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.

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Week 3 discussion: Financing of Health Care

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 (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).

NURS 6050 Discussion 5 (Walden)

Thanks for the informative information regarding obesity in your county. I thought your county ratings were extremely high until I researched my county’s obesity ratings. I live in an

NURS 6050 Week 5 Discussion 2 (Walden)

Behavioral Risk Factor: Tobacco Use

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

NURS 6050 Discussion 9 (Walden)

The purpose of this discussion post is to evaluate an ethical scenario that encompasses a nurse caring for her sister’s HIV-positive boyfriend. I will post two resources that establish the nurse’s position. I will post my stance on the issue. I will determine whether the law and American Nurses Association (ANA)s standards support or conflict with the action… NURS 6050 Course Discussions and Assignments

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)

Health Care Needs of Returning Veterans

?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

?The healthcare needs of returning veterans include the understanding and treatment of

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

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 Week 10 Discussion (Walden)

Ethical Issues with an Aging Population

?There are plenty of ethical challenges that nurses face when taking care of the older …

NURS 6050 Week 11 Discussion (Walden)

Global Nursing Issues

?Global health issues are a concern for all people no matter what country they reside in. People in third world countries are dying or very ill from diseases that have been cured or …

Two Strategies for Challenges

?Volunteering in third world countries is one to help with global health issues. Organizations must understand what motivates people to volunteer and continually give back to …

Advocating for Global Health

?Nurses must be involved in policy decisions. A team of healthcare professionals can ...

NURS 6050 Course Discussions and Assignments

NURS 6050 Week 3 discussion: Financing of Health Care