The Impact Of Medicare And Medicaid On The Health Care System

The Impact Of Medicare And Medicaid On The Health Care System

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Assessment 3 Instructions: National Health Insurance in the United States

• PRINT
• Create an 8-12-slide PowerPoint that presents a potential pathway and plan to implement a national health insurance program in the United States.

As you explore the physician services market and the hospital market, you will have an opportunity to explore concepts such as supplier-induced demand and cost shifting. The efficiency of physician and hospital services will be explored, as well as price competition of both physicians and hospitals. Since the price that a hospital or physician charges for services is rarely paid, you will have the opportunity to think about the relevance of price and why we even have prices today.

National health insurance is a highly debated topic in the United States. This assessment focus on creating an outline for a plausible national health insurance program, which will bring into consideration a number of factors, such as financing structure of national health insurance, and think about the advantages and disadvantages of a single-payer system, employee mandates, and refundable tax credits. You will have an opportunity to look at our neighbor, Canada, and compare the Canadian health system to that of the United States. What are some of the benefits of the Canadian health care system and do those benefits outweigh the costs, such as longer wait times? As you finalize your assessment you will pick a side—for or against—national health insurance.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• • Competency 1: Analyze historical perspectives and current trends in the health care industry.

• • • Explain how legislation has supported or failed to support national health insurance in the United States.
  • Competency 2: Assess the United States health care system from an economic perspective.

• • • Analyze the implications of national health insurance on access, utilization, technological advancements, cost, and growth in the United States.
  • Competency 3: Analyze the evolving economic reimbursement trends, methods, and technology.

• • • Explain the necessary reimbursement changes that would be required to transition to national health insurance in the United States.
  • Competency 4: Analyze how economic and stakeholder influences affect operational planning and decision making.

• • • Explain the necessary operational changes that would be required to transition to national health insurance in the United States.
  • Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.

• • • Write following APA style for in-text citation, quotes, and references.
    • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Context

For almost a century, the U.S. health care system has been a hot topic of debate and a central issue in all political agendas. Many argue that the United States should have national health insurance, similar to Canada, so care is accessible to everyone. Others argue that national health insurance leads to longer wait times and decreased quality.

Instructions

In this assessment, you will consider everything you have learned in this course, including the history of the U.S. health care system, reimbursement methodologies, technology, and operational concerns. Make an argument, grounded in research, for whether or not the United States should implement national health insurance. Reviewing the media piece National Health Care Trade-Offs | Transcript before beginning your assessment may help you to better understand what areas of a national health insurance program you believe are most important, as well as the trade-offs needed to pursue your priorities.

Also, make sure to consult the scoring guide to make sure you are meeting the communication criteria and achieving at your desired rubric level.

Create an 8–12 slide PowerPoint within the context of a brown bag session for colleagues at your current organization or an organization for which you would like to work. The goal of this session is to share innovations and ideas on a truly national health insurance system in the United States, as well as the legislative, economic, and logistical considerations and trade-offs of your plan.

Include the following in your PowerPoint:

6. Explain how legislation has supported or failed to support national health insurance in the United States. (Competency 1)
   1. Discuss the impact of Medicare and Medicaid on the health care system.
   2. Determine the feasibility of expanding Medicare and Medicaid into a national health insurance available for all Americans.
7. Analyze the implications of national health insurance on access, utilization, technological advancements, cost, and growth in the United States. (Competency 2)
   1. Identify access, utilization, technology, cost, and growth concerns resulting from national health insurance.
   2. Analyze the pros and cons of national health insurance in the United States and determine the feasibility of national health insurance in the United States based on the pros and cons.
8. Explain the necessary reimbursement changes that would be required to transition to national health insurance in the United States. (Competency 3)
   1. Apply the reimbursement methods of national health insurance to the United States health care system.
   2. Determine the feasibility of those reimbursement methods in the United States health care system.
9. Explain the necessary operational changes that would be required to transition to national health insurance in the United States. (Competency 4)
   1. Apply the operational practices of national health insurance to the United States health care system.
   2. Explain how the practices of physicians, hospitals, insurers, patients, and the government would each change to transition to national health insurance.
   3. Determine the feasibility of those operational changes in the United States health care system.
10. Write following APA style for in-text citation, quotes, and references. (Competency 5)
    1. Determine the proper application of APA formatting requirements and scholarly writing standards.
    2. Assess the relevance and credibility of information sources.
11. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. (Competency 5)
    1. Apply the principles of effective composition.
    2. Determine the proper application of the rules of grammar and mechanics.

