HSM 544 Health Policy Economics Discussions Week 1-7 Keller

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HSM 544 Health Policy Economics Discussions Week 1-7 Keller
Identify the three major tasks of economics and discuss why they are important. What are their…

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HSM 544 Health Policy Economics Discussions Week 1-7 Keller

HSM 544 Health Policy Economics Discussions Week 1-7 Keller

HSM 544 Three Major Tasks of Economics and Factors Influencing Healthcare Demand Discussions Week 1

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HSM 544 Three Major Tasks of Economics Week 1 Discussions 1

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Identify the three major tasks of economics and discuss why they are important. What are their roles in organization management?  Are there any additional or different questions that need to be asked when it comes to healthcare?  Can you think of other tasks or roles economics plays in our healthcare system?

Healthcare economics can defy traditional predictive models.  Consumer behavior and reimbursement schemes and amounts are quite volatile in the healthcare context.  How healthcare is delivered can vary depend on who is control of state and federal government.  For the class, does this undermine the effectiveness of healthcare economics?  Unlike a lot of consumers, healthcare consumers often hold the key themselves as to how much demand for care they are going to need, based on their ability to comply with a health regimen.  For the class, how does this affect the validity of economic predictors?…

HSM 544 Factors Influencing Healthcare Demand Week 1 Discussions 2

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Identify and discuss the factors that influence the demand for healthcare and, in turn, healthcare economics. What factor do you believe has the greatest impact on healthcare economics and why?Healthcare economics differs from other types of economics, mainly due to the presence of third party payers, such as the government or insurance companies.

For the class, how do such third party players influence supply and demand?  Are there any obvious ways that healthcare costs can be reduced?  How do providers profit from such arrangements, where their actual collection may barely cover their costs?  Do people demand health coverage merely because they have the ability to pay for it?  Many diseases are preventable and to some extent, healthcare consumers can control their own demand for healthcare services.  For the class, do you think there are sufficient incentives in our healthcare system for healthcare consumers to control their own need for healthcare services?…

HSM 544 Financing Healthcare and Production Function Analysis Discussions Week 2

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HSM 544 Financing Healthcare Week 2 Discussions 1

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Discuss the role of all parties (patient, providers, and payers) to contain costs. What is the impact of cost-containment efforts on the rising cost of healthcare?

Coding is an important and complex process. Government audits (RAC) can reveal a certain upcoding (overcharging) that might take place, which would unnecessarily increase the cost of healthcare.  For the class, what can cause this to occur? How can it prevented?  There are some approaches and models that have proven to be successful in containing costs.

For the class, what are examples of such models and what has made them successful?  There is concern that despite the high percentage of healthcare costs in the US, there is not enough of a national will to control these costs.  For the class, do you think this is the case? Are healthcare costs a high enough priority in this country?  How has managed care changed the dynamic? How has it shifted risks of losses among the major players in healthcare?…

HSM 544 Production Function Analysis Week 2 Discussions 2

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What are the primary steps in a production function analysis? How would you apply these steps in a healthcare organization?  What areas of healthcare economics do you think the production function has the production function been most applicable to and most successful in improving?

Marginal costs do look at costs on an additional unit basis.  For the class, how do marginal costs apply to healthcare?  There are also categories of costs which are indirect and direct costs.  Is there any connection between indirect and direct costs and variable or fixed costs?

There are many variables that go into these calculations.  Is there always a direct connection between inputs and outcomes, i.e., can managers always control outcomes?  There are relationships between inputs and outputs, but they are not always linear.  Why won’t there always be a clear line between healthcare inputs-physician time/technology and good healthcare outcomes?

HSM 544 Managed Care Concept and Redistribution and Social Insurance Discussions Week 3

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HSM 544 Managed Care Concept Week 3 Discussions 1

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Discuss the concept of managed care. Why was it created? What were its goals? Have these goals changed? Has it worked? How it can be improved?

Managed care, in theory, should address quality, cost and access concerns.  In practice, what are the limitations of managed care in achieving these goals?  What are the major obstacles to an MCO’s ability to control costs and provide access?

Managed care, in theory, should help control costs, but not all of healthcare has adopted this model.  Why is this the case?  Which managed care programs have been the most successful and why?

Managed care was created for a few reasons. First, the obvious it was a response to rising costs. This was partially due to the payment structure they had at the time (fee-for-service), in which providers were the major benefactors as they had every incentive to provide more care than what was needed increasing their profits. The second was to…

HSM 544 Redistribution and Social Insurance Week 3 Discussions 2

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Discuss the connection between redistribution and social insurance. How was the Affordable Care Act designed to save money and curb rising healthcare costs, and why was it successful (or not)?  What steps are taken to ensure that social insurance is available to those who actually need it?

There are members of both political parties who see the ACA as a starting point, i.e., that its problems should be changed and its strengths be maintained.  What are the primary criticisms of this program?  Redistribution of wealth does have a negative connection to it; however, there can be distinct benefits from redistribution.  How can society best balance the costs and benefits from this process?  Does the healthcare system overall benefit from this process?…

HSM 544 The Role of Nonprofits in Healthcare and Public Health Insurance Discussions Week 4

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HSM 544 The Role of Nonprofits in Healthcare Week 4 Discussions 1

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How does the role of nonprofit healthcare organizations differ from that of for-profit healthcare organizations? Which entity is better suited to meet the growing demand for health services by the aging population, and why?

Do you think one type of entity is more effective in delivering healthcare than the other? Why do you think this might be the case?  What might the differences between a county entity and a non-profit one? Neither will pay taxes, but what might be the operational differences?

