HSM410 Health Care Policy Course


HSM410 Health Care Policy Course
focus your topic on a specific aspect, such as the Privacy Rules of HIPAA or the Medicare Prescription Drug Benefit…





HSM410 Health Care Policy Course

HSM410 Health Care Policy Course

A+ Entire Course: Course Project | Healthcare Interview |Midterm Exam | Ethical Considerations Project | Discussions Week 1-7 |Final Exam

Medical MalpracticeCourse Project Week 2, 5, 7 


Topic Selection (Week 2): 30 points – Medical Malpractice


It is expected that you will provide a focused topic that identifies a problem/issue of concern and the legislation that is/has/will address the problem. Once you have identified your legislation, you will not be allowed to change. Complete some preliminary research to ensure that you have enough sources and information available to meet both the page length and number of source requirements.

Topics such as HIPAA and Medicare (for example) are too broad for this assignment. You need to focus your topic on a specific aspect, such as the Privacy Rules of HIPAA or the Medicare Prescription Drug Benefit.

Submit a brief description of the problem/issue that your legislation addresses and the legislation itself that you will analyze in your paper.


The focus of this paper is on various medical malpractices involving invasion of patients’ medical privacy and similar forms of data and information breaches.  These instances have increased in the last couple of years as cases, such as what happened in the Byrne vs. Avery Centre for Obstetrics and Gynecology case.  The details will be expounded…

HSM410 Health Care Policy Course

Course Project Outline Week 5 (60 points)


It is expected that the Outline be submitted in a formal outline format as demonstrated below. Your outline should show enough detail to demonstrate that you have begun thinking about the organization of your paper and the research required for the topic. After your outline, please submit a listing of the sources that you have already identified for your paper.

  1. Each Roman numeral should be a main section of the paper.
  2. Subpoint
  3. Details of Subpoint
  4. Related details to the Subpoint
  5. Subpoint


Purpose: To define what nursing malpractice is and provide a specific example of negligence that nurses can easily commit with or without their knowledge, including identifying how…

Thesis: Nursing malpractice, such as revelation of patient information whether intentionally or not, is a growing problem…

HSM410 Health Care Policy Course

Final Paper (Week 7): 150 Points


It is expected that the final version of your Healthcare Policy Analysis Paper will be 8-10 pages in length, with 6-8 sources identified. Your paper should be 12-pt. Times New Roman font, double spaced, with standard margins. You should have a thesis statement in your introduction identifying the legislation/policy that your paper will be addressing.

APA in-text citation is required in addition to listing all of your sources on a Works Cited Page at the end of the document. Your grade will be affected if you do not cite or identify your sources correctly.

Below is a list of questions that should be addressed in the body of your paper.

What is the legislation/policy that will be analyzed in this paper?

What is the problem/issue that this legislation attempts to address?

What is the history of the legislation?

Has (or will) the legislation been effective in addressing the problem or issue?

What group(s) of people have been the most affected by the problem?

Is there any information on the future of this legislation? (Revision, obsolete, status of bill, etc.)

Preview: 11 Pages (Abstract Included)

In the past, nurses have always been relegated to the role of “assistant” of the doctor. They performed passive roles and were often seen serving the needs of doctors in a hospital. However, the last four decades have also shown how nurses’ roles evolved to be that of a self-assured and decisive medical practitioner.  Now, they play more active roles at work which include the operation of high technology machines and equipment and…

HSM410 Health Care Policy Course

Healthcare Interview Week 3 


The goal of this assignment is for each student to explore how “real people” access health care and how this might have changed over time. Interview 3 separate individuals representing three generations (parents, grandparents, your generation or your children’s generation) and learn how they:

  • accessed health care
  • paid for health care
  • where they received their health care
  • how they viewed their health care and health care providers
  • what changes they have seen in the health care system
  • any other facts or information you obtain from the interviewees

In your conclusion, provide a summary of the similarities and differences noted between the generations.

