Healthcare policies essay
Instructions: This assignment must be done in APA format. It is broken down into 2 questions. A minimum of 1600 words (references is not included) for the overall assignment is required. The minimum reference count is 4 (including in-text citations) for the overall assignment. Also, even though this assignment is done in APA, it must keep the question, answer, and reference format. Please see example below.
Format: Question: XYZ
Articles for questions:
Part Two: This part of the assignment is simple. The minimum word count for this assignment is 250 words (per response); with one reference each.
Note: Write as if you’re actually talking to the person.
The health of populations can be improved by healthcare policy. The policies that have aided in population health include but are not limited to Medicare, Medicaid, Children’s Health Insurance Program, and the Affordable Care Act. Medicare, Medicaid, and CHIP each aim to improve the health of specific populations. Medicare focuses on the elderly, Medicaid focuses on the low-income, and CHIP focuses on children. The ACA was almost successful in expanding Medicaid nationwide which would have helped a larger amount of low-income people. There is also another aspect of the ACA that reflected on population health was the implementation of value-based care. A value-based care system is a system that has a goal of improving population health by providing incentive payments to providers and entities for their quality of care (CMS, 2019). The better the quality of care the better the payment. That being said it does not stop at the care that is provided at the physician’s office or hospital, but it continues onto outpatient care to aid in readmission rates. This is were a different organization and entities work together to treat the population. Population health and value-based care may be two different concepts and focuses but the two work together to improve the health of populations.
Policies that currently exist to promote population health are taxes on cigarettes and alcohol, smoking bans, menu labeling at restaurants, seat belt laws and water fluoridation. The Affordable Care Act was aimed at improving healthcare through state funded programs such a Medicaid(income based) and the CHIP program(children). Value driven health care is becoming more popular by giving financial incentives through pay-for-performance programs. Linking payment to hospital and Physician performance is an incentive to improve the quality of care(Dy, Sharma & Isenberg,2018).
On the other hand, value driven care is a fairly new term that was introduced in 2014 in order to, “replace the nation’s reliance on fragmented, fee-for-service care with comprehensive, coordinated care using payment models that hold organizations accountable for cost control and quality gains” (LaPointe, 2018). The term value drive care or value-based care refers to, “a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness” (LaPointe, 2018). The Centers for Medicare and Medicaid Services (CMS) have taken the lead regarding effective implementation this new concept. CMS has introduced different value-based care model such as Medicare Shared Savings Program and Pioneer Accountable Care Organization (ACO) model. In the ACO model, “doctors, hospitals, and other healthcare providers work as a networked team to deliver the best possible coordinated care at the lowest possible cost” (LaPointe, 2018). In this model, each member would share both risk and reward with incentives to improve access and quality of care. Lastly, it is important to take note that value-based care, “aims to advance the triple aim of providing better care for individuals, improving population health management strategies, and reducing healthcare costs” (LaPointe, 2018).
Healthcare policies essay
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