Policy Priority Issue Essay

Policy Priority IssueThose who habituate the Medicaid form range from commencement income families to the oer 65 age group. Within this race is overly those who argon dis fittingd refer able to physical or mental paradoxs. This is among the sickliest of our Ameri female genitalia population. A paper base on a study in operating theatre state that Medicaid significantly increased the prospect of being diagnosed with diabetes, and being on diabetes practice of medicine as well as risque blood pressure and high cholesterol.(Baicker et al., 2013, p. 1715). to a greater extent of this is due to the struggle that the Medicaid beneficiary has to finding on the whole of the benefits of the computer programme. This mostly consists of medical appointments, especially those link to a specialist physician. This paper impart identify the importance to make unattached proper health sell to those who arrest Medicaid. not besides with curiosity doctors but to a fault with thei r own primary physicians. The numbfishscribe to bump off the ownership from the government to the patient is indispensable for bettor health cathexis outcomes. This is directly jibe to the address received and expected by the patient. This lead response in a better outcome both medically for the patient and fiscally for the government.The specific paradoxMedicaid is a government sponsored and run program, it provides reverence to over 53 million low income Americans yearly and has an average operating cypher of $349 billion dollars (OShea, 2007). This increasingly high outgo has caused much strained to the budgets of not just the federal government but overly the state budgets as well. With the replaces to the right smart we raft health rush and the use of evidence ground practice in the do by lay asideed it is apparent that the fictitious character of care given to those with Medicaid is missing. read has shown that patients with Medicaid receive deficien t care than those with private insurance based solely on the access they turn out to the Medical providers, especially those who provide distinctive feature care (OShea, 2007).In a cogitation conducted in 2003, it highlighted that the recurrent problem is the reimbursement tread from Medicaid to the physician (OShea, 2007). The Center for Studying wellness System Change (HSC) show that 21% of physicians that state they accept Medicaid feature describe they give not accept a new Medicaid patient in 2004-2005(OShea, 2007). This human activity would only logically be take for granted to call for risen in 2013 A survey conducted by the U.S. National wellness reported that researchers have found cardinal standout trends among Medicaid beneficiaries they have more difficulty getting primary care and rarity care and they visit hospital emergency departments more often than those with private insurance (Seaberg, 2012). The lack of primary and specialty care access is mostly con tributed to the following barriers unable to authorise the MD by ph one(a), not having a timely appointment with the MD and finally unable to find a specialty MD that will accept Medicaid.In a recent report released by the Partnership to Fight Chronic Disease, it stated that about 30% of Medicaid patients experience fundamental uncoordinated care, there is a strong correlation between this maculation and higher Medicaid spending and slight feeling of care given (Bush, 2012). After January initiatory 2013, health care providers have experienced a 2% reduction in payments for Medicaid beneficiary, this will only create more of a problem for these patients to seek the care thy desperately deficiency. The question must be asked, how can we give the care necessary to those with Medicaid and also make this as approach potent for the providers seeing the patient as well. locomote to ChangeThere is much parley in government today that would hold out the Medicaid program, but the re is no countersign on payment to physicians, hospitals and other providers, which is the briny problem at hand. A body that would most be beneficial is one that is centered on the patient-doctor relationship (Felland, Lechner, & Sommers, 2013). This would not only improve the standard of care given to the patient but divine service with the fiscal decline related to a very broken dodge that is currently in place. Our aim should be to check up on the decision making from the government, and transfer this tycoon to the individual as well as promote individual responsibility for healthcare options. A policy that would restructure the support of healthcare to assist low-income families and medically necessitous Americans to purchase coverage that would trump out join their asks and their medical situations.This coming would need to be Nationwide and would be a great undertaking to accomplish. The rational approach model would be the model of choice for this type of chang e. It would take many years to accomplish based on monetary barrier as it pertains to the various budgets at the state and federal levels. However, the end result would be that a personal ownership of health insurance, and control over the give ear of dollars in the health care system, this will enhance personal responsibility. Another reflexion it would accomplish would be that patients would demand and receive better value for health their care dollars.This ownership of their own care would lecture much awareness in the patients and hasten many quality conversations with their healthcare provider. This is an probability currently unavailable to patients enrolled in the Medicaid program and has resulted in a system that does not give quality care and the pricey price to the government is evident.Until we can have all 50 states participating in this policy change Nationwide, there are some steps that can be taken with the present system in place. These would involve the use of technology in interesting situations. If you cannot get the patient to the physician, no matter of primary or specialty, bring the physician to the patient. Using telehealth programs would help identify problem before they are in need of emergency attention (Felland et al., 2013). Kentucky used this system to help with the overpopulated Medicaid system and this state was able to save money and provide quality care to those who are in need of it (Ungar, 2013).Another solution would be to smash the primary role of the primary provider. Utilizing the groundbreaking Registered Nurse Practitioner (ARNP) to take on the care of patients in the role of the main(a) Provider would help ease the slant for the dwindling Medical Community (Felland et al., 2013). With only 7% of the graduating physicians choosing primary care a large strain is evident on the medical community to provide care to patients (Sellers, 2013). Both the above policy changes would best be suited under the stage-se quential model. put both of these changes in to place at the same time in octuple areas then re-evaluating the need for changes in straddle to define a process that could be utilized Nationwide would be master(prenominal) for success. Both of these policy changes would give way to better care for the Medicaid beneficiary, better outcomes and a use of funds that would be cost effective as well.ConclusionIn conclusion this paper has reviewed the importance of change needed to the present Medicaid system. The present system has shown to take away the ownership of healthcare from the patient and given it to the government. In doing so several areas for needed improvement have been identifies cost, lack of resources among physicians and most important on a lower floor quality care. All resulting in a system that is not able to deliver quality care to those who are in desperate need of it the most. By implementing the changes outlined in this paper, it will be able to change and impr ove these barriers for the better, resulting in better patient care outcomes, better fiscal outcomes and a healthier America. ReferencesBaicker, K., Taubman, S., Allen, H., Bernstein, M., Gruber, J., Newhouse, J., Zaslavsky, A. (2013, May 2, 2013). The operating theatre Experiment Effects of Medicaid on clinical outcomes. The New England Journal of Medicine, 368, 1713-1722. Bush, H. (2012, November 2012). Caring for the costliest. hospital and Health Networks, 156-162. Felland, L., Lechner, A., & Sommers, A. (2013, June 6, 2013). Improving access to specialty care for Medicaid patients policy issues and options. The Common wealth Fund. Retrieved from http//www.commonwealthfund.org/Publications/Fund-Reports/2013/Jun/Improving-Access-to-Speciality-Care.aspx OShea, J. (2007). More Medicaid means less quality health care. Retrieved from http//www.heritage.org/research/reports/2007/03/more-medicaid-means-less-quality-health-care Seaberg, D. (2012). Medicaid patients go to emergency r oom more often. Retrieved from http//www.ncpa.org/sub/dpd/index.php?Article_ID=21732 Sellers, A. (2013, July 23, 2013). Nurse practitioners aim to fill care gap.