This paper should be about 3-5 pages in length with appropriate referencing and in APA format. This assignment is worth 100 points (10% of your grade) and is due in Week 3.


Healthcare pertains to an individual’s methods of maintaining or improving health through the use of various treatment options and doctors’ diagnoses, including the prevention of diseases, illnesses, and injuries, among others.  This is not only limited to bodily injuries or illnesses, but also includes mental impairments.  Healthcare is delivered by health care professionals who may be providers or….

Ethical Considerations Project Week 6


  1. Read the assigned article, “Informed Consent for Emergency Contraception: Variability in Hospital Care of Rape Victims.”
  2. Review the Brownfield v. Daniel Freeman Marina Hospital case summary. (Below)
  3. Review Essay Requirements. (Below)

Brownfield v. Daniel Freeman Marina Hospital

Ascension Health (2007) Brownfield v. Daniel Freeman Marina Hospital. Retrieved November 28, 2008 from:

In this 1989 federal appellate court case, the plaintiff was taken to Freeman Hospital’s emergency room after being raped. In response to the patient’s request for information about the morning-after pill, the hospital authorities refused to provide such information, believing that they could not, on the grounds that it was a Catholic hospital. Specifically, the hospital did not inform the patient that if she wanted such treatment it must be obtained within 72 hours to be effective. The court reasoned that a patient has the right to make her own decisions regarding treatment, and therefore, adequate disclosure of information must be provided so the patient can make an informed decision. The court concluded that a rape victim who is denied information about access to the morning-after pill may bring a medical malpractice action. This means that liability may arise if the patient can show: 1) that a skilled practitioner would have provided such information and access under similar circumstances; 2) that she would have elected such treatment; and 3) that “damages” (in this case, pregnancy) resulted from the failure to provide such information. In a footnote to its decision, the court indicated that “access” to such treatment could include transfer of the patient to another medical facility or another physician…


In consideration of ethics, this is about the determination of the continuity of life in terms of the baby that could be the result of the rape incident.  This is the reason why the Catholic hospital refused to give information about the morning-after pill because this is tantamount to abortion.  Being a Catholic institution, the Daniel Freeman Marina Hospital believed they are not…

HSM410 Health Care Policy Course

Midterm Exam 


(TCO 1) Which statement most accurately describes the relationship between health insurance and health?

Compared with the insured person, the uninsured tend to be diagnosed at later stages of life-threatening illnesses. (Chapter 3, pg. 21-22.)

Having health insurance has no impact on a person’s overall health. Genetics and lifestyle choices are the only factors proven to impact health.

In an effort to avoid high-cost hospitalizations, the uninsured are more likely to practice health-maintenance behaviors than those with insurance.

People who have health insurance display a 25% increased risk of dying when compared to the uninsured.

(TCO 2) Define health policy.

Legislation that governs Medicare and Medicaid

Current and proposed legislation that governs the actions, decisions, and behaviors that affects the health of a society (Answer located in Week 1 Lecture.)

Proposed bills that govern health insurance

Universal healthcare

(TCO 3) Regressive payments are ____________.

The ratio of payment to income that is the same for all classes.

Payments that take a falling percentage of income as income increases. (Chapter 2, pg. 14.)

Payments that take a rising percentage of income as income increases.

Payments that take a rising percentage of income as income increases.

(TCO 4) Which of the following would be considered a painless cost control?

Eliminating an outdated procedure (Answer located on page 93.)

Increasing administrative fees

Increasing administrative fees

Encouraging prescribing of brand name medications

(TCO 1) What are non-financial barriers to healthcare?

Language, lack of insurance coverage, availability of services

Literacy, culture, factors of gender and race (Chapter 3, pg. 24.)

Transportation, language, employment

Inability to access care, culture, insurance coverage

(TCO 3) Which of the following are modes of paying for healthcare?

Capitation, fee-for-service, and salary

Out-of-pocket payments, individual private insurance, employment-based private insurance, and government financing (Chapter 2, pg. 5.)

