Preview

Policy Analysis of the Oregon Health Plan

Powerful Essays
Open Document
Open Document
2907 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Policy Analysis of the Oregon Health Plan
Running Head: FHS 327 FINAL PROJECT A Policy analysis: The Oregon Health Plan Introduction and definition of the issue--why is it important to analyze? The Oregon Health Plan (OHP) is a public and private partnership to ensure access to health care for Oregonians. The major components are: Medicaid reform, insurance for small businesses, and a high risk medical insurance pool. “In addition, OHP includes provisions for oversight, research, and analysis to achieve the best use of health care funding” (Department of human services; Oregon health plan a historical overview (2006, p 2). According to the DHS (Department of Human Services, p 1), their current goals are a complex set of ideas that affect every Oregonian, resulting in the need for a closer, more structured analysis. They include: ➢ All citizens should have universal access to a basic level of care. ➢ Society is responsible for financing care for poor people. ➢ There must be a process to defining a “basic” level of care. ➢ The process must be based on criteria that are publicly debated, reflect a consensus of social values, and consider the good of society as a whole. ➢ The health care delivery system must encourage use of services and procedures that are effective and appropriate, and discourage over-treatment. ➢ Health care is one important factor affecting health; funding for health care must be balanced with other programs that also affect health. ➢ Funding must be explicit and economically sustainable.

➢ There must be clear accountability for allocating resources and for the human consequences of funding decisions (2006, p 1). Therefore, looking at a the OHP with respect to its relative history, what policy options are available, including trade-offs, a clearer view of



References: Abelson, R. (2010) . Bills stalled, hospitals fear rising unpaid care. The New York Times. Retrieved from http://www.nytimes.com/2010/02/09/health/policy/09hospital.html Cohen, R.D and Bloom, B. Centers for Disease Control. National center for health statistics. (2008). Retrieved from http://www.cdc.gov/nchs/data/databriefs/db29.pdf Department of human services. (2006). Retrieved from http://www.oregon.gov/DHS/healthplan/data_pubs/ohpoverview0706.pdf Gorman, L. (2009). Retrieved from http://www.ncpa.org/pub/ba645/ Health policy monitor. (2004). Retrieved from http://hpm.org/en/Surveys/IGH_- USA/03/Oregon_Health_Plan_Cuts.html;jsessionid=C01B348DDE882BE41261B1DB29 EB56A6?content_id=251&sortBy=sortCountry&sortOrder=sortAsc&a=st&lastSortBy=s ortCountry&lastSortOrder=sortAsc&p_t=2613&language=en&pageOffset=8 Kiplinger, K. (2010). Retrieved from http://www.kiplinger.com/columns/pointofview/archives/healthcare-rationing-is-i nevitable.html

You May Also Find These Documents Helpful

  • Good Essays

    The new social contract between the health care system and employers, patients, and the government has given everyone involved some breathing room. They have provided a clearer picture of the costs of health care; however, it is evident that there is still work to be done regarding the transparency of complete and exact costs. For example; all hospitals have a price list called the chargemaster that includes nearly 20,000 health care procedures. The prices on this list are the prices that patients will most likely see on their bills; however, the terms are not standardized and many are bundled services that make it difficult to compare them with other institutions. It is obvious that even though the public does see more of what is being paid out on their behalf and by whom, true transparency is still lacking (Curtis P. McLaughlin and Craig D. McLaughlin, 2008).…

    • 805 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Healthcare Insurance Issues

    • 2493 Words
    • 10 Pages

    Healthcare today is a big issue for a lot of individuals, and families. Because it’s not affordable and some plans are lacking the necessary coverage people need these days. There are many ways to make healthcare more affordable, adequate, efficient, and patient-centered. That being said there are also various healthcare plans that are suited for many different people such as HMO’s, PPO’s, POS’s, Medicaid, and Medicare. This is why government should develop a reform plan that focus on all of the above issues and much more.…

