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GH401 Global Health Question: Begin this assignment by selecting a state, national, or international healthcare policy and briefly describing it. When choosing your policy, remember the focus of the assignment is to identify a legal or governmental healthcare policy, which is different from an organizational (e.g., hospital) policy. To clarify, an organization like a hospital may have developed a “care of a central line policy” specific to that particular organization, but the Patient Protection and Affordable Care Act is an example of a legal or governmental policy that all individuals and organizations, regardless of function, must observe. After identifying a legal or governmental healthcare policy for analysis, develop a narrative that explains why you chose the selected policy, lists three key stakeholders you would like to interview about the policy, and explains how each individual is related to or affected by the policy. Your instructor will approve your policy and interview suggestions for use in your final project. Specifically, the following critical elements must be addressed: Summarize the policy that is the focus of your evaluation. Include the name, its purpose, and when it was created. Explain your rationale for choosing the policy. Does it have personal or professional relevance (healthcare Administrator)? Identify at least three stakeholders of the policy that you might interview and discuss how they are affected by or related to the policy. Answer: The Health Care And Education Reconciliation Act Of 2010 The Health Care and Education Reconciliation Act of 2010 was signed into law during the presidency of Barrack Obama on March 2010. I chose this act because it was chosen as a reconciliation bill that was supposed to cater to the budget when the Patient Protection and Affordable Care Act was passed into law.  The act was supposed to provide for matters of healthcare and education (Centers for Medicare and Medicaid Services, 2013). It covered President Barack Obama’s goals where he wanted to tackle both healthcare and student loans. The bill was passed in the House of Representatives by getting 178 Republican votes and 33Decomcrats voting against its passage. When it was taken to the Senate which was initially against it, amendments were made, and two provisions were struck out. It meant that the bill had to be sent back to the House to deal with the reconciliation rules which it had violated in its budgeting. The purpose of Act was to address the health care reform, and the other was to discuss the student loan reform. This paper will focus more on the healthcare aspect (Albright et al. 2011). The Patient Protection and Affordable Care Act which had been passed into law seven days before the Health Care Act had some of its aspects changed. The changes included delaying to implement the taxing of Cadillac Health-Care plans until the year 2018, doctors who were in charge of Medicare patients to get their reimbursements, lowering the cost of penalty for those who delayed buying insurance from $750 to $695, increasing the tax credits required to purchase insurance and ensuring that there was a Medicare tax put for families who had their earnings above the $250,000 mark annually (Hansen et al. 2011). I chose this act because from a personal perspective it highlights the plight of the low-income earners of the United States. It acknowledges that there are citizens who may not be able to afford the healthcare packages of Medicare in time. It lowers the penalties involved. It also cared for the doctors who dealt with patients who were from the Medicare scheme by giving them reimbursements. The three stakeholders I would interview after reading the act are the insurers, the hospitals, and the healthcare workers. It is because they have a one on one relationship with the policy and their insight into matters affecting the policy are based on ground research (Centers for Medicare & Medicaid Services, 2011). Starting with the insurers, a government study by Bloomberg showed that if the act was stopped by the supreme court the America’s Health Insurance Plans(AHIP) and the Blue Cross Blue Shield Association were to lose $1 trillion up to the year 2020. The hospitals who are essential stakeholders did research on the Act and how it affected them. The American Hospital Association together with five other hospital associations reported that in 2009 alone uncompensated care from hospitals amounted to $39 billion. These were huge losses for the hospitals brought by the act. The healthcare workers who were represented by the American Academy of Pediatrics and American Nurses Association praised the bill for providing primary healthcare to patients. In conclusion, the act was vital in ensuring that affordable healthcare is accorded to all citizens.                                                             References Albright, H. W., Moreno, M., Feeley, T. W., Walters, R., Samuels, M., Pereira, A., & Burke, T. W. (2011). The implications of the 2010 Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act on cancer care delivery. Cancer, 117(8), 1564-1574. Centers for Medicare & Medicaid Services (CMS), HHS. (2011). Medicare program; hospital inpatient value-based purchasing program. Final rule. Federal register, 76(88), 26490. Centers for Medicare and Medicaid Services (CMS), HHS. (2013). Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and Fiscal Year 2014 rates; quality reporting requirements for specific providers; hospital conditions of participation; payment policies related to patient status. Final rules. Federal Register, 78(160), 50495. Hansen, L. O., Young, R. S., Hinami, K., Leung, A., & Williams, M. V. (2011). Interventions to reduce 30-day rehospitalization: a systematic review. Annals of internal medicine, 155(8), 520-528.

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