Private insurance and government financing

Private insurance and government financing

HSM410 Health Care Policy

(TCO 2) For the last 25 years, what has been the fundamental conflict between purchasers and the healthcare industry?


For the last 25 years, the purchasers wish to reduce, and the health care industry to increase, the number of…

(TCO 4) What are the three major forms of managed care?


The three major forms of managed care are: 1. Fee-for Service Reimbursement with Utilization Review – This is the…

(TCO 2) Does an HMO promote the regionalized or dispersed model of care? How?


HMOs promote regionalized model of care considering that they necessitate the…

(TCO 4) Choose one payment method and discuss how an insurance company can transfer financial risk to a provider and the amount of risk involved for the provider.


Payment per patient or capitation is monthly payments made to a physician for each patient signed up to receive…

(TCO 3) Why has cost containment become such a focus of the American public? Give examples of current cost containment measures commonly used.


The cost of health and healthcare in the U.S. has been highly visible topic for consumers, employers, state and federal policymakers and….

HSM410 Health Care Policy Course

Course Discussions Week 1-7 All Students Posts – 691 Pages 


Week 1 All Students Posts – 109 Pages 


What is Healthcare Policy – 53 Pages 


What exactly is healthcare policy? Who does it affect?  . Every health organization is competing against others. So….what do they do?  They take different disciplines such as only dealing with Medicare, or only Medicaid patients. Setting up systems that are very different that other organizations.  Thoughts?

Healthcare policy is the blue print that is followed when dealing with all aspects of healthcare. Patient costs, insurance acceptance, and order of business are all things that are covered and laid out in a healthcare policy. Well care, preventative care, elder care, and other types of healthcare have documentation included in healthcare policies. These policies affect everyone, the sick, the healthy, the insured, the uninsured, legal citizen, and illegal citizen are defined and have…

How many Americans do you think, really understand or have time to learn all of this information regarding their health care?  Health care policy comes from public policy. What is public policy?  Do you have to have a public policy before you have the process of a health care policy through legislation?  How is health care policy developed?  Who came up with the wording of “Health Care” rather than Sick Care?  Does every American have a right to health care in this country?

Healthcare policy is a broad stroke statement that refers the the rules and regulations that exist for the operation and financing of the delivery of healthcare.  There are many health related issues that are covered including preventive care, financing, chronic illness, long-term care, public health, mental health and the financing of healthcare.  The entire society is impacted by healthcare policy as long as they use any type of healthcare service…

Foreign Healthcare – 56 Pages 


Your reading this week compared four countries’ healthcare systems. In addition, everyone researched a country of their choosing in HSM310. How did the countries from the reading or the country that you researched from HSM310 attempt to control the rising costs of healthcare?

For the past 10 years, Japan has been reviewing the issue of birth rates. Currently, they are now increasing the birth rates.  Why?  When we talk about health care in Japan, are we talking about health care as we see it in the US, or….are we talking about the hundreds of health care models in Japan that are used on a daily basis?  Does United Kingdom have Universal health care or private insurance?  How is the Universal health care in Britain paid for?  The United States spends more money on health care than every other country in the world. Why?
Why do 30,000 infants die each year and why does Japan only have a 2% infant mortality?

The country I researched in HSM310 was Japan.  Japan finances their healthcare both publicly and privately although the majority is financed publicly through the universal healthcare system. Japan relies on the tax subsidies, premiums for about 99.5% of the funding for the public health system.  According to the Economist, this is becoming more challenging because of the aging population.  Japan is often slow to adopt cutting-edge treatments because they are often more costly.  Japan struggles with emergency care because there is a shortage of large hospitals.  There is no clear cut plan for how Japan is going to handle the rising healthcare costs although it is planning on medical tourism becoming a source of economic growth…

Week 2 All Students Posts – 95 Pages 


U.S. Healthcare System Organization – 50 Pages


What are forces?  What have been some of the forces driving the organization of U.S. healthcare? What are the outcome of these forces?

