Stakeholders in Health Care Policy Response

I need an explanation for this Social Science question to help me study.

Read a selection of your colleagues’ posts.

Respond by Day 5 to at least two colleagues in one of the following ways:

  • Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.
  • Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.

Support your response with specific references to the resources. Be sure to provide full APA citations for your references.

Colleague 1: Nicole

how the evolution of health care policy has influenced programs such as Medicaid and Medicare.

The evolution of health care policy has influenced programs such as Medicaid and medicare by contributing billions of dollars into these programs leading to better care. When Medicare was started 19 million Americans were enrolled focusing on America’s most vulnerable, aging adults and people living in poverty. Today there are now more than 56 million people enrolled (usnews.com). Medicaid, started by only covering people who received government assistance, today it is the largest health insurance program in the country, with more than 71 million people enrolled. Due to these programs and health care policies, the “racial segregation” has been removed from hospitals and other health care facilities (usnews.com). It has provided better health care to millions of Americans, contributed to longer life expectancy, and helped many children grow into healthy teenagers and adults. There is now coverage for prescription drugs and medical devices.

describe a specific Medicaid policy in your state that should be amended, and explain how you would amend it and why.

In North Carolina, currently, there is not a policy for covering telemedicine and telepsychiatry services. While we are in a pandemic of Covid-19 right now people are not leaving their homes, thus subjecting them to different mental issues such as depression, stress, fear, and isolation. Amending this policy would offer support and guidance from medical personnel via a phone, computer, or by other means. To meet these people where there at during this difficult time.

describe the stakeholders involved in the Medicaid and Medicare health care policy in your state, and explain the role of these stakeholders in policy development for this issue.

Stakeholders involved in the Medicaid and Medicare health care policy in NC include the governor’s office, the community, the patients and their advocates, state legislature, and the health care system as a whole. All of these people and groups focus on managing and developing existing policies and expanding or creating future policies. They are in favor of the rights of the people in their communities and how the policies affect them.

References

https://www.ahrq.gov/

https://medicaid.ncdhhs.gov/

https://www.usnews.com/news/the-report/articles/2015/07/30/medicare-changed-health-care-in-america-for-the-better

Colleague 2: Marilyn

Post an explanation of how the evolution of health care policy has influenced programs such as Medicaid and Medicare:

Medicare a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have an extremely low income. The evolution of medical care, its financing, and the expectations of the American population for high-quality care and rational use of public funds have linked, irreversibly, CMS(Centers for Medicaid and Medicare services) to clinical medicine.1 CMS finances health care for more Americans than any other single entity; the agency has a responsibility to its beneficiaries to ensure that they receive quality, effective, and efficient health care(Dewalt,et.al.2005).

Describe a specific Medicaid policy in your state that should be amended, and explain how you would amend it and why: In the state of South Carolina, A policy that should be amended would be the program financial limits(income limits) policies, some should be adjusted, especially for the elderly population, sometimes they get denied for coverage because they are over the income limit by a few dollars or even cents. The federal government only give the state a certain amount of money for these types of programs, I would amend by seeing if there are additionally ways for an increase in some categories financial program limits.

Describe the stakeholders involved in the Medicaid and Medicare health care policy in your state, and explain the role of these stakeholders in policy development for this issue: The stakeholders in South Carolina, Stakeholder support, beginning with program design and continuing through the evaluation, is critical to a successful Medicaid care management program. Stakeholders should be involved during each stage of the program to build support for it, provide suggestions for its design, and participate in evaluation and continuous quality improvement activities. Stakeholders include senior Medicaid and agency leadership, the Governor’s office, the provider community, the patient and advocacy community, the State legislature, and the Centers for Medicare & Medicaid Services (CMS)(Unknown,2020).

References:

(Unknown,2020), Designing and Implementing Medicaid Disease and Care Management Program https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html

Darren A. DeWalt, M.D., M.P.H., Jonathan Oberlander, Ph.D., Timothy S. Carey, M.D., M.P.H., and William L. Roper, M.D., M.P.H.(2005) : Significance of Medicare and Medicaid Programs for the Practice of Medicine

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