If there are for-profit organizations, with potential for greater resources and profits in healthcare, why would any healthcare organization be non-profit?  There are healthcare organizations in many areas of healthcare that are organized as for-profits or non-profits.  The type of service provided does not dictate which status an entity will choose.  For the class, what do you think is the most important factor in this decision?

HSM 544 Public Health Insurance Week 4 Discussions 2

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Health policy is moving closer (in distinct increments) to a broader role in healthcare, and public health insurance can take many forms. What do you envision the government’s role to be (e.g., a continued regulation on specific aspects or a more sweeping policy that leads to public health insurance)?  In your comments distinguish between state and federal policy.

Healthcare is such a large public good with substantial governmental and societal investment.  There is disagreement about what direction healthcare policy should go but the basic objectives have been consistent-contain costs, improve quality and access.  For the class, why do you think there is such a lack of consensus in how to achieve those objectives?  Is there any way that healthcare and healthcare policy can be stabilized, notwithstanding the political climate?

HSM 544 Human Capital and Policy and Impact of Health Policy Week 5 Discussions

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HSM 544 Human Capital and Policy Week 5 Discussions 1

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What steps can Congress and state legislatures take to alleviate a serious national shortage of skilled providers? Research suggests medical errors have been linked to inadequate staffing (i.e., quantity and quality of skilled personnel). What steps would you take to mitigate shortages?

What factors have contributed to this change in supply and demand?  What are the disadvantages of using “agency” nurses?  Why might more healthcare organizations more likely to hire mid-levels in the future?  What incentives can be offered to med students/residents to undertake this burden?  What do you think has contributed to reducing the incentive to becoming an incentive?

HSM 544 Impact of Health Policy Week 5 Discussions 2

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What is the impact of health policy on resourcing (i.e., funding, technology, capital assets, and other key, nonhuman means of healthcare delivery)?

The EHR has been cited as a means of promoting the accuracy and timeliness of medical information, which has the ultimate aim of improving the quality of healthcare.

For the class, is there evidence that this, in fact, has been the case?  What is the rationale for the growth of this industry? Is profitable? Is it competitive?  What are the risks associated with telemedicine that are not associated with in-person medical care?

Healthcare policy is really something of a misnomer in a society where policy goals are ever-changing. There are many policy objectives and policies.  For the class, how does society select its healthcare policy and goals? Clearly quality, access and cost are factors in developing policy but policy tries to help us reach these goals.

HSM 544 Healthcare Coverage Overview and Health Coverage Discussions Week 6

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HSM 544 Healthcare Coverage Overview Discussions 1 Week 6

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Respond to a proposal of how to optimize healthcare coverage for as many U.S. citizens as possible. Post a 1- to 2-minute VoiceThread recapping a news article or proposal and provide your opinion of how this proposal would impact the ability to balance costs, quality, and access to healthcare for all stakeholders involved (e.g., patients, providers, third-party payers, legislators, etc.). Identify whether this coverage should be voluntary or mandatory, with rationale.

Making healthcare more affordable does make healthcare more accessible.  Are there any negative consequences associated with reducing insurance premiums on the access or quality of healthcare?  Is universal healthcare that much different an idea, just with tax dollars rather than insurance premiums?

There has also been a departure.by physicians from the healthcare system because of the emphasis on capitation and risk bearing by providers there.  Do you think a similar trend could occur in the US?  Do you think socialist governments tend to have socialist health plans. Is there any element of socialism in the US healthcare system that might be at odds with a normally capitalistic/democratic system like the US?…

HSM 544 Health Coverage Discussions 2 Week 6

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Respond to a proposal of how to optimize healthcare coverage for as many U.S. citizens as possible. Post a 1- to 2-minute VoiceThread recapping a news article or proposal and provide your opinion of how this proposal would impact the ability to balance costs, quality, and access to healthcare for all stakeholders involved (e.g., patients, providers, third-party payers, legislators, etc.). Identify whether this coverage should be voluntary or mandatory, with rationale.

Most insurance plans are based on the idea that there is pooled risk. We may never or rarely use as much healthcare as the others in the pool.  Is universal healthcare that much different an idea, just with tax dollars rather than insurance premiums?  Large pieces of legislation that impact something as important as people’s health tend to be difficult to dismantle completely.  What do you think the future of this legislation is?

HSM 544 National Systems of Healthcare and Notional Healthcare in the United States Discussions Week 7

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HSM 544 National Systems of Healthcare Discussions 1 Week 7

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How do you describe a developed nation’s system of healthcare?  Your description should provide (only) one positive and one negative quality about that system.  Connect both of these qualities to either cost, quality, or access.

What are the risks associated with repealing the ACA? What are the risks to patients who have enrolled in this program, if any?  What is a fundamental difference between the Japanese system and the US and European systems?  Why isn’t the US considered one of the higher quality healthcare countries? Don’t we have the most advanced healthcare technology?

HSM 544 Notional Healthcare in the United States Discussions 2 Week 7

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Provide an example of at least one obstacle to implementing national healthcare in the United States and how you would overcome it. In your response, explain if your suggestion is part of the “repeal and replace” promise by President Trump in reference to the Affordable Care Act.

Do you think the ACA is in the tradition of such healthcare programs and how is it a departure from them?  Do you think this is inherently fair, or inherently unfair? Is there any other way that the poor can obtain healthcare?  Is there a Constitutional provision which allows the national government to pass legislation on healthcare?  What is the primary objection to such a system?