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Effective communication in health care
Effective communication in health care
Effective communication in health care
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Yansi Interiano MPA-503- Law, Government and Public Policy Professor Forney Week 4 Assignment- Chapter 4 questions 1,4, and 5/ Assignment 4 worksheet. 1. Discuss the link between agenda setting and the development of legislation. 4. What congressional Committees are most important to health policy? Briefly describe their roles. 5. Describe the federal budget process. Include the relationship between the federal budget and the health policy in your response. 1. Agenda setting and the development of legislation are two distinct parts of health policymaking that are specific in the formulation phase. What is mostly happening in agenda setting- is establishing diverse problems, with possible solutions to the problems then it allows them to move …show more content…
on to the next phase which is legislation development -where taking those problems, and potential solutions are in process to achieve a new public law, or any amendments of existing laws within the federal level of government. Therefore, the problems in legislation are developed and addressed differently in each level and same goes for the people participating during the development. 4.
The congressional Committees are big part of structure pertaining to congress. They bring forth certain considerations that indeed aide the proposals from within the legislative branch. Which leads me to briefly explain the 4 committees that pertain and most beneficial to health policy. (1). Committee on Finance, with its Subcommittee on Health Care- belonging to the senate has command on all health programs which are financed from under Social Security Act with relevance to the Medicare and Medicaid programs. (2). Committee on Health, Education Labor, Pensions also known as the HELP Committee, with its Subcommittee on Children and Families, Employment and Workplace Safety, and Retirement and Aging- is another Senate committee that oversees all agencies, institutions, and programs pertaining to the Department of Health and Human Services. (3.) Committee on Ways and Means with its Subcommittee on Health- House committee which is responsible for providing the necessary sources and follow through with payments in healthcare, health delivery systems, or even researches on health. (4.) Committee on Energy and Commerce with its Subcommittee including those on health and on energy and Environment- House committee that mostly handles bills and any relevance in Medicaid, national health insurance, etc. These committees and subcommittees are essential because they gold hearing on …show more content…
bills. 5.
The federal budget begins with a proposed budget from the president then it passes through development of Legislation (senate and house budget committees) from that stage the House of Representatives take the lead in the budget process by analyzing the bill’s revenues. Then the federal budget passes on through 3 stages. First, congress provides some sort of guidelines for taxation and spending through programs. Second, these programs are either passed through with changes like modifications, establishments, and or extensions that are to be addressed before any appropriate program can be used. Third, generally the budget amount runs a little less than what originally proposed but with that third step it now becomes much more automatic in processing the development of the federal budget legislation. When it comes to the Health policy the relationship between the two is that funding and appropriate programs cannot be proposed or drafted without the federals budget process. Having Committees have health policy jurisdiction let say committed to bring forth and process is a plus in bringing potential programs to help hold and contribute to health policy
matters. Assignment 4 Worksheet Reponses • Bill Number A5062A- create universal single payer health plan, • Bill Number S3525-establish New York health program • Bill Number A00379- amen public health law, payments of claims submitted by healthcare agencies • Bill Number A2799- Reduce over payment from healthcare facilities 2. There were not any interest groups/ organizations and or lobbing for pro/con of the bill at the moment. 3. There were two committees: CODES, and WAYS AND MEANS 4. Yes, this bill will impact the state, local government, and me individually if passed. Since at the moment I do not have health coverage because of high priced payments, and I as well have family member whom are not covered, with this new amendment added to Public Health Law it will be beneficial to have programs fund and fullfil coverage to New Yorkers. 5. This bill shall be an amendment to Public Health Law 6. State Budget Outline: (1). Budget preparation- where the budget is created and is sent to the general assembly. This is the fiscal year starts July 1 and it is first brought to attention 12 months prior. Spending and revenue recommendations begin to form. (2). Legislative Review and enactment- the budget is reviewed by house and senate by holding hearings by analyzing the proposal. (3). Budget execution- where the governor begins the stage of budget cycling and signing the bill. (4.) Audit- checking and monitoring its performance financially and through the state’s program.
To summarize, the congressional committee system is a double-edged sword. It ensures that appropriate attention is given to each bill, but it can be easily corrupted by partisan influence. Surely, though, the advantages far outweigh the consequences. Committees are an integral part of the law-making process. They help to expedite the process of passing laws and ensure that only relevant issues are brought to the chambers of Congress for consideration.
Congressional committees are the part of the iron triangle that puts bills into the legislative process after they work with interest groups. A member of a congressional committee proposes a bill into the committee to be voted on. Members of congressional committees are members of the legislative branch, so when they propose the bill into their committee they work with the other members to get it passed. If one member doesn't like the bill they can try to get the bill maker to change it to his liking so he will vote for it. For example in my congressional committee, the judiciary committee, congressman Mclenan proposed a bill to give tax cuts to banks who approve a certain amount of low income people's loans. We all thought that other people that needed loans might be overlooked just because they were not low income people. We made him make guidelines for that issue, so we could vote for it.
Federal spending is necessary for the economy and is essential to the accomplishment of national goals and advancement. This is why a budget is needed, however, there is no actual process mentioned in the Constitution that explains how Congress should do this. The Constitution states:
During the study of various reforms that were proposed and denied, both the GOP and Democrats attempted to find a balance that would guarantee the success of their proposals. Years of research, growing ideologies, political views and disregard for the country's constitution sparked an array of alternatives to solve the country's healthcare spending. The expenditure of US healthcare dollars was mostly due to hospital reimbursements, which constitute to 30% (Longest & Darr, 2008). During the research for alternatives, the gr...
