What major events in health care access and delivery since 1950 have significantly changed and enhanced health care policy in the United States?

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WHAT MAJOR EVENTS IN HEALTH CARE ACCESS AND DELIVERY SINCE 1950 HAVE SIGNIFICANTLY CHANGED

REFERENCE
Shi, L. (2014). Introduction to Health Policy. Chicago, IL: Health Administration Press. Washington, D.C.: Health Admin. Press.
Please write up 150 to 200 word count for Questions 1 – 9; Question 10 is a PowerPoint, and Question 11 requires a Flowchart. Try and relate the material to real-life applications and also to the textbook- Introduction to health policy. Check work for plagiarism!
 

  1. What major events in health care access and delivery since 1950 have significantly changed and enhanced health care policy in the United States?
  2. What role does federal, state and local governments each play in influencing health care policy.
  3. How do we know which law we are to follow if there is a difference between a state and federal law?
  4. Discuss determinants of a health problem. Identify policy intervention to the health problem. Do you think the policy intervention is the most significant concept?
  5. Watchthe video: Health Insurance Changes Coming Your Way Under the Affordable Care Act. http://kff.org/health-reform/video/youtoons-obamacare-video/
  6. Did this website give you any new ‘perspectives’ on health care? What were they? http://kff.org/perspectives/
  7. Do you see health care spending decreasing or increasing in the future? Why?
  8. I don’t think that health will never go down, since the cost of malpractice insurance is so expensive that a doctor has to have a certain income to cover that expense must their cost of living. The truth is that if the cost of health care won’t go down since its one of the biggest business in this country, in fact the cost does go down then what will happen to the economy; i have yet seen something like that in which the health care going down after years of being so expensive that would be the first. The fact that the over head expensive of health care won’t allow the cost to go down….that would be in a perfect world and that’s not the world we live in.

Given this scenario, do you think there is a point at which the cost of health care will not be able to increase? How will we know when we’ve hit that point?

  1. How does telemedicine lower the overall cost of health care? What are your thoughts?

FIXING THE HEALTH CARE PLAN

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FIXING THE HEALTH CARE PLAN

Fixing the Health Care Plan Case Study

You are the Vice President of Compensation & Benefits for Wolfman Enterprises, a large, high-technology products manufacturer that employs approximately 65,000 in the United States.
You have just learned that health insurance premiums for the following fiscal year were expected to increase approximately 26%, up dramatically from the 16% increase of the previous year and the 14% increase the year before that.  Adding to your concern is the projection that, by 2015, the company’s $375 million annual health-care bill would increase to a staggering $613 million.
You have been asked by Wolfman’s top management to develop a custom-designed health insurance program for the organization that would hold down health-care premium costs to a reasonable level while ensuring that employees would retain adequate health care coverage.
The current health care plan is relatively traditional.  The company pays the entire health care premium for single employees (approximately $480 per month); dependent coverage is available, but the employee pays the entire cost of this coverage.
There is a $250 deductible, and no preferred provider network.  Once the employee’s deductible is met, the policy pays 80% of all covered expenses up to $5,000.  Once the $5,000 threshold is met, the policy then pays 100% of covered expenses up to a lifetime maximum of $2,000,000 per person.  Thus, each employee has an annual out-of-pocket maximum of $1,250.
Preventive care (an annual physical, routine Pap smears and annual mammograms for women, and PSA for men) are covered at 100% with no deductible.  Employees also have a prescription drug benefit.  After payment of a $100 annual deductible (per person), generic prescription drugs are available with a $10 copay; brand-name prescription drugs are available with a $25 copay.
Top management has asked you to provide them with a preliminary list of ideas to be considered, and how you believe employees would accept these changes, because the company is concerned about employee retention and does not want to lose valued employees.
Based upon the material presented in the textbook and your outside research, prepare a report that addresses what health care initiatives Wolfman might undertake in order to deal with the rapidly escalating health care costs.  Make certain that you consider the effects the initiatives would have on the employees and their acceptance of the changes.

Analyzing Health Care Decision Making

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Analyzing Health Care Decision Making
A number of quantitative methods are utilized to make decisions and recommendations in health care. Quantitative methods are used to analyze and predict the demand for patient services, to determine capital expenditures for facility and technology enhancements, and to guide the manager in implementing quality controls. Whether or not you are familiar with quantitative methodologies, as a manager, you are responsible for the outcomes of implementing the decision based on the method used.
Your agency or institution has noted a negative trend in profitability for a diagnostic imaging cost center over the past 4 quarters.
As a manager, you need to make some recommendations to take to your board of directors to reverse the negative trend. Your first priority is to find a quantitative method to help you in making decisions. Complete the following:

  • Choose a quantitative method (e.g., the decision tree model).
  • Describe the model that you are using.
  • Outline at least 4 proposed solutions to your board of directors, and analyze the strengths and weaknesses of each with regard to return on investment, break-even analysis, improvement in patient demand, improved patient safety and quality, and so forth.
  • Summarize how the decision-making method helped you make objective recommendations to your board of directors.

Analyze the part the Agency for Healthcare Research and Quality (AHRQ) plays in health care information systems acquisition.

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ANALYZE THE PART THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) PLAYS IN HEALTH CARE INFORMATION SYSTEMS ACQUISITION.

Review each of the following video cases: •Health IT Success Story: Portal Enhances Patient-Centered Preventative Care •Health IT Success Story: Using IT to Fight Care Fragmentation •Health IT Success: Quality Measures for Interoperable Electronic Health Records
Select one of these cases and address the following questions in your paper: •Analyze the part the Agency for Healthcare Research and Quality (AHRQ) plays in health care information systems acquisition. •Address the major concerns, and provide alternatives to alleviate these concerns. •Analyze whether or not value was added to health care information systems through acquisition. •Analyze how the system might advance or devalue patient care delivery. •Explain whether or not the current system can or should be maintained. •Explain what the literature states about this type of implementation/acquisition. •Explain who the gatekeeper(s) are in this type of acquisition. •Describe how cost is impacted with this system. •Describe the initial reaction to the system implementation/acquisition. •Describe whether or not the quality implementation/acquisition impacts your chosen topic for your Final Proposal and Final Presentation. This response only needs to be about a paragraph in length. The Case Analysis: 1.Must be 1,200 to 1,800 words in length, double-spaced and formatted according to APA style as outlined in the Ashford Writing Center. 2.Must include a title page with the following: a.Title of paper b.Student’s name c.Course name and number d.Instructor’s name e.Date submitted
3.Must begin with an introductory paragraph that has a succinct thesis statement. 4.Must address the topic of the paper with critical thought. 5.Must end with a conclusion that reaffirms your thesis. 6.Must use at least three scholarly sources, including a minimum of one from the Ashford Online Library. 7.Must document all sources in APA style, as outlined in the Ashford Writing Center. 8.Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.