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The Oregon Health Plan has been called a “bold experiment” designed to expand health insurance to Oregon's low- income residents. It sought simultaneously to expand coverage, control costs, and foster provider participation. However, like the experimental drug that performs no better than a placebo, the Oregon Health Plan has produced results that are not significantly different from the outcomes seen by the U.S. as a whole. Over the life of the plan, the share of uninsured in Oregon has not been significantly different from the rest of the U.S. for any sustained period of time. Similarly, over time, Oregon's share of the population covered by Medicaid is virtually no different from the rest of the U.S. Data presented by the state tended to overstate the number of uninsured prior to implementation of the Oregon Health Plan and to understate the number of uninsured after the plan was rolled out, thereby inflating the plan's early success in expanding coverage. Total Medicaid expenditures and Medicaid expenditures per enrollee have closely tracked U.S. expenditures, an indication that the Oregon Health Plan has not been any more or less successful than the U.S. as a whole in controlling costs. Initial hopes for broad participation by providers have been dashed by the pullout of larger managed care providers and a shrinking pool of providers willing to accept Oregon Health Plan enrollees as new patients.
Despite intense political focus and debate for the past 10 years, Americans remain deeply worried about the availability and affordability of health care for themselves and their families. In clear and accessible prose, journalist Ryan Holeywell and medical doctor and health policy expert Arthur Garson provide Americans with the tools we need to have an honest, unbiased view of the state of health care policy in America. By fact checking 20 enduring health care myths they move the debate beyond Obamacare v. repeal and replace and give citizens the tools they need to evaluate the major policy issues confronting our health care system.
Designed for ethics courses in nursing PhD and DNP programs, the book fills the need for an expanded view of required ethics content in the nursing curriculum given the increasing responsibilities and decision-making authority of advanced practice nurses. Coverage of ethical patient care, care in vulnerable populations, legal influences on ethical care, ethical businesses practices, and research ethics are discussed and analyzed by experts, with special attention to cases where ethical theory must be applied in clinical and managerial decisions. Case studies provide real-world examples and facilitate classroom discussion. Specific chapters are devoted to research, legal and business ethics. Other chapters address ethics in pediatric, mental health, and women's health practice. This text is ideally suited for nursing doctoral course students, faculty, and nurse leaders. The course text is designed for doctoral ethics courses. Case studies are provided for real-world examples and classroom discussion. It contains website URLs throughout for further information. -- Provided by publisher.
The Fourth Edition of this bestselling, highly regarded book has been fully revised to incorporate changes in law and clinical guidance making a vital impact on patient management, encompassing: . The Equality Act 2010 which provides the right of older people to treatment without discrimination . Case law on withdrawing nutrition and hydration . Up
This work tracks the role of the states in US health care policy reform. It reviews the challenges faced by the states in dealing with rising costs and looks at their policy competence and role in managed care, whilst focusing on the outcomes of policy reform in states such as Hawaii and Oregon.
This revised edition of Introduction to Health Care Delivery: A Primer for Pharmacists, Fourth Edition, offers a current and comprehensive picture of the U.S. healthcare delivery system while emphasizing the perspective of the pharmacy profession. Each thoroughly updated chapter in the new edition of this practical text includes real-world case studies, learning objectives, chapter questions, questions for further discussion, and updated key topics and terms. New to the Fourth Edition is an updated Medicare/Medicaid chapter that reflects current regulations, a comprehensive glossary, and online instructor resources including case response scenarios.
This book takes bioethics and health policy to a new level of integration. Moving beyond principles and normative frameworks, bioethicsists writing in the volume consider the actual policy problems faced by health care systems, while policy-makers reflect on the moral values inherent in both the process and content of health policy. Together, they explore the goals and processes involved in developing health policy and examine the roles of various stakeholders as well as the thorny ethical issues that arise.