HCMG 101 Health Care Systems

Question: Alliance for Health Reform Kaiser Family Foundation Congressional Quarterly Almanac, CQ Weekly, newspapers accessible via Lexus-Nexus or Proquest, New York Times, The American Presidency Project on-line www.presidency.ucsb.edu/index.php, Modern Healthcare, The Hill, Roll Call, Washington Post, Politico, Slate, National Journal & its companion pubs including Congress Daily and AmericanHealthline, Wall Street Journal, Los Angeles Times, many other major newspapers, journal articles, Congressional Record, Federal Register, State Health Notes, congressional staff agencies like GAO and CBO and MedPac, bureaucratic agencies including CMS, CDC, AHRQ, BHP. Answer: 1. Committees are the small associations of legislators, who possess either temporary or permanent powers to investigate matters more closely. Committees are mainly classified into four categories namely administrative, project, problem- solving and liaison. Sub- committee is a small association of people, who are appointed to emphasize upon a specific task or function. A sub- committee is responsible for making recommendations for decisions to the Management Committee. Committees are provided powers as they enable the legislature to perform several tasks such as lawmaking, budgeting and several administrative functions. Committees also look after several parliamentary household tasks (Jacobson and Carson 2015). Not all the members of a committee can exceed their powers however; only enacted members of the committees can exceed their powers. There are several checks on the committee powers and they have a shorter span of time and become an integral part of the legislature. In case, the powers of the committee are increased, the rules become stricter and several new legislations are formed according to which decisions are taken. Providing extra powers to the committees might create issues in case of rising health care costs as it might further increase the costs and the time duration required to take decisions. The changes in the powers of the committee might further increase the issue. Committees are known to be the operating system of an organization. The effectiveness of a committee is measured in terms of the effectiveness of the committee chair. The committee chair is responsible for planning the group activities, initiating and conducting meetings, ensuring maintenance of proper records and taking appropriate decisions and actions. The success and effectiveness of a committee entirely depends upon the efficiency of the committee chairs and the quality of decisions and actions taken by them. Their interests lie in the power and control possessed by them. The chairs have the power of planning and executing meetings and making decisions. In the case of rising health care costs, the committee chairs can take appropriate actions against the rising costs (Schmidt and Young 2017). The power of committees differs from each other according to the amount of power provided to them by the legislature. The United States Congress is the bicameral legislature of the federal government of the United States consisting of two chambers: the Senate and the House of Representatives. 2. The House and Senate has their completely different view in the version of health care reforms. Virtually it is covers the basic health insurance which are applicable for the low to middle-income people where they can afford the bills. In the issues of the rising health, costs make the exchange offers in the market place where the individuals failed to cover the insurance from the employers. It is necessary to pay the medical costs by them, which includes the Medicare spending, tax and fee increase. However, according to the house and senate the bills are completely different from each other (Alliance for Health Reform). In the financing sectors, the House is always found to be the largest source in the healthcare reform legislations in paying tax in wealth manners. Whereas, The Senate provides the largest sources of new revenue of the bill in the excise tax according to the high-cost health insurance plans (Families USA, State Health Policy Institute). According to the public opinion House is one the recognized version where the public opinion controlled by the government insurance plan and which can be negotiated according o the terms and payment rates which are manageable with the doctors and hospitals. In other hand, the Senate Bill has complicated reforms of legislations where there are no public opinion and it always moderated and updates through the democratic governments intervention in the marketing area (Families USA, State Health Policy Institute). According to the House Bill it always helps in cover up the health insurance, which has been sold through the minimum level of comprehensives whereas, in other hand the Senate Bill has helps to allow in the non-group market exists outside of the policies which never allowed to meet the actual criteria in the of the requirements (Families USA, State Health Policy Institute). The House of Bill helps is creating the national responsibilities where the Federal Government also holds the responsibilities in the health bills which create their own purposes in this issues whereas, the Senate Bills has set the responsibilities in the states where it first enacts the state level insurances which helps to reform the federal legislations. If there is no federal funding in the states where then those are payable for themselves (Families USA, State Health Policy Institute). The filibusters must not delay or block legislations where the representative becomes the senators on the filibuster. The House of Representative helps to grow the numbers of the filibusters where the House makes the implications of limited senate (Alliance for Health Reform). Reference: Alliance for Health Reform (www.allhealth.org) Congressional Quarterly Almanac Families USA, State Health Policy Institute Jacobson, G.C. and Carson, J.L., 2015. The politics of congressional elections. Rowman & Littlefield. Kaiser Family Foundation (www.kff.org) Schmidt, S.J. and Young, M.B., 2017. Electoral Competitiveness and Legislative Productivity. JOURNAL OF POLITICAL AND INTERNATIONAL STUDIES, 34, p.119. The Hill, Roll Call, Washington Post, Politico, Slate, National Journal & its companion pubs including Congress Daily and AmericanHealthline Wall Street Journal, Los Angeles Times Wall Street Journal, Los Angeles Times, many other major newspapers, journal articles

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