NURS 6050 Week 3 discussion: Financing of Health Care

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.

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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: 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

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?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

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Defeating Childhood Obesity

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Teenage Suicide: A Population Health Issue

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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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Downstream Intervention

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Midstream Intervention

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Part II:  Nursing Objectives to Improve Childhood Obesity

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The literature suggests that a total of 31.7 percent of children and adolescents combined 

Legislation Modification

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Methods of Influence:  Legs of Lobbying

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Possible Obstacles

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Conclusion

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Defeating Childhood Obesity

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NURS 6050 Week 10 Assignment Childhood Obesity Health Advocacy Campaign

Childhood Obesity Health Advocacy Campaign

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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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