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HCMG101 Health Care System Question: You have an opportunity to demonstrate your knowledge and insight of health policy at a “capstone level.” the health care management or nursing, and read one or more current or past regulations or policies and with your enlightened understanding on how important it is that regulations and policies be kept “current” in the context of our rapidly changing society and health care system. Answer: The Centers for Medicare Medicaid Services (CMS) Proposed Rule: Patient Protection and Affordable Care Act; Exchange Program Integrity Comment Tracking Number: 1k2-96ir-5omf Agency: Centers for Medicare Medicaid Services Parent Agency: Department of Health and Human Services  Document Type:  The proposed Rule Title: Patient Protection and Affordable Care Act, Exchange Program Integrity Docket ID: CMS_FRDOC_0001 Comment: There are a lot of questions about this policy. For instance, if an SIUE employee who is eligible for state Insurance health coverage is affected with this policy. On the other hand, I can admit this policy is a universal health care system which covers over ninety-five percent of the American public. However, it requires that citizens should acquire health insurance and for those individuals that do not comply are penalized with a fine (Zogg et al., 2016). I can agree that this policy expands the welfare Medicaid availability to more people, but I feel like individuals that make much money to merit for the Medicaid continue struggling to afford the private insurance and also pay fines on top if not insured. The good thing about this policy is that it improves the public health and also prevents the chronic disease thus promoting community health through grants, research, public health and interventions (Kinney, 2015). Accordingly, some of the titles that I like most about this policy are highlighted below. The first one is revenue provision, health care workforce, improving the quality and efficiency of health care and lastly quality and affordable healthcare for everyone which helps to acquire healthcare that is more efficient and effective. The effects of this policy on the economy are that it helps to lower the growth of healthcare expenses, thus raising hiring in the near term and bolstering the worker’s paychecks (Kinney, 2015). Conversely, regarding revenue provision, I think this policy relies on state loan repayment on critical need positions in healthcare. Furthermore, I like the fact that it increases community based coordinated care and support research on health care improvements. References Kinney, E. (2015). The Affordable Care Act and Medicare in a comparative context. New York, NY, USA: Cambridge University Press. Zogg, C. K., Chew, F. P., Scott, J. W., Wolf, L. L., Tsai, T. C., Najjar, P., … & Canner, J. K. (2016). Implications of the patient protection and Affordable Care Act on insurance coverage and rehabilitation use among young adult trauma patients. Jama surgery, 151(12), e163609-e163609.

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