Health policy presentation

The purpose of this assignment is for you to identify an issue of concern for your role as an advanced practice nurse and to formulate a potential policy change to address that issue. There are many potential issues which can influence your practice setting or other issue which may negatively affect the patients with whom you work. All of the course reading will help you to identify a topic for this assignment. You can think about the issue as related to your health promotion project. The policy you consider may be in reaction to the health promotion issue or something larger that is still related to that issue. There are hundreds of possible issues, but here is a list of a few to consider:

• Child and elder care
• Civil rights
• Domestic violence
• Drug abuse/addiction
• HIV/AIDS
• Homelessness
• Native American and migrant workers’ health
• Long-term care
• Immigration/illegal aliens
• Legislative issues affecting advanced practice nursing
• Barriers to practice
• Access to care As you begin to work on the possible policy change: the following ideas and steps should be considered:
• Definition and description of the issue
• Exploration of the background of the issue
• Stakeholders
• Issue statement or statement of clarity
• Possible methods of addressing the issue
• Goals and options for changes
• Risks and benefits of the changes Evaluation methodology

Recommendation or solution By Friday, submit a Power Point presentation to the W3 Assignment 2 Dropbox. This will include the notes pages to explain the content within each slide. Be sure to use APA style and include all of your references. Grading Criteria Maximum Points Identify the type of legislation, such as state, federal, scope of practice, reimbursement, loan repayment, or others. 20 Review of the literature consists of a minimum of 3–4 peer-reviewed articles and 6–7 other outside sources. 30 Describe the current policy or health policy issue and specify how it would impact nursing or healthcare. 10 Describe the specific aspects of the proposed policy or policy change. 20 Identify the individuals who would benefit from the policy change and explain where support for the change would be found. 20 Describe the impact of the policy change on nursing practice and health care. 10 Provide an analysis of the policy from your point of view and how this will influence your practice. 20 Uses good writing skills, appropriate grammar, and application of APA formatting throughout paper, citations, and references. 10 Total: 140

ANSWER

Health Policy Change Medicaid

Overview 

Medicaid

• Founded in 1965
• Provides [blur] health coverage for  [/blur]Americans
• [blur]Eligibility is mainly determined[/blur] by income

Foot Notes

Created to ensure access to [blur] health care for American citizens
Eligible parties include low-income earners, children, pregnant women, elderly adults and[/blur] people with disabilities.

Overview 

• Better [blur]health outcomes for [/blur] adults
• Regular [blur]source of care[/blur] (Association, A. M., 2012)
• [blur] Health plans on a level [/blur]playing field
• [blur]Access to care consists of four [/blur]components:

1. Coverage
2. [blur]Services[/blur]
3. Timeliness
4. [blur]Workforce[/blur]

Foot Notes

Access to care aims [blur]at improving the health outcomes for all citizens
It should be made possible for all residents at all times
Increased access to affordable health care for all Americans is a [/blur] major goal of Access to care

1. Health insurance [blur] coverage enables patients get into the health care system[/blur]
2. Improving health [blur]care services depends in part on ensuring that people have a usual and ongoing [/blur] source of care.
3. Timeliness is the health [blur] care system’s ability to provide health care quickly after a need is [/blur] recognized.
4. NPs play an [blur] important role in the general health of the [/blur]communities they serve.

Legislation

• Legislation [blur]shapes the health care policies[/blur]
• Primary [blur] source of health insurance coverage[/blur]
• Jointly [blur] funded by the federal government and states[/blur]
• Federal [blur] government pays states for FMAP[/blur]
• (“Financing & Reimbursement | Medicaid.gov,” n.d.)
• [blur]State must be able to fund Medicaid share[/blur]

Foot Notes

The federal government[blur] reimburses states for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage [/blur](FMAP).
FMAP [blur]varies by state[/blur]
States must [blur] ensure they can fund their share of Medicaid expenditures for the care and services available under [/blur] their state plan.

Current Health Policy

• [blur]Access to care regarded[/blur]unreliable
• [blur] Huge disparities for[/blur] diverse populations
  (Ormond BA & Bovbjerg RR, 2011)
• Shortage of[blur] healthcare practitioners[/blur]
• Manipulation by[blur] insurance companies[/blur]

Foot Notes 

Access to health care  [blur] services in the United States is regarded as unreliable; many people do not receive the appropriate and[/blur] timely care they need.

Health insurance is [blur] not available for all individuals and those without it face different treatment from those who have paid [/blur] for their health insurance.

With the current policy insurance [blur] companies were able to manipulate insurance covers at the expense of users e.g., health insurer uses errors in the insurance application to revoke coverage and sometimes even attempt to force a pay back [/blur] of what had been paid out for claims.

Changes to Health Policy

The 2010 Affordable Care Act (ACA):

• Improves [blur] quality of care [/blur]
• Ensures [blur] cost effectiveness [/blur]
  (Williams, D.R., McClellan, 2010)
• Increases use [blur] of NPs who can provide primary[/blur]  care
• [blur]Eliminates unreasonable insurance [/blur]rate increases
• Promotes [blur]the provision of health insurance for all[/blur] American citizens
  (Williams, D.R., McClellan, 2010)

Foot Notes 

This Act fundamentally [blur]restructures Medicaid to cover all citizens and legal U.S. residents, it is an expansive healthcare [/blur]reform legislation.