What have been some of the forces driving the organization of U.S. healthcare?  Why are these forces within health care?  Why do some patients that have HIV never come down with full blown AIDS?  How does the long term care affect organizations?  What is EMRs and EHRs and HIE for those students who are not aware?  So, when a physician does not practice professionalism, is this a problem?  What do you think the outcome is in health care?  Do you think that nurses and physicians will be replaced with robots?

There are basically three models of how healthcare is organized in the United States. They are primary, secondary and tertiary levels. Primary care refers to common health problems such as sore throat, common cold, diabetes or arthritis. Secondary care refers to problems that require more specialized clinical care such as hospital admittance and care. Tertiary care refers to the management and care of rare and complex disorders.

The forces that had major implications on these healthcare organizations were the biomedical model, financial incentives and professionalism. The joint forces of the biomedical model which was derived from Louis Pasteur’s germ theory of disease and biologic defects and stricter state licensing laws as well as adequate training and medical schooling were forces that drove organization of U.S Healthcare. Our textbook further states “They have called for a more integrated scientific approach to understanding health and illness that incorporates information about the individual’s psychosocial experiences and family, cultural, and environmental context as well as physiologic and anatomic constitution”.

Financial incentives will always be a driving force in any type of organization and as such it will also be very fitting to include as a driving force in healthcare organization. Financial incentives and insurance payments for hospitals and physicians lead to the emergence of various methods of how healthcare is paid for today such as HMO, PPO, POS, Medicare & Medicaid etc. Financial incentives fueled hospital expansions and capacity as well as it encouraged medical specialization…

Financing a Changing Healthcare System – 45 Pages 


What are some of the past models that physicians used within health care? Why have physician reimbursement models changed over the years? If you were a physician, which one would be most important to your practice?

If you were a physician, what model would most suit your practice and why? Are blog excellent research composition?  Do you think that it would depend on the number of patients that you would have and thoughts about how many patients could pay at the time?  What about the review of Medicaid?

The system models changed from the 1940 or 50s or 60 or 70 or 80s or 90s or 2000? There was constant and continuing change, and the payments will change again and again, but if we look at when these changes were made and if they were smart decisions by the government….can you image that in the future 50 years, there will be no models? Thoughts?

Some of the past reimbursement models that physicians used to finance healthcare were out of pocket payments, private health insurance, employment based health insurance and government funded programs. While these methods tried to curb healthcare cost it created problems for reimbursement and as such new methods had to be established. The emergence Managed Care Organizations such as HMO’s PPO’s Medicare, Medicaid are some of the reimbursement models that have been established over the years. These methods offered a variety of methods for individuals to access and finance healthcare as well as a method for providers to be reimbursed. In addition, insurance companies lower their risk of financial losses because as a provider when you are contracted as an “in-network provider” it means that providers have agreed to capitation payments from the insurance company. “Capitation is a method where the insurance pays a set monthly amount for each person in the plan regardless of the services used by those patients”.
The Affordable Care Act (ACA) has increased the demands of health insurance coverage since more individuals will be looking for PCP and specialist services, therefore reimbursements to providers will increase and methods of receiving payments will be continually changing. We have already seen that technological changes in the means of electronic health records and detailed billing procedures have already been established when reimbursements are being requested…

Week 3 All Students Posts – 89 Pages 


Financial Cost Controls – 47 Pages


What are some examples of painless cost control? Are they painless for everyone? Do you think that health care as we call it has very little to do with health care and more of financial care of the stockholders?  Were you aware that the FDA does not approve or not approve many of medication and other products that are helpful as well as having many side effects?

