Term
5 Features of US Health Policy |
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Definition
GPPPS
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Government as Subsidiary to the Private Sector
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Fragmented, Incremental, and Piecemeal Reform
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Pluralistic and Interest Group Politics
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Impact of Presidential Leadership
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Decentralized Role of the States
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Term
Describe the Public Policymaking Model |
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Definition
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Term
Describe the different forms of Health Policy
(How does each branch affect policy?) |
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Definition
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Term
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Definition
call on government to prescribe and control the behavior of a particular target group by monitoring the groups and imposing sanctions if it fails to comply. |
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Term
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Definition
the direct provision of income, services, or goods to certain groups of individuals or institutions
Destributive or REDestributive |
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Term
3 components of the
Policy Making Model |
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Definition
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formulation
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implementation
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modification
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Term
What are the 4 Critical Policy Issues? |
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Definition
•Access to Care
•Cost of Care
•Quality of Care
•Research and Policy Development |
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Term
Where are the (5) main Access Concerns? |
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Definition
MERLA
–Access and the Minorities
–Access and the Elderly
–Access in Rural Areas
–Access and Low Income
–Access and Persons with AIDS |
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Term
What are the 3 branches of Government? |
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Definition
Executive (President)
Legislative (Congress)
Judicial (Supreme Court) |
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Term
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Definition
– Kept details from public to avoid criticism
– Democratic congress
– Insurance Buy-In
– Economic Downturn
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Term
What 2 states set precedents for
the ACA to pass in 2010? |
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Definition
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Term
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Definition
Authoritative decision made
within government regarding healthcare |
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Term
What authority does the legislative branch have? |
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Definition
Enacts laws
Creates and funds health policy
Balances health policy with other policy demands |
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Term
What authority does Executive branch have? |
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Definition
Implement Laws
Approve/Veto legislation
Propose legislation |
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Term
Judicial Branch health policy authority |
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Definition
Interprets laws
Creates body of case law
Preserves rights of citizens
Resolves disputes |
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Term
3 Precedants of Reform
from Oregon's Health Policy |
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Definition
SEE
State coverage for pre-existing conditions
Employer Mandate
Expansion of Medicaid |
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Term
4 Precedents of Reform
from Massachusett's Health Policy |
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Definition
EPIC
Employer Mandate
Premium Subsidies for poor
Individual Mandate
Central Exchange for health insurance |
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Term
3 Dilemmas of Healthcare Reform
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Definition
UPC
Universal Coverage (requires single payer)
Pre-existing conditions (underwriting w/o risk rating)
Cost (reform is unstable w/o cost control) |
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Term
Explain
Health policy as a by-product of social policy |
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Definition
Insurance tied to employers as a result of wage-freezes during WWII and a Supreme Court ruling that employee benefits, including health insurance, could be legitimately included in the collective bargaining process |
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Term
Jurisdictional fragmentation |
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Definition
Distribution of congressional committee hearings on health-related issues divided among more committees than hearings in any other policy domain
31 committees and sub-committees deal with healthcare |
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Term
Why did the Clinton Healthcare plan fail? |
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Definition
– More transparent and caused more opponents.
– Insurance did not support.
– Missed window of opportunity
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Term
9 Reasons for growth HCE (healthcare expenditures) |
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Definition
3 tough moms making imperfect old Digiorno pizza
Third party payemnt, Technology Medical Model, Multipayer Imperfect market, Aging population Defensive Medicine, Practice Variation |
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