Unit 8 Assignment: Understanding Medicare Part D Tierra J. Neal Kaplan University Professor Eboni Green Health Policy May 2, 2016 Unit 8 Assignment: Understanding Medicare Part D In this paper I will provide information on the influences that helped stakeholders decide on the final outcome of Medicare Part D legislation. I will also list the different strategies and tools that were utilized to be most effective during the decision making of passing the legislation.
Advocates for topics that are in line with their priorities include government entities, non-profit groups, healthcare practitioners, and the general public. Different health issues and conflicting interests compete for a spot on the policymaking agenda in a dynamic environment created by the interplay of stakeholders. The process of developing health policies is shaped by the bargaining and cooperation of these stakeholders. The process of determining the agenda is heavily influenced by political factors. Politicians and public opinion may influence policymakers to give priority to some concerns over others.
In the film Escape Fire the Fight to Rescue American Healthcare, there were many insightful examples of why our Unites States healthcare revolves around paying more and getting less. The system is designed to treat diseases rather than preventing them and promoting wellness. In our healthcare industry, there are many different contributors that provide and make up our system. These intermediaries include suppliers, manufacturers, consumers, patients, providers, policy and regulations. All these members have a key role in the functionality of the health care industry; however, each role has its positives and negatives.
When it comes to the no-duty principle, one must take into account the role of medical ethics, which is understood more by a healthcare professional than that of the law. For example, a licensed physician is not obligated to aid a stranger in medical distress, but many professional believe they have a moral obligation in situation such as this. Under the no-duty principle, unless circumstance, dictate other wise, many physicians feel the obligation to provide some level of quality service, even if they cannot pay for it. Although, no right to health or health care exists in the U.S., certain circumstances "give rise to healthcare rights," and certain groups are entitled to healthcare, or receive generous from
Obama’s much controversial bill on healthcare is passed in March 2010 in the congress. The healthcare legislation is meant to essentially transform the healthcare of Americans within the Patient Protection and Affordable Care Act (PPACA). Through transforming the healthcare system, specialists in healthcare policy taken from the USA, Western Europe and Canada deliberate on what to anticipate from the passed healthcare reform. The experts also deliberate on other alternatives which should be deliberated on. The experts offer critical evaluations of the threats that the legislation has on medical invention and the reduced choices that customers are limited to.
There are many stakeholders involved with health care administrations. Those stakeholders can be patients, health care physician, insurance providers, pharmaceutical manufactures, hospital organizations, community clinics and government. Each different stakeholder has their own individual vision of health care administration. This causes conflict due to the nature and differences in vision. which then can cause conflicts among each stakeholder involved.
In palpable markets, information is often not only difficult to come by but also restricted by those who hold power – and locating this “equilibrium” price is an arduous if not impossible task. The market for medical services may best exemplify this. In the medical market, prices vary depending on one’s HMO, whether they have insurance or not, and the facility performing the service – among other factors. Even if one could find the theorized “equilibrium” price for a medical service by painstakingly extracting all pricing information. One must ask if the same service is being provided at that given price?
Market forces want to provide health care, but to me the main purpose is more profit based If market forces are running insurances they are likely to put their money first and then provide health care. Affordable health care for those may not really be affordable and if the insurance is affordable its coverage may not be
Saunier (2011) states, “The genesis of the growth of health care costs stems from the advent of the third-party payor, such as insurance companies” (p.22). The advantages of controlling costs are providing the community with readily available and quality care at prices lower than those of the for-profit organizations. Less constraints give patients more autonomy with physicians and have potential to provide more revenue to the organization. The disadvantages are equally important. Strict rules and regulations may reduce quality of care and dissuade physicians from participating with different managed care
The impact of interest groups on the policymaking process is a hindrance, too often there’s a delay in the decision-making because everyone involved has to have their interests looked after and it only makes it harder to come to a conclusion. I know this is a touchy subject, so I’ll only stay here a moment, let’s take Obamacare for instance, the premise was to look out for the majority of Americans, in doing so the interest groups would lose, (not much but they would not win) namely the insurance companies. They want every person to maintain health care coverage but don’t want to make it probable to afford; Consequently, there are individuals who don’t fit the mold for government services if they make so much money from wages. Moreover, they are barely able to sustain a lifestyle, let alone pay for health insurance that they may not use from year to year. When I say lifestyle, I mean keep up with their rent, buy food to eat to stay healthy, or able to keep proper toiletries with the income some have, then be faced needing to keep healthcare coverage mandatorily.
Stakeholders The stakeholders of the ObamaCare include the tea party, doctors, Low income consumers, pharmaceutical companies, employers and the employees. Low Income
The stakeholders in this situation are local health department, local hospital, healthcare
In 2009, President Obama marked the American Recovery and Reinvestment Act which designated $19 billion in motivators for qualified social insurance suppliers who executed and embraced Health IT before 2015. In the event that doctor's facilities and human services suppliers changed over from paper to electronic wellbeing records, they could get up to $44,000 more than four years in Medicare subsidizing and $63,750 more than six years in Medicaid financing. After 2015, medicinal services suppliers won't have the capacity to get any government financing. So as to fit the bill for the budgetary motivations of the government, social insurance suppliers must meet strict principles set by the Department of Health and Human Services while actualizing Health IT.
If we consider the scope of the evolution of modern medicine, it is a truly marvelous world of new discoveries that further the end goal of safeguarding human life, such a precious need that those in the field of medicine invest all their resources and potential towards the objective of preventing illness, removing the affliction, and helping the patient recover. However, despite the honorable motives, patients seeking treatment are faced with a convoluted health care system to navigate through, this being primarily true for those that are financially burdened. It is estimated, in the United States in 2016, that there were approximately 27-28 million people who did not have health insurance, a majority saying they could not afford it. Before the Affordable Care Act under
It is the classic example of market failure. All in all, government intervention in healthcare is due to the government intervention itself. These interventions include the patent law which deliberated to advocate innovative activity and licensure which is intended to maintain minimal standards of quality. All these contribute to the monopoly power that dominates the whole market as well. The specific person or enterprise manages to control the whole market since they are the only supplier of a particular commodity.