When a generic drug product is approved, it has met rigorous standards established by the FDA with respect to identity, strength, quality, purity, and potency. However, some variability can and does occur during manufacturing, for both brand name and generic drugs. When a drug, generic or…

What do you think would be in an organization budget that would be eliminated without any difficulty?  Do you think that cutting out organizational big office and expensive paintings  for management offices would be painless?  If patients need to be diagnosed with current technology and the physicians still has the cheap kind, the patient is not going to get the right determination and physicians will not send patients with cheaper technology.  Thoughts?

The difference between painful and painless cost control is that painful reductions negatively impact operations and painless cost control has the least impact on the business and its future.  A painless control example would be generic drugs and limiting medical processes to only those directly beneficial to the patient…

Reimbursement Cost Controls – 42 Pages 


Describe and provide examples of price and quality controls. If everyone’s perception was put into criteria, how many criteria do you think that there would be? Do you not think that this would be like having dreams for 1,000 people and then setting up criteria to support them all? How can this exist in reality, when we have 383 million people with different perceptions of quality?

What do you think is one of the costly items that is on the budget each years?  Is there any really significant difference between Monopolistic and Monopoly Company?

Price controls are a way to avoid economic crisis within a health care setting. Price controls are broken down into three separate categories financing controls, reimbursement controls, utilization (quantity) controls, and mixed controls they all control what gets limited, where…

The components of quality care consist of healthcare access, competent healthcare providers, scientific knowledge, technology and of course finances. While everyone strives to deliver quality care there must be some sort of controls in place which prevents misuse and abuse of healthcare services. Some examples of price controls are usually copayments, deductibles and uncovered services. These methods would help curb the abuse of medical services, while still giving providers the opportunity to provide quality care. When individuals are aware of copayments, they tend to utilize these services only when necessary. Methods employed by providers for reimbursement are also another way of price and quality control. For example, if providers utilize a capitation method they are reimbursed based on fewer services. This might be convenient to specialist. They are providing fewer services, but the quality of care administered is very high…

HSM410 Health Care Policy Course

Week 4 All Students Posts – 105 Pages


Access – 57 Pages 


What are the major issues surrounding access to healthcare in America today? In your view, what might be done to address these issues and improve access? Why should the older generation get on board with technology? With all of the hacking problems that they see and all of the issues that many went through with the depression they really like to do it the safe way and their own way….

Do you think that the health care would be any different if Universal Health Care was implemented?  Why would you pay for individuals who are below the poverty line, when you have worked hard for your income and now you would be having to pay for other people?  Do you think that “quality” of care has to do with how much one pays for health care?  Or…is it the old saying…You only get what you pay for?

After doing the week 3 assignment, I come to realize some important facts. Talking to the three different generations, I’ve come to see that the oldest generation of the three, my grandparents, has had the hardest time accessing healthcare and getting insurance. My Grandma had an insurance man come over to her house to sign her up and asked if she had anything foreign in her. She said yes and he ripped the paper up and said he can’t insure her. I had a hard time understanding why an insurance company would do this to her.

Professor, any ideas why?

Regarding the access issues, I would point out that in rural areas, there aren’t many doctors so access could be a pain to get. Also, I have come to see that the older generation lack on technology. A majority don’t have computers or even cell phones which can restrict them from keeping up with “today’s healthcare”. Even my co-worker who is only 60 years old refuses to learn how to operate a computer which leaves me to having to do all his paperwork. He also never answers his phone as he just doesn’t want to learn how to use it.

A good way in my opinion to address these two issues I have listed above would be to promote to the older generation that they can review their results, make appointments, email their doctors so they don’t have to wait on hold for long periods of time, etc. This would improve the physician-patient relationship too. For the rural areas, possibly promoting the physician jobs and higher wages as an incentive to get people to work in those areas would work…

Quality – 48 Pages 


In the U.S., can a low-income person receive access to high-quality care? Research the Patient Protection and Affordable Care Act (Obamacare). How does this new law impact such access? If two people are going into surgery for the same thing, but the physicians know that the patient is Medicaid are they going to stop providing surgery but continue the process with a patient that has great insurance?  There are many doctors that will not take Medicaid or Medicare, and when we look at this…who is to blame for the health care crisis? The citizens and immigrants of the US.  ….What happened with “we the people”?

