Evidence-Based Health Policy And Politics Discussion
Evidence-Based Health Policy And Politics Discussion
In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.
To Prepare:
Review the agenda priorities of the current/sitting U.S. president and at least one previous presidential administration.
Select an issue related to healthcare that was addressed by two U.S. presidential administrations (current and previous).
Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.
Use your Week 1 Discussion post to help with this assignment.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page. This is an APA paper. Use 2-3 course resources and at least 2 outside resources. Evidence-Based Health Policy And Politics Discussion
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Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the previous president, and their agendas related to the population health concern you selected. Be sure to address the following:
Identify and provide a brief description of the population health concern you selected.
Explain how each of the presidential administrations approached the issue.
Identify the allocation of resources that the presidents dedicated to this issue.
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following: Evidence-Based Health Policy And Politics Discussion
Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected and why is this agency the most helpful for the issue?
How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there?
An entrepreneur/champion/sponsor helps to move the issue forward. Who would you choose to be the entrepreneur/champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected and why would this person be a good entrepreneur/ champion/sponsor? An example is Michael J. Fox is champion for Parkinson’s disease.
Part 3: Fact Sheet
Using the information recorded on the template in Parts 1 and 2, develop a 1-page fact sheet that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following: Evidence-Based Health Policy And Politics Discussion
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Justify the role of the nurse in agenda setting for healthcare issues.
By Day 7 of week 1
Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Narrative.
References and resources
President Joe Biden’s healthcare agenda: building on the ACA, value-based care and bringing down drug prices: PwC
President Donald J. Trump Is Implementing His America First Healthcare Agenda – The White House (archives.gov)
FACT SHEET: Biden-Harris Administration Lowers Health Care Costs – The White House
Improving Health for All Americans | whitehouse.gov (archives.gov)
Improving Health for All Americans | whitehouse.gov
HealthCare.gov: Rescission “Rescission is the retroactive cancellation of a health insurance policy. Insurance companies will sometimes retroactively cancel your entire policy if you made a mistake on your initial application when you buy an individual market insurance policy.
obamawhitehouse.archives.gov
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FACT SHEET: Biden- â Harris Administration Lowers Health Care Costs
Vice President Harris Outlines How Build Back Better Lowers Health Care Costs, Announces 2.5 Million Americans Signed Up for Health Insurance Ahead of Aug. 15 Deadline
www.whitehouse.gov Evidence-Based Health Policy And Politics Discussion
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President Donald J. Trump Is Implementing His America First Healthcare Agenda – The White House – Archives
ENSURING BETTER CARE: President Donald J. Trump is improving care for the American people, especially the most vulnerable. Today, President Trump signed the first Executive Order in American history to declare it is the policy of the Federal Government to protect individuals with preexisting conditions and ensure they have access to care they can afford.
trumpwhitehouse.archives.gov
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President Joe Biden’s healthcare agenda: building on the ACA, value-based care and bringing down drug prices – PwC
Implications of Biden’s health agenda on healthcare payers, providers and pharmaceutical and life sciences companies. The US health system has been slowly transforming for years into a New Health Economy that is more consumer-oriented, digital, virtual, open to new players from outside the industry and focused on wellness and prevention.
www.pwc.com
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Use this Agenda Comparison Grid to document information about the population health/healthcare issue you selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.
You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment Evidence-Based Health Policy And Politics Discussion.
| Identify the Population Health concern you selected. | Low-income and the uninsured population | |
| Describe the Population Health concern you selected. | Eroded access to insurance had undermined the capacity of mover than 7 million uninsured Americans to secure free health insurance through the Affordable Care Act (widely known as the Obama Care). Although a range of other policy-level interventions such as the implementation of Medicaid and CHIP have helped to reduce the national uninsured rate, at least 32 million people in the country are uninsured in 2020 (CMS, 2022). Therefore, there is still a significant portion of Americans lacking health insurance, and hence the Biden Administration has been on the forefront in adopting policy-level measures aimed at ensuring improvements in the number of Americans eligible for receiving free or subsidized health insurance. | |
| Administration (President Name) | Donald Trump | Joe Biden |
| Explain how each of the two presidential administrations approached the issue. | The Trump-Pence Administration repealed the Affordable Care Act, leading to a significant growth in the number of uninsured individuals from 2.1 million to around 6 million in 2017. Even though the Trump Administration extended healthcare safety net for the uninsured, close to 2 million individuals lost access to healthcare following the efforts by the Trump Administration to chip away at the Obama Care (Ellison, 2017)Evidence-Based Health Policy And Politics Discussion. | The Biden-Harris Administration has focused on strengthening the Affordable Care Act to expand and preserve health insurance coverage for Americans. He Administration has focused on expanding and reinvigorating the ACA’s health insurance exchanges (CMS, 2022). Some of the key interventions by the Biden Administration to address this particular health concern included implementation of the American Rescue plan Act, the Families First Coronavirus Response Act, among other legislations (Haffajee & Sommers, 2021). Therefore, the Biden Administration has primarily sought to pursue innovative health reforms aimed at expanding Medicaid and Medicare eligibility and enrollment and also tackling barriers to enrollment and expansions in government-subsidized coverage (Oberlander, 2021). |
| Identify the allocations of resources that the current and previous presidents dedicated to this issue. | In terms of Medicaid cuts, at least $300 million was reduced from the Medicaid budget over 5 years.