    • 2493 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Health Care Policy

    • 10787 Words
    • 44 Pages

    The number of uninsured Americans is greater than the total population of Canada (Lambrew, Podesta, & Shaw, 2005). Conservative 2004 estimates indicate that there were 41.6 million uninsured persons of all ages (14.5%) and 51.0 million (17.7%) were uninsured for at least part of the year (Cohen, Martinez, & Hao, 2005). By 2013, projections suggest that one in four Americans under the age of 65, nearly 56 million people, will be without health care insurance because coverage will be too expensive (CQ Health beat News, 2005). The United States spends more money on health care than other industrialized nations but is the only one that doesn’t ensure health care coverage for all citizens. Every year, approximately 18,000 unnecessary deaths occur because of health insurance lacking in the United States, (Institute of Medicine [IOM], 2002). Proponents of universal health care coverage say this problem is fixable but only if a significant overhaul of our current insurance system occurs. The Affordable Care Act of 2010 is not a universal coverage plan but is designed to decrease the number of uninsured.…

    • 10787 Words
    • 44 Pages
    Good Essays
  • Good Essays

    The large share of low-income uninsured Americans under the current combination of federal and state programs suggest that without a system of universal health coverage some population groups will be at a disadvantage. With stronger state involvement in health, there is the potential or gaining public input in the design and management of systems of care that may better suited to local populations and conditions. States need to continue to strengthen their role in organizing systems of health financing and service delivery. Stakeholders should take this opportunity to devise a plan to eliminate health disparities and increase life expectancy for the people. But there should be greater emphasis at the community level to end health…

    • 982 Words
    • 4 Pages
    Good Essays
  • Better Essays

    To start off this paper will discuss the process of a policy in Medicaid and how it becomes a policy. Medicaid Policies are always being reviewed and analyzed in order to help improve the American health care system. Each policy does and has the ability to affect us on a daily basis, so when policies are being put up for consideration we all have to be very careful when trying to change or implement a new or old policy. It is very important to have all involved understand the process of how a topic of a policy eventually does become a policy. This paper will explain all the stages that a policy goes thorough in order to become a policy, there are three stages; formulation stage, legislative stage, and lastly the implementation stage. There will be information given on all of these three stages and there process.…

    • 1437 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Health Policy

    • 386 Words
    • 2 Pages

    There are many roles played by healthcare committees because of the wide diversity of possible settings they can actually take part in. At St. Joseph’s Hospital and Medical Centre in Phoenix, this is a healthcare organization (HCO). (Sultz, 2006) It has two medical management committees, the risk management committee and the critical care committee. The role of the critical committee is actually to appraise the standards of critical care practice of several emergency and intensive care units in the hospital. This committee actually supports an endless improvement of the patient care at the hospital through the continuing and focused monitoring of the main quality signs. (Sultz, 2006)…

    • 386 Words
    • 2 Pages
    Good Essays
  • Better Essays

    In the early 1930’s, the Blue Cross/Blue Shield Organization led consumers to hospitalization and medical coverage under their own charter for everyone who sought coverage for one prepaid fee. Years later, other insurance companies, such as Kaiser Permanente began to offer coverage to consumers within their geographic boundary. However, health care spending is on the rise. Over the last couple of decades the expenditures have risen from 724.0 billion dollars in 1990 to 2,486.3 billion in 2009(US census, 2011). Today, we are a nation with Health Care Reform signed into law by President Obama on March 23, 2010, also known as the Patient Protection And Affordable Care Act (PPACA).…

    • 1157 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    Medicaid Expansion

    • 295 Words
    • 2 Pages

    The goal of the Affordable Care Act (ACA) is to provide uninsured Americans with healthcare. Ohio is facing an important decision to participate in the Medicare eligibility expansion of the ACA. Ohio contains an estimated 1,500,000 uninsured residents. This paper presents concise information regarding the impact on Ohioans and the state budget and economy.…

    • 295 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Health Policy

    • 579 Words
    • 3 Pages

    Health care is one of the top social, economic, and political problem facing Americans today. The cost of insurance is steadily rising which is putting a significant economic strain on families. Unfortunately the uninsured are not the only ones suffering, the insured are feeling it just as much. In 2007, nearly 50 million Americans did not have health insurance, while another 25 million were underinsured (Commonwealth Fund Biennial Health Insurance Survey 2007). The amount people pay for health insurance increased 30 percent from 2001 to 2005, while income for the same period of time only increased 3 percent (Robert Wood Johnson Foundation). The underinsured are people who have health insurance, but still struggle to pay their medical bills. This is where the need for policy analysts comes to the front; they have to be able to handle health policies with ease among the political arena. They need to be able to present the facts they gathered in a clear and concise way, so that they are able to explain the policy problems. When an analyst presents a problem they need to know the political repercussions, as well as favorable outcomes. If the analyst has not looked…

