Policy formulation related to Health Care Financing or Reimbursement
Choose either an area of financing OR reimbursement that is related to nursing that is NOT part of the ACA or current law and proposes a new policy. Example: A more circumscribed area- like reimbursement in Medicare for outpatient nursing service would aid in your project.
**** Note: The point is to find something currently proposed that fits into the financing and reimbursement arena related to nursing where you then analyze the proposed.
Please Note: For this assignment I have chosen Policy topic noted below.
H.R 900 ACO Assignment Improvement Act of 2019 (Introduced in House 01/30/2019)
This bill establishes additional requirements for assigning Medicare fee-for-service beneficiaries to accountable care organizations (ACOs) under the Medicare shared savings program. Under current law, the program enables ACOs to receive payments for savings stemming from care coordination and management.
The bill requires the basis for assignment to reflect beneficiaries’ utilization of not only primary care services provided by ACO physicians, but also those provided by other ACO practitionersspecifically, physician assistants, nurse practitioners, and clinical nurse specialists
Frame your paper around the following:
Content should be 10-12 pages (references and cover page are not included as part of this number.)
The content should include the following elements:
1) Need for policy change
2) Clear articulation of proposed policy including any empiric evidence that it would enhance the value of health care
3) Who would benefit and who might be burdened by a new policy
4) Likely support and opposition to policy from
a) political parties
b) interest groups
5) Likely impact on costs
References should include peer-reviewed papers that indicate similar policy has improved care in the US or other countries if possible