The repeal and replacement of Affordable Care Act sought to face $250 million over 10 years. Reduction in CHIP funding sought to reduce around $ 6 billion from the Children’s Health Insurance Fund. Approximately $500 million allocated for expanding access to treatments, including medication-assisted treatment, and substance abuse treatment (Gee, 2020). |
Close to $2.3 million allocated to community groups that assist sign-up for ACA health plans.
Proposals made in the American Rescue Plan (ARP) by the Biden Administration sought to provide $400 billion as COVID-19 relief. The 2021 Special Enrolment Period (SEP) focused on providing around $19,000 for an individual and $40,000 for a family of four to eligible low-income consumers under 150% of the Federal Poverty level (Wynne & Joyce, 2021).
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Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue you selected
| Administration | Biden-Harris Administration |
| Which administrative agency (like HHS, CDC, FDA, and OHSA) would most likely be responsible for helping you address the healthcare issue you selected? Why is this agency the most helpful? | United States Department of Health and Human Services. This is because the HHS is involved in the implementation of the key provisions of the ACA. |
| How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there? | The issue of uninsured population stays on the presidential agenda through building on the progress made by the Obama Care by reducing premiums for the millions of individuals enrolled in Marketplace coverage and fostering Medicaid expansion, enabling around 4 million uninsured individuals to gain coverage (CMS, 2022)Evidence-Based Health Policy And Politics Discussion. |
| Who would you choose to be the entrepreneur/ champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected? An example is Michael J. Fox a champion for Parkinson’s disease. | The United States secretary of health and human services |
Narrative
The healthcare issue of uninsured population in the modern American society gained prominence on the presidential agenda due to a number of reasons. First, a significant portion of the uninsured population has reduced access to healthcare due to the low level of enrolment in the existing health insurance plans and packages. Secondly, the repeal of the ACA act by the Trump Administration greatly undermined the funding of health insurance coverage programs, and this significantly undermined the ability of uninsured populations to access high-quality and affordable healthcare care. Thirdly, the implications of the COVID-19 pandemic triggered the greater need for the U.S. government to consider implementation of COVID-19 relief plans aimed at expanding and reinvigorating the ACA as the basis for enhancing the eligibility of millions of uninsured Americans for the premium subsidies provided under some of the existing healthcare legislations (Oberlander, 2021)Evidence-Based Health Policy And Politics Discussion. In terms of the role of the nurse in agenda setting, the lack of health insurance remains a pertinent healthcare issue that can only be addressed through the expansion of current legislations aimed at ensuring more Americans become eligible for cheap or free coverage (Lamb et al., 2015). In this context, registered nurses have a key responsibility to participate in the planning, design and implementation of programs and efforts aimed at expanding the enrolment of uninsured Americans in the current programs. Equally, the nurse can also work in partnerships with community groups and others to contact the uninsured and to ensure the realization of the government’s promise of free health insurance for millions of Americans (Milstead, 2019)Evidence-Based Health Policy And Politics Discussion. Therefore, healthcare practitioners including nurses are frontline healthcare workers actively involved in the realization of the policy goals and initiatives pursued by the government with the core intention of facilitating the delivery of universal coverage through calling for spending and tax reforms, and streamlining of government-subsidized and regulated private insurance.
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References
CMS, (2022).Biden-Harris Administration Proposes to Make Health Care Enrollment Easier for Millions of Americans. https://www.cms.gov/newsroom/press-releases/biden-harris-administration-proposes-make-health-care-enrollment-easier-millions-americans
Ellison, A. (2017).Trump’s $4.1 trillion budget: 9 healthcare takeaways. https://www.beckershospitalreview.com/finance/trump-s-4-1-trillion-budget-9-healthcare-takeaways.html
Gee, E. (2020).Less Coverage and Higher Costs: The Trump’s Administration’s Health Care Legacy. https://www.americanprogress.org/article/less-coverage-higher-costs-trumps-administrations-health-care-legacy/
Haffajee, R. L., & Sommers, B. D. (2021). Evidence-based health policy in the Biden-Harris administration. JAMA Health Forum, 2(7), e212598. https://doi.org/10.1001/jamahealthforum.2021.2598
Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., & Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi: www.10.1016/j.outlook.2015.06.003.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). New York: Jones & Bartlett Learning.
Oberlander, J. (2021). Introduction: Health policy and the Biden administration. Journal of Health Politics, Policy and Law, 46(4), 533-534. https://doi.org/10.1215/03616878-8970725
Wynne, B. & Joyce, D. (2021).What Are the Biden Administration’s Health Policy Priorities? https://www.chcf.org/blog/what-are-biden-administrations-health-policy-priorities/ Evidence-Based Health Policy And Politics Discussion