Submission Requirements

• • Written and visual communication: Ensure content is clear, with correct spelling, grammar, and syntax, and well organized to support orderly exposition of content. The writing and visuals should enhance the message. Avoid errors that detract from the message.
  • PowerPoint slide formatting:

• • • Write each slide, except the title and references slides, with a bold headline and up to seven bullet points.
    • Use as few words in each bullet point as needed to convey your message. Think of them as subheadings.
    • Enter all details and supporting information in the Notes area below the slides.
  • Length: Compose 12–18 slides.
  • References: Cite at least three current scholarly or professional resources.
  • APA formatting: Use APA style for references and citations.
  • Remember to use in-text citation just as you would in a paper-style written assignment. You may find it helpful to consult the following resources:

• • • APA Style and Format

References:

National Health Insurance

• Feldstein, P. J. (2012). Health care economics(7th ed.). Clifton Park, NY: Delmar. ISBN:9781111313265.
  • Read Chapter 18, “National Health Insurance: An Approach to the Redistribution of Medical Care,” pages 461–509.
    • This chapter presents an examination of the various models and considerations related to a national health insurance plan, from value to funding to trade-offs.
  • Aaron, H. J. (2017). Which road to universal coverage?The New England Journal of Medicine, 377(23), 2207–2209.
    • This article examines to potential pathways to universal coverage in the United States, a national tax-financed system or an extension of the existing public-private system.
  • Rambur, B. A. (2017). What’s at stake in U.S. health reform: A guide to the Affordable Care Act and value-based care. Policy, Politics, & Nursing Practice, 18(2), 61–71.
    • This article presents a distilled synthesis of major economic, practice, and policy considerations of the current health care insurance and funding environment in the United States.
  • Fuchs, V. R. (2018). Is single payer the answer for the US health care system?JAMA, 319(1), 15–16.
    • This article examines issues in the current US health care system and attempts to examine if a single payer system would adequately address these issues.
  • Oberlander, J. (2016). The virtues and vices of single-payer health care. The New England Journal of Medicine, 374(15), 1401–1403.
    • This article examines the pros and cons of a single-payer health care approach within the context of the U.S. health care system.
  • Sonali, S., Zallman, L., Nardin, R., Bor, D., Woolhandler, S., Himmelstein, D.U., & McCormick, D. (2015). Support for national health insurance seven years into Massachusetts healthcare reform. International Journal of Health Services, 46(1), 185–200.
    • This article examines the outcomes and support of universal health insurance within the context of the history and development of Massachusetts state health reform.

Optional – Additional Consideration

When thinking through a national insurance plan, it could be useful to think about how other care delivery, markets, and workforce-related sections of the health care industry would be impacted.

The following chapters from your Health Care Economics textbook may be helpful as you develop your PowerPoint for this assessment. These readings are optional.

• Chapter 11, “The Physician Services Market,” pages 251–287.
• Chapter 12, “The Market for Hospital Services,” pages 292–327.
• Chapter 14, “Health Manpower Shortages and Surpluses: Definitions, Measurement, and Policies,” 364–391.
• Chapter 15, “The Market for Physician Manpower,” pages 395–410.
• Chapter 17, “The Market for Registered Nurses,” pages 431–458.

Resources: National Health Insurance and Reimbursement Changes

• PRINT
• • Badora, K., Caban, A., Rémuzat, C., Dussart, C., & Toumi, M. (2017). Proposed changes to the reimbursement of pharmaceuticals and medical devices in Poland and their impact on market access and the pharmaceutical industry. Journal of Market Access & Health Policy, 5(1), 1–11.
    • This article looks at proposed reimbursement changes in Poland and how they could impact markets and related health care industries. This could help you understand the implications and trade-offs in making changes to reimbursement when designing your national health insurance program for this assessment.
  • Hartman, M., Martin, A. B., Espinosa, N., Catlin, A., & The National Health Expenditure Accounts Team. (2017). National health care spending in 2016: Spending and enrollment growth slow after initial coverage expansions. Health Affairs, 37(1).Retrieved from https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2017.1299
    • This article looks at health care spending in the United States in the wake of expansion of the Affordable Care Act. You may be able to draw some ideas or lessons from this when designing your national health insurance program.

 

Resources: National Health Insurance and Operational Changes

• PRINT
• • Blewett, L. A., Dahlen, H. M., Spencer, D., Drew, J. A. R., & Lukanen, E. (2016). Changes to the design of the national health interview survey to support enhanced monitoring of health reform impacts at the state level. American Journal of Public Health, 106(11), 1961–1966.
    • This article looks at design and operational changes around a national health survey in response to health care reforms. It may give you ideas about some operational considerations you should keep in mind when designing your national health insurance program.
  • Wang, J., & Liu, C. (2017). Changes in total factor productivity in national health insurance system of Taiwan between 2005 and 2014. Advances in Management and Applied Economics, 7(4), 17–31.
    • This article looks at changes in operations and productivity related to the Taiwanese national health system. It may provide you with some ideas that you could incorporate into the design of your national health insurance program.

 

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