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17 Cards in this Set

  • Front
  • Back

US Healthcare Steakholders

Federal,state & local govn; hospital/healthcare setting providers; physicians/purchasers; industry manufacturers/ interest groups

Federalism

A system of government in which the powers are divided between national government (federal) and constituent units (states)

3 branches of government & Responsibilities

Legislative - Policy Making


Executive - Implementation


Judicial - Resolve constitutional and legal conflicts

Decentralized Government

Separation of Powers


Checks and balances

Congress

Consists of committees and caucuses; has legislative & budget authority (i.e ACA)

President

Appoints political executives & agency control; proposes policy; executive orders (i.e Dept. of Health and Human Services)

Judiciary

Influences policy making indirectly; interprets the Constitution and laws ( i.e Webster V. Reproductive Health Services)

Consensus Building

Compromises to gain support of groups with diverse and/or conflicting interests.

Imcrementalism & Punctuated Equilibrium

Policy makers favor making relatively small changes and modifications in existing policies.

Political Feasibility

Likelihood of positive public reaction of constituents.

Electoral Cycle

Need to produce short-term results

Public Philosophy and Idealogy

Beliefs/attitudes and values of policy makers and constituents.

Interest Groups

Resources create most opportunities to influence policy; campaign contributions, distribution of information.

Economic Environment three fundamental assumptions

Resources are limited


Resources have alternative uses


People have different wants and places a different importance to them.

Economic Feasibility

Rats of economy growth/decline


Philosophiesbon cost containment/effectiveness


Placing a financial value on healthcare

7 Steps to Policy Making

1. Problem Recognition


2. Agenda Setting


3. Policy Formulation


4. Policy Adoption


5. Budgeting


6. Policy Implementation


7. Policy Evaluation

Key Healthcare Policy Actors

The Federal Government, state & local governments, industries/businesses, healthcare providers, third party payors, consumers, interest groups