Optimal Model and Systems for HCD

Analyze financial models of reimbursement and their effects on patients and health care providers.

Directions

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

Provide a brief history of both Medicare and Medicaid.
Define the populations that they are intended to serve.
Determine whether your state has expanded Medicaid.
Articulate the reasons that states choose not to participate in Medicaid expansion.
Analyze your role in your specialized (Nurse Practitioner, Mental Health )area of nursing practice when interfacing with Medicare and/or Medicaid recipients.

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Discussion Topic: Third-party Payment

How does third-party payment distort the market for health care? If it is so distorted why does every wealthy country insist on using third-party intermediaries to purchase health care? Why do we carve out a separate payment program for our elder citizens?

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MN507-1: Examine U.S. healthcare policy structures and the role of the nursing leader as a change agent at the public policy table.

Directions

You will decide on a policy issue that needs to be addressed:
Policy Issue: Medical care for illegal immigrants.

You will write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important. The letter will address:

The current policy structure.
The need for the change.
The suggested change.
Cost implications if the change is implemented.
The role the nurse as a change agent will take at the policy table.

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The incidence of PolyPharmacy, or the use of five or more medications on a daily basis, is common in the US particularly among the elderly population. It occurs for a variety of reasons, including the need to treat multiple conditions, the patient obtaining treatment from numerous physicians, and a lack of communication among those physicians about medications prescribed. PolyPharmacy increases the risk of adverse drug effects and increased costs to patients. Formulate a policy to reduce the practice of multiple drug prescriptions. What tools might be included in the design phase of the policy process to increase the probability of success? What research from other countries could be helpful in addressing this issue? Support your reasoning.

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Describe how you, as an advance practice nurse, could be involved in the political system. Describe any involvement that you have had. If you have not had any involvement, describe an area in which you would like to see public policy changed.

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