Prof Quiz 4 hints, part 2 Flashcards
Uses of policy
Regulatory tools
Allocative tools
Principle features of US health policy
Gov’t as the subsidiary to the private sector
Fragmented
Incremental and piecemeal policies
Pluralistic politics associated with demanders and suppliers of policy
The decentralized role of states
The impact of presidential leadership
Legislative branch and US health policy
The most active in policy making
In the form of statutes or laws
Executive branches and US health policy
Presidents, governors, and other PH officials propose policies
Intermediary suppliers of policies
Executives and administrators make policies in the form of rules and regs used to implement statutes and programs
Judicial branches and US health policy
Uphold, strike down, or modify existing laws by:
-Interpreting an ambiguous statute
Establishing judicial precedents
Interpreting the Constitution
States and US health policy
Decentralized role
Incremental policy actions by states
-State-initiated programs for vulnerable pops
-Policy initiatives to expand health insurance coverage
Forms of role of individual states in US health policy
Curtailing the influence of managed care
Financial support for the care and tx of the poor and chronically disabled
Quality assurance and oversight of HC practitioners and facilities
Regulation of HC costs and insurance carriers
Health personnel training
Authorization of local gov’t health svcs
Disadvantages of having states involved in US health policy
Difficult to coordinate a national strategy
Impact of presidential leadership in US health policy
Harry Truman’s Hill-Burton Hospital Construction Act of 1946
LBJ’s Medicare and Medicaid of 1965
Nixon’s HMO Act of 1973 and the National Health Planning and Resources Development Act of 1974 (CON legislation)
Raegan’s authorization of the PPS method of payment in 1983
Bill Clinton’s CHIP and HIPAA of 1996
W. Bush’s Medicare part D in 2003
Obama’s ACA in 2010
Parts of the policy cycle
Issue raising
Policy design
Public support building
Legislative decision making and policy support building
Legislative decision making and policy implementation
Ways and Means Committee House
Medicare part A
Social Security
Unemployment compensation
Public welfare
HC reform
Energy and Commerce Committee House
Medicaid
Medicare part B
Matters of PH
Health personnel
HMOs
Foods and drugs
Consumer products safety
Health planning
Biomedical research
Health protection
Committee on Appropriations House
Responsible for funding substantive legislature provisions
Committee on Labor and Resources Senate
Jurisdiction over most health bills
Committee on Finance Senate
Jurisdiction over:
Taxes and revenues
Matters related to Social Security
Medicare
Medicaid
Maternal and child health