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NURS 6050 Week 3 discussion: Financing of Health Care
NURS 6050 Week 3 discussion: Financing of Health Care
With coinciding concerns about health care costs and the imperative to improve quality of care, health care providers and others face difficult decisions in the effort to achieve an appropriate balance. Such decisions often are addressed in the policy arena. How do policymakers evaluate which health care services should be financed through government programs? How do ethics-related questions and other considerations play into this evaluation process? Is it possible to contain costs and provide accessible, high-quality care to all, or is the tension between cost and care inherent in the U.S. health care delivery system? These questions are central to health care financing decisions in the United States.
For this Discussion, you will focus on the policy decision-making process that determines what types of care are covered by public and private insurers and the ethical aspects of such financial decisions. NURS 6050 Week 3 discussion: Financing of Health Care
To prepare for NURS 6050 Week 3 discussion: Financing of Health Care:
Read the following case study, “Hard Economic and Finance Choices in US Healthcare” (Milstead):
Case Study 1: Hard Economic and Finance Choices in US Healthcare
Applied economics is all about managing scarce resources. Economics is an amoral field of study: it is neither moral nor immoral. Morality and values are determined by individuals at the personal level and by group consensus or majority opinion at the national level. State and federal governments determine the ‘will of the people’ about how to use scarce resources for the good of a nation.
The U.S. health care system is an exemplar of scarcity: primary care physicians, substance abuse treatment centers, trauma centers, registered nurses, and the money to pay for goods and services. Finance is all about how to pay for goods and services. The Medicare Payment Advisory Commission (MedPAC) is appointed by the Executive branch of the federal government to make decisions about what the Medicare program will and will not pay for. In this role, MedPAC makes decisions about medications, procedures and treatments. Examples of MedPAC decisions include coverage for left ventricular assistive devices as a destination therapy, coverage for bariatric surgery, and in 2010, coverage of the drug Provenge™. By law, MedPAC is not allowed to use price or cost of any treatment in its decision-making processes. NURS 6050 Week 3 discussion: Financing of Health Care
Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources.
Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process.
Reflect on how the Washington Post example illustrates the tension between cost and care.
By Day 3
Post your analysis and assessment of the ethical and economic challenges related to policy decisions such as those presented in the Washington Post article. How does this type of situation contribute to the tension between cost and care? Substantiate your response with at least two outside resources.
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NURS 6050 Discussion 4: Key Health Determinants
By Day 6
Respond to at least two of your colleagues on two different days in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 6050 Week 3 discussion: Financing of Health Care
References:
National Health Expenditures 2010 Highlights, Centers for Medicare & Medicaid Services (n.d.). Retrieved from https://www.cms.gov/NationalHealthExpendData/downloads/highlights.pdf.
Milstead, J. A. (2013). Health policy and politics: A nurse’s guide (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers.
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NURS 6050 Discussion 4 (Walden)
Key Health Determinants
INITIAL POST
There are five determinants that influence health: Social, individual behaviors, genetics, physical environment, and access to health care (Kindig, Asada, & Booske, 2008). The topic of this discussion is to identify a population health issue of interest to me. I will explain and apply framework that is described in “A Population Health Framework for Setting National and State Health Goals”. Epidemiological information will be provided to support my information. NURS 6050 Course Discussions and Assignments
NURS 6050 Week 4 Assignment (Walden)
Defeating Childhood Obesity
NURS 6050 Policy and Advocacy for Population Health
Childhood obesity is a dangerous epidemic in the United States. According to the Centers for Disease Control and Prevention from 2011-2012 there were 12.7 million children and adolescents labeled as obese (Centers for Disease Control and Prevention [CDC], 2016). ….
NURS 6050 Week 4 Assignment (Walden University)
Teenage Suicide: A Population Health Issue
Preview:
Teenage suicide is a topic that makes most people uncomfortable to discuss or think about due to the “loss of a life so young, and promising” as so often stated. According to the Centers for Disease Control and Prevention (CDC) suicide is the second leading cause of death between the ages of 10 to 24. The CDC also estimates for every teenager who takes their own life, there are about 50 more teenagers contemplating the act of suicide (Centers for Disease Control and Prevention, 2018).
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NURS 6050 Week 5 Discussion 2 (Walden)
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The Executive Summary of a report to the Surgeon General in 2014 contained the
Downstream Intervention
I work for Kaiser Permanente (KP), the largest managed care organization in the United
Midstream Intervention
Working with KP has allowed me to be a part of its mid-stream interventions for KP
Upstream Intervention
Last year’s California Tobacco Facts and Figures (California Department of Public
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NURS 6050 Week 7 Assignment (Walden)
Part II: Nursing Objectives to Improve Childhood Obesity
NURS 6050-Policy and Advocacy for Improving Population Health
Part II: Nursing Objectives to Improve Childhood Obesity
The literature suggests that a total of 31.7 percent of children and adolescents combined
Legislation Modification
To assist the government with formulating ideas to target childhood obesity, the CDC
Benefits of Existing Regulations
It’s no mystery that legislation has been trying to make efforts to tackle the rampant
Methods of Influence: Legs of Lobbying
A review of the literature over a 24-year period was inconclusive in determining the main
Possible Obstacles
One of the possible obstacles will be the discussion of funds, even though utilizing a
Conclusion
There are many reasons to approach childhood obesity from a societal perspective. If …
NURS 6050 Week 8 Discussion (Walden)
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When I bid farewell to my husband as he flew off to Talil, Iraq in 2003, I had no idea of
Traumatic Brain Injuries and Post-Traumatic Stress Disorder
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Advocating for Returning Veterans
One simple step to begin advocating for veterans would be to write to my State’s Member
NURS 6050 Week 10 Assignment (Walden)
Defeating Childhood Obesity
NURS 6050 Policy and Advocacy for Population Health
Childhood obesity is a dangerous epidemic in the United States. According to the Centers for Disease Control and Prevention from 2011-2012 there were 12.7 million children and adolescents labeled as obese (Centers for Disease Control and Prevention [CDC], 2016). NURS 6050 Course Discussions and Assignments
NURS 6050 Week 10 Assignment Childhood Obesity Health Advocacy Campaign
Childhood Obesity Health Advocacy Campaign
NURS 6050-Policy and Advocacy for Improving Population Health
Childhood Obesity Health Advocacy Campaign
One of the biggest issues in the United States is childhood obesity. Unfortunately, it
Health Issue Across Different Communities
Children are considered to be a very vulnerable population, as they are very
Campaigns Geared to Reduce Obesity in Children
A campaign called “Save the Children” is a U.S. program dedicated to helping rural
Legislation Modification Proposal
To assist the government with formulating ideas to target childhood obesity, the CDC
Benefits of Existing Regulations
It’s no mystery that legislation has been trying to make efforts to tackle the rampant
Methods of Influence: Legs of Lobbying
A review of the literature over a 24-year period was inconclusive in determining the main
Possible Obstacles
One of the possible obstacles would be the discussion of funding, even though utilizing a
Conclusion
To create an effective plan to combat rural obesity, a broad spectrum initiative must be in
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NURS 6050 Course Discussions and Assignments
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