Lesson 25 – Flashcards

any law, regulation, principle, or plan established by an agency, arm, or branch of government public policy involves action and is shaped by many players, including private sector entities, interested in its outcome.

legislation, regulation, taxation, funding of public programs, purchase of services, and collection and provision of information

allocative policies and regulatory policies

determine the allocation of public funding modify how public funds are spent in the financing of healthcare. e.g. Medicaid and Medicare are examples of allocative policies—government programs that allocate public funds to members of the population eligible for such programs.

include all other policies that affect the delivery and financing of healthcare in both the public and private sectors

Allocative; they change how health plans participating in the Medicare program do business and they shift the way public money is spent in the provision of healthcare. the federal government has enacted a number of laws designed to attract health plans into the Medicare market

formerly known as the Health Care Financing Administration grant waivers to states seeking to experiment with ways of providing healthcare to the indigent.

Most allocative policy is set by the legislature, the legislature is not the sole government agency that is engaged in such allocative actions. For example, when former President Clinton announced an Executive Order expanding federal efforts to enroll children in Medicaid, he proposed a public policy action that will change the allocation of public resources devoted to healthcare.

-control how health plans do business -nearly unlimited in its range -regulation of the financing and delivery of healthcare affects nearly every American

Laws ranging from the Health Insurance Portability and Accountability Act (HIPAA) of 1996—that contains provisions designed to ensure access to portability of healthcare coverage—to laws affecting health plan quality oversight and how health plans may contract with providers fall into this category of regulatory policy. Examples of regulatory policy include mandated healthcare benefits, laws specifying procedures for health plan handling of consumer appeals and grievances, and laws and regulations addressing the solvency of health plans.

Allocative policy- only a portion of the population receives direct benefit from the allocation of public funds for healthcare

Regulatory policy where they help set legislative agendas and develop laws