for-profit health care entity (Rochester Medical) incurred the following transactions during the current year. The entity has one program service (health care) and two supporting services (fundraising and administrative). The board of governors for Rochester Medical (RM) announces that $160,000 in previously unrestricted cash will be used in the near future to acquire equipment. These funds are invested until the purchase eventually occurs. RM receives a donation of $80,000 in cash with the stipulation that the money...