What law was passed that was designated to be Obamacare?  Do you have a health care insurance example that provides an individual with this access?  Do you think that the word used should be care that meets the needs of the patient rather than low or high quality?

Despite signs that low-income and uninsured people’s access to primary health care services has improved, serious gaps in care exist, especially for specialty physician, mental health and dental care, according to the Center for Studying Health System Change’s (HSC) 2002-03 site visits to 12 nationally representative communities. Key factors contributing to these gaps in the safety net include declining private physician and dentist involvement, changes in funding and facilities, and more people in need. Community leaders have developed a variety of innovative strategies to add specialty, mental health and dental services but could benefit from more support from state and federal policy makers.
“The primary focus of the ACA is to increase health insurance coverage and health care access for citizens and legal immigrants. The federal law is expected to transform public and private health insurance coverage, operation of health care markets, affordability and accessibility of insurance”…

HSM410 Health Care Policy Course

Week 5 All Students Posts – 106 Pages


The Baby Boomers-Are We Ready? – 57 Pages 


Let’s start this week’s discussion with identifying who makes up the baby boomer generation. Please research and post statistics about the baby boomer generation. (Remember to post your sources!) Why was there an increase of baby boomers all over the world after the war? How many baby boomers are retiring per day?…

Is that the baby boomers perhaps have to work because of the economic pressure of limited jobs for their children? The younger generation has more opportunities than the baby boomers.  Thoughts?  Is Obama Care the legal name for the ACA?

The baby boomer Generation consist of the individuals born in the years od 1946-1964. In the United States, currently there are approximately 66.2 million people that can be classified as baby boomer from a 2014 survey.

The baby boomer generation was also affected by unstable economic conditions resulting in a lot of parents unable to provide proper care for their children. A significant number of single parents came into existence due to the war claiming the lives of uncountable partners. On the other hand, this generation became the forerunner for scientific expansion and progress…

The Future of Long-Term Care – 49 Pages 


Let’s start by reviewing the financial picture of the long-term care (LTC) industry. Who are the main payers? What are some of the main financial challenges that the industry is facing? If a person goes into a long term care facility, do they have to give up their financial savings to the facility? Does Medicare pay for Long Term Care?  How? What does the patient pay? How much does the patient pay, Medicare pay and Medicaid pay or do they?…

With the large amounts of baby boomers as discussed in the first topic we can all come to the conclusion that this level of care is going to be in GREAT need for the next several decades to come! This is an area that interests me as my future goal is to leave the acute care setting and concentrate on this generation(one that I am apart of!) in a managerial role.  Medicaid is the largest source of funding(40%)LTC facilities…

As stated in our text book the primary payers for long-term care are Medicaid and Medicare. Each program pays entirely for or a segment of the services achieved by nearly a third of community residents. Almost a quarter of recipients pay out of pocket.

Medicaid is a major payer for long-term care due to the fact that federal law requires that Medicaid programs in each state should offer home health care and nursing home care for the qualified poor. It caters for nearly half of national long-term care spending.

Medicaid is the key contributor of long-term care while Medicare only offers a restricted coverage of home health care and nursing home stays. Most of the long-term care funding originates from taxpayers. With most of the middle-class Americans unable to fund long-term care necessities, they have added to the people who urgently need it. Funding has been a challenge due to the number of individuals who need it, and the resources required to offer long-term care…

HSM410 Health Care Policy Course

Week 6 All Students Posts – 105 Pages 


Ethical Considerations in Health Care – 61 Pages 


What are the most pressing ethical dilemmas which we face in U.S. healthcare today? Select one dilemma which is particularly important in your estimation, and share your own views on that dilemma. If a women is raped and becomes pregnant, why should the baby be terminated because the rape was not what could be stated as a deterrent to the baby but to the mother of the child. This is the same as saying that if a man was killed by the son, then the wife has a right to kill the son.  Is abortion legal in this country?  If it is passed by law it is considered to be ethical according to the law of the land. If it is not a legislation that has been passed….it is unethical…