For the last five years of my life I have worked in the healthcare industry. One of the biggest issues plaguing our nation today has been the ever rising cost of health care. If we don't get costs under control, we risk losing the entire system, as well as potentially crippling our economy. For the sake of our future, we must find a way to lower the cost of health care in this nation.
Agenda setting is the process that determines appropriate solutions to a certain problem of a given field (Kingdon, 3). The process itself consists of three streams: problems, policies, and politics (Kingdon, 16). These separate streams interact when windows of opportunity are open – solutions are fitted with problems, and the impetus for this relationship is amenable political forces (Kingdon, 20). Prominent agendas are determined by the problem or political streams, while solutions are crafted in in the policy stream (Kingdon, 20). In the field of health care, the agenda setting is based upon the high number of uninsured citizens, the rising cost of medical care, the development of Patient Protection and Affordable Care Act (PPACA) in response to this issue, and the key players that debate whether governmental involvement is the correct approach in the issue of universal healthcare.
The preamble of the United State’s constitution sets many goals for the country. These goals are to form a more perfect union, to establish justice, insure domestic tranquility, provide for the common defense , promote the general welfare, and to secure the blessings of liberty for ourselves, and our posterity (US Const). With all of these goals it begs the question are, parts of the United State’s government meeting these goals? One specific case with this relationship is the relationship between the federal budget, and the goals in the preamble. The federal budget is meeting the goals set out in the preamble of the constitution because the federal budget defends the country, promotes the welfare of America’s citizen, and establishes justice
Longest Jr., B.B (2009) Health Policy making in the United States (5th Edition). Chicago, IL: HAP/AUPHA.
Policy in my perspective illustrates as a decision making, planning and or action taken to achieve a certain specific goal within our society. According to Longest B. (2010), his definition stated in his text book states that a policy is defined as ” authoritative decisions made in the legislative, executive, or judicial branches of government that are intended to direct or influence the actions, behaviors, or decisions of others.” In developing a policy, certain steps need to be taken in act to implement the policy. The crucial steps in implementing a policy are: recognizing the problem, agenda setting, formulating the policy, and finally implementing the policy (N.A., 2015).
Since the initiation of the Affordable Care Act in 2010, Americans have been put back in charge of their individual health care. Under this new law, a health insurance marketplace provides a haven for individuals without insurance to gain coverage. Just this year, citizens found out early whether they qualified for Medicare or the CHIP formally known as the Children’s Health Insurance Program. So much is to be learned about the Affordable Care act and this paper provides the roles of the different governmental branches, along with other important factors associated with this law.
Discussion surrounding the role of the government in health care has become an American past time. The government is responsible for improving health care quality and safety in the United States which should enhance access to care. Many goals have been sought after since the enactment of the Patient Protection and Affordable Care Act (PPACA). Little achievement has been made in regards to which level of government is ultimately responsible for the continued support of health care. This essay will discuss both the state and federal level of government in health care, along with insight into the current happenings of both levels.
Health care is one of the most debated issues in the United States today and it 's necessary to understand the basics of this problem. Approximately 50 million people living in the United
Healthcare Policy has been through many ups and downs over the years. The first United States legislature to involve healthcare dates back to 1798, when “The Act for the Relief of Sick and Disabled Seamen” was adopted. This approach is not very different in how healthcare works today. The act called for a 200 cent tax on seamen in order to pay for their health care. But it wasn’t until 1912, when President Theodore Roosevelt campaigned on a platform to adopt a single national health service. Finally a program called Medicaid was adopted to insure low income families, and in 1966, Medicare was adopted, guaranteeing health care for those over the age of 65 who paid into the system. Finally, The Affordable Health Care for America Act was introduced in 2009, and while it has changed and been revised a few times since then, it is th...
Health reform and health policy has taken over in the United States in recent years. Medicaid is one of the top policies being implemented throughout our nation today. To understand how Medicaid and federalism cross paths with each other one must understand the basic definitions and concepts each one brings. Federalism is “system of government in which the same territory is controlled by two levels of government. Generally, an overarching national government governs issues that affect the entire country, and smaller subdivisions govern issues of local concern.” In short, federalism is a government system that has an overseeing central government over state government. While, “Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. Medicaid serves low-income parents, children, seniors, and people with disabilities.” Medicaid is a test based welfare program for United States Citizens. Now the question is how does Medicaid intersect with federalism? These two intersect because Medicaid is a need-based program that is funded by the federal government and the state government and administered at the state level. The issue with Medicaid is that if it expands then a crowding-out effect may occur. Meaning, that the more the government spends on Medicaid then less they would be able to spend on other programs such as: education, transportation, or other state priorities. Medicaid is supposed to provide access to health insurance for approximately half of our nations uninsured citizens. Without Medicaid a vast amount of low-income citizens will go without having a healthcare insurance plan.
Health care policies are plans that intended to determine or influence decisions or actions that will help to achieve specific health care goals. Most of these policies are actions taken by the government to improve the American health care system. The purpose of this essay is to describe the process of how a topic eventually becomes a policy and tie to how the Affordable Health Care Act (ACA) policy process. This essay will include the formulation stage, legislative stage, and implementation stage of a complete policy process.