    • 579 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Religion & Healthy Aging

    • 20894 Words
    • 84 Pages

    A STUDY OF THE IMPACT OF SPIRITUALITY, RELIGION AND FUNCTIONAL HEALTH OF THE ELDERLY A Dissertation Presented to the Faculty of the School of Health Administration Kennedy-Western University In Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy in Health Administration by Kendall Brune St. Louis, Missouri Table of Contents Chapter 1 – Introduction……………………………….1 Introduction………………………………… 1 Statement of the Problem………………… 2 Purpose of the Study……………………… 3 Importance of the Study……………………4 Scope of the Study………………………… 6 Rationale of the Study………………………9 Overview of the Study…………………….. 11 Definition of Terms………………………..…

    • 20894 Words
    • 84 Pages
    Powerful Essays
  • Powerful Essays

    Health Care Policy

    • 1669 Words
    • 7 Pages

    The health care, policy-making process is composed of three major stages; the formulation stage, legislative stage, and the implementation stage. The policy process refers to the specific decisions and events that are required for a policy to be proposed, considered, and finally either implemented and/or set aside. It is an interactive process with multiple points of access providing opportunities to influence the multiple decision makers involved at each stage (Abood, 2007). Each stage presents a unique set of events for a policy to be proposed, considered, and either implemented or rejected. In the formulation stage there is an input of ideas, information, and research from government officials, citizens, and special interest groups. The issue is framed and the purpose and outcome is defined. Finally strategies are chosen and the necessary resources are identified. In the legislative stage the policy must be discussed by congress, agreed on and signed into law. In the implementation stage the policy is put into effect, human resources and funding are allocated. After a new policy is implemented, advocates, opponents, or other “interested parties” begin to consider the consequences of the decision and its implementation (Cockrel, 2007). Abood (2007), “The overall health care system, including the public and private sectors, and the political forces that affect that system are shaped by the health care, policy-making process” (The Policy Process and the Politics of Health Care). This paper will examine how the Medicare program has gone through the formulation, legislative, and implementation stage of the health care policy-making process and describe each stage of the process.…

    • 1669 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    While the U.S. healthcare system has undergone extensive changes since the Affordable Care Act (ACA) became law, in some respects the system remains consistent with pre ACA-models. U.S. healthcare is still divided into varying levels of insurance, all of which provide a unique set of benefits and all of which also illustrate associative strengths and weaknesses. Some of the compromises associated with the ACA`s passage in 2010 reflects this latter trend. While this law ultimately expanded Medicaid benefits to non-elderly adults, it also retained the employer-driven models of healthcare that have been a staple feature of U.S. healthcare law for decades. The purpose of this essay is to explore the various levels of healthcare that the Henry J.…

    • 897 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Affordable Care Act

    • 1425 Words
    • 6 Pages

    References: Morone, J. A., Litman, T. J., & Robins, L. S. (2008). Health politics and policy (4th ed.). Clifton Park, NY:…

    • 1425 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    The nursing shortage is nothing new to the United States of America. In this issue analysis essay, the causes that are compounding the nursing shortage are examined as well as the actions taken to prevent the shortage from becoming worse. Past nursing shortage causes and the current causes are studied. Most importantly, patient safety is at risk resulting in medical errors that otherwise would never happen. Nurses are also feeling dissatisfaction within their careers and many nurses across the country do not think positively about their field. It is important that the nursing shortage be controlled before the negative impacts of the deficiency are too great in damage. Together, hospitals, nursing programs, and the government must all work as a team in order to overcome the nursing shortage.…

    • 1928 Words
    • 8 Pages
    Powerful Essays
  • Better Essays

    Health care reform has been a budding issue within the United States this past year, and problems continue to surface. At the beginning of this process, Americans wanted the government to ensure that all citizens would be able to have affordable and good health care, no matter what their financial situation. The price for health care was increasing at a rate that people could no longer afford it and a lot of people desperately wanted a universal health care systems like some of their neighboring countries. In a sense, change was needed, but how this change came about is the real issue…

    • 2608 Words
    • 11 Pages
    Better Essays