I think conflict of interest between healthcare insurance companies, pharmaceutical companies and healthcare organizations. I think they are all for profit and not so much for healthcare. Over all although policy states you cannot refuse treatment I feel that many are being denied treatment due to no money or insurance. With that being said, healthcare insurance don’t want to really deal with the insurance that the poor have that’s why their visits are in and out like a car wash. Healthcare organizations are just looking to make the big bucks at all cause…

The Importance of Prevention – 44 Pages 


What is prevention in healthcare? Why is prevention so important for achieving good community health in America? What is one example of prevention that you know about? When you have a disease process, what is the prevention or is this going to be a story of maintaining the health at this time? Getting the immunization for shingles does not mean that one cannot get it again.  What is the prevention here?…

Many Americans think that a verbal request or statement from the patient will do the job.  Absolutely not… if there is no will, no power of attorney, no executrices, The health care system will make the decisions. No one can authorize the will of the person if…

Prevention in healthcare seeks to avert occurrence of disease and injury and/or early detection of the disease.  Prevention allows a community to thrive.  Many factors contribute to a long life, including demographics, socioeconomics, genetics, the environment and behaviors. It is important to assess these factors when attempting to increase life expectancy and improve health status, because positive health practices result in higher life expectancies and better health.  A healthy community reflects a sense of mental and physical well-being and is the foundation for achieving all other goals. Good health is often taken for granted but is essential for a productive society…

HSM410 Health Care Policy Course

Week 7 All Students Posts – 82 Pages 


What is our Future? – 47 Pages 


What is the difference between a social insurance and a public assistance approach to government-finance national health insurance? Use Medicare and Medicaid as examples. Medicaid is funded by the taxpayers who are then sending their taxes to the government to fund the states and the federal government.  In reality, exactly how much health care is provided through Medicaid?  When money goes into the government, the government can draw interest from the amount of money that has been collected. There are billions of dollars that are provided just in interest. Where does this money go?…

Would you not want to have a say as Americans into what programs and non-free services that the Medicaid pays out?  Example: The state of California is going to give the homeless two  billion dollars to take care of them..  Thoughts?  What would happen if the American people just stopped working and were not paying into the tax system. There are people that refuse to pay taxes and yet are supported by the system?

Public Assistance approach is many times looked on through a bad light however this type of approach while faulty is beneficial to an extent to those who otherwise have no access to healthcare. It seems wrong that those who contribute into this type of setup are not eligible for services but if one considers that…

Social insurance is protection of the people or public against economic hazards (unemployment, old age, disability) where the government directly or forces businesses to directly help those affected.
Public assistance is government aid to the poor, disabled, old or to dependent children in the form of financial assistance or food stamps…

Patient Protection and Affordable Care Act – 35 Pages 


The 2010 Patient Protection and Affordable Care Act is changing the health care environment as we know it. Pick one of the following stakeholders and discuss the implications of the bill for them:

  • Woman
  • Chronically ill
  • Medicare Eligible Patients
  • Medicaid Eligible Patients

Why do you think that only 5% of the population in America have critical thinking capabilities?…

The Affordable Care Act is geared towards caring for the chronically ill by coordinating medical care between the different doctors and facilities treating the same patient. It attempts to reduce the duplication of medical tests if one doctor orders a test, the results are shared with all providing care givers(doctors) for the patient.  It provides education for patients with chronic conditions.  It mandates patient outcome plans and generates data on the quality of care rendered. The ACA is an evidence-based care system.

