DDHA 8600 Walden University Legislative and Regulatory Actions for Healthcare Expenditures Paper

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  • How might legislative and regulatory actions affect healthcare expenditures?

It may come as no surprise that the rising costs of healthcare from both a provider and consumer perspective, remain a major challenge in the U.S. healthcare system. While healthcare costs from a consumer perspective may have been temporarily alleviated with the implementation of the PPACA, providers still face many challenges when delivering effective and quality healthcare services to their patients.

How might healthcare leaders streamline healthcare delivery costs without compromising the quality of healthcare delivered?

Consider how legislative and/or regulatory actions may affect healthcare expenditures for HSOs. Reflect on how legislation or regulatory actions may differ at the state and federal level.

Explanation on what additional legislative and/or regulatory actions might be taken to limit increases in healthcare expenditures at the state and federal level. Be specific and provide examples.

  • Influence and the Policy Making Process

The policy making process is not free from politics (far from it). That is, certain groups and individuals from the public and private sectors may exert an influence on the type of legislation that emerges from the policy making process. While healthcare policy does not in itself represent the best interests of any one entity, the ultimate goal of healthcare policy should be to enhance quality, increase access, and reduce costs. Consider for example, while the implementation of the PPACA may have opened up previously inaccessible healthcare services, the new mandate also requires employers and healthcare providers to become even more cost conscious given the downward pressure on reimbursement rates and employer coverage requirements. While the mandate opened channels for consumers of health to obtain access, it similarly inhibited certain providers to maximize the services such access could provide.

From 1 Government perspective 2 Employer perspective.

Review how employers and the government may influence healthcare policy in the policy making process. Reflect on how the influence of employers and the government may impact population health and healthcare delivery.

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