It places emphasis on[blur] preventive services and primary care through the provision of insurance coverage to millions of Americans who[/blur] are currently uninsured

Given the supply of advanced [blur] practice nurses currently delivering primary care and the shorter time frame required for training new entrants, broadening scope-of-practice laws for APNs is a possible avenue to expand primary care capacity more rapidly. The implementation of the [/blur]ACA will make this possible.

The ACA opens [blur] up a venue for federal policy makers to play a role in the jurisdiction over scope-of-[/blur]practice laws

Who Benefits

• All [blur]American citizens[/blur]
  ( Cleary, B., & Wilmoth, P. 2011)
• NP [blur]practitioners[/blur]
• Me[blur]dicare[/blur]
  (Association, A. M., 2012)

Access to [blur]health care for all American citizens will greatly improve.[/blur]
Access to care [blur]will be a positive experience for both the practitioners and [/blur]patients
A collaboration with [blur]Medicare will improve the quality and access of care for [/blur] elderly.

Support for the Policy Change

• American [blur]College of Nurse-Midwives[/blur]
• American[blur] Medical Association[/blur]
• National [blur]Physicians Alliance[/blur]
• American [blur]Academy of Pediatrics[/blur]
• Association of [blur]American Medical Colleges[/blur]
  (Charles Feng, M.D. & ABC News Medical Unit, 2012)
• Supplemental [blur] insurance companies[/blur]
  (“Supplemental Health Insurance,” n.d. 2015)

Foot Notes

The Act has received[blur] support from various camps who are in favor of the policy change[/blur]

Impact of Policy Change On Nursing Practice

• Expansion [blur]of NP role[/blur]
• Increased [blur] patient satisfaction[/blur]
• Increased access[blur] to affordable health care[/blur]
  ( Cleary, B., & Wilmoth, P. 2011)
• Improved[blur] health outcomes[/blur]
• Improving [blur]quality and lowering costs[/blur]
• Increasing [blur]the efficiency of care provision[/blur]
  (Naylor, Mary D. et.al, 2010)

Foot Notes

The policy change will allow nurse practitioners to [blur]practice to the full extent of their education.[/blur]

The Act expands the affordability,[blur] quality, and availability of access to care through consumer protections, subsidies, taxes, regulations, insurance[/blur] exchanges and other reforms.

The adoption of [blur]payment policies will foster increased productivity of [/blur]primary care practitioners

Analysis of Policy Change

• Increased use of[blur] NP to fullest education[/blur]
  (Naylor, Mary D. et.al, 2010)
• State law [blur]changes needed[/blur]
  (Ormond BA & Bovbjerg RR, 2011)
• More[blur] autonomy[/blur]
• Payment [blur]reforms[/blur]
  ( Coddington & Sands et.sl, 2008)
• Continued [blur]collaboration between NPs and states[/blur]

Foot Notes

The policy change will allow [blur] nurse practitioners to practice to the full extent of their education.[/blur]
All states should work to embrace[blur] the ACA to improve access to care throughout the country.[/blur]
Through payment reforms the policy will ensure[blur] that NPs are properly reimbursed for primary care.[/blur]

References

2010. Mar 23, The Patient Protection and Affordable Care Act (PPACA), Pub. L. No. 111-148, 124 Stat. 119.
Association, A. M. (2012). Health Care access. American medical association. Retrieved from: http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/medical-student-section/advocacy-policy/health-care-access.page

Charles Feng, M.D. & ABC News Medical Unit, (2012). Medical Organizations Respond to ACA Ruling – ABC News. (n.d.). Retrieved from http://abcnews.go.com/Health/medical-organizations-respond-aca-ruling/story?id=16673570

Cleary, B., & Wilmoth, P. (2011). The affordable care act- what it means for the future of nursing. Tar Heel Nurse 73(2), 8-9, 12.

Coddington, J.A., & Sands, L.P. (2008). Cost of health care and quality outcomes of patients at nurse-managed clinics. Nursing Economics, 26(2), 75-83.

Financing & Reimbursement | Medicaid.gov. (n.d.). Retrieved from http://www.medicaid.gov/medicaid-chip-program-information/by-topics/financing-and-reimbursement/financing-and-reimbursement.htmlSupplemental Health Insurance. (n.d.). Retrieved from http://obamacarefacts.com/health-insurance/supplemental-health-insurance/

Naylor, Mary D., and Ellen T. Kurtzman (2010). “The Role of Nurse Practitioners in Reinventing Primary Care,” Health Affairs 29, no. 5. 893-9.

Ormond BA & Bovbjerg RR, (2011). Assuring Access to Care Under Health Reform – Robert Wood Johnson Foundation. (n.d.). Retrieved from http://www.rwjf.org/en/library/research/2011/10/assuring-access-to-care-under-health-reform.html

Pittman, P., & Williams, B. (2012). Physician wages in states with expanded APRN scope of practice. Nursing Practice and Research, doi: 10.1155/2012/671974.

Starfield B, Shi L (2004). The medical home, access to care, and insurance. Pediatrics.113(5 suppl):1493-8.

Williams, D.R., McClellan, M.B., & Rivlin, A.M. (2010). Beyond the affordable care act: Achieving real improvements in Americas’ health. Health Affairs, 29(8), 1481-1488.

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