Cure is treatment that will make an individual to feel healthy again. But the nature of the cure could be either temporary or permanent. When it comes to cancer there is no permanent cure. It really depends of the condition and the situation that the Patient is having. Nothing is 100% there is also a chance that the disease is not completely cured…

HSM410 Health Care Policy Course

Final Exam 


(TCO 1) What is the best indicator of high-quality healthcare? (Points : 6)

Physician-to-patient ratios

Number of providers in a geographic area
Health outcomes

Percentage of uninsured

(TCO 2) Define health policy. (Points : 6)

Legislation that governs Medicare and Medicaid

Current and proposed legislation that governs the actions, decisions, and behaviors that affect the health of a society

Proposed bills that govern health insurance

Universal healthcare

(TCO 3) Proportional payments are: (Points : 6)

The ratio of payment to income that is the same for all classes.

Payments that take a falling percentage of income as income increases.

Payments that take a rising percentage of income as income increases.

A set fee regardless of income.

(TCO 4) Which of the following would be considered a painless cost control? (Points : 6)

Eliminating an outdated procedure
Increasing administrative fees

Encouraging the use of new technology

Encouraging prescribing brand name medications
(TCO 6) What percentage of long-term care financing is provided by Medicare? (Points : 6)





(TCO 7) Which of the following is not a category of national health insurance plans? (Points : 6)

Government-financed health insurance

Employer-mandated private health insurance

Individual-mandated public health insurance plans

Hybrid plans

(TCO 1) How is health policy formed? (Points : 6)

Through discussion with patients

Through the judicial system

Through the legislative process

Both B and C

(TCO 3) In the 1990s, the push for cost containment changed how physicians and hospitals are paid. The changes: (Points : 6)

Replaced fee-for-service payments with prospective payment methods.

Bundled services into one payment to shift risk away from payers.
Consisted of payment being negotiated between providers and payers.

All of the above

(TCO 4) The goals of disease prevention are: (Points : 6)

To decrease costs.

To delay disability and death.

To maximize illness-free years.

Both B & C

(TCO 4) What is rationing? (Points : 6)

Reviewing available resources

Limited availability of medical equipment

Limitation of resources, including money, for medical services

Individual choice for medical care

HSM410 Health Care Policy Course

(TCO 5) How does gender affect access and quality of health services? (Points : 15)


According to studies, women have more difficulty accessing health care services because…

(TCO 6) What are components of high-quality care? (Points : 15)


The components of high quality care include access to care, adequate scientific knowledge, competent health care providers,…

(TCO 2) What are the three models of organizing care? Provide a brief description of the care provided at each level. (Points : 15)


Primary care – pertains to healthcare management that involves common health issues and preventive measures for…

(TCO 6) What is the most aggregated payment method for a physician? For a hospital? (Points : 15)


For physicians, the most aggregated method of payments is the Payment per time:Salary. Salaried practice aggregates…

(TCO 3) How does malpractice affect quality of healthcare services? What are two options for malpractice reform? (Points : 25)


Malpractice affects the quality of healthcare services considering that trust issues are at stake during these…

(TCO 4) What is the concept of patient cost sharing? Is it a painless form of cost control? If so, for whom? (Points : 25)


Cost sharing refers to making patients pay directly out of pocket for some portion of their health care. Cost sharing occurs…

(TCO 7) Is death an enemy that is to be fought off at all costs, or is it a condition of life that is to be accepted? How does the way that we answer this question affect the kind of healthcare system that we might embrace? Which do you feel currently governs the U.S. healthcare system? Justify your answer. (Points : 25)


Death is a fact of life and should not be treated as an enemy. It is a condition of life that will happen to all humans, or…

(TCO 3) Describe why private health insurance coverage has decreased over the past decades, creating the uninsured/underinsured crisis? Who are the uninsured? (Points : 30)


This is due to the poor health insurance support provided by companies or businesses. In addition; the value of employer-sponsored health insurance premiums has become more…

(TCO 4) What does it mean to “transfer financial risk?” Give an example. (Points : 30)


The transfer risk is something that exists to give option to patients care. It is a…

HSM410 Health Care Policy Course