HEALTH FINANCE AND DELIVERY POLICY:
HEALTH FINANCE AND DELIVERY POLICY:
REQUIRED READING:
Goodnough, A. (2016, December 28). Safety-net hospitals fear cuts as health law’s repeal looms. New York Times, p. A1. Available in the Trident Online Library. https://search-proquest-com.ezproxy.trident.edu/docview/1853256936/fulltext/8B9D3711DEDD4E22PQ/1?accountid=28844
Liu, J. L. & Brook, R. H. (2017). What is single-payer health care? A review of definitions and proposals in the U.S. Journal of General Internal Medicine, 32(7), 822-831. Available in the Trident Online Library. https://www-ncbi-nlm-nih-gov.ezproxy.trident.edu/pmc/articles/PMC5481251/
Shi, L. (2014). Health policy related to financing and delivery. In Introduction to health policy, pp. 99-117. Chicago: Health Administration Press. Available in the Trident Online Library. See the Attachment for this PDF Version of the book.
TNHFMA. (2015, July 14). Solving the problem of uncompensated care [Video file]. Retrieved from https://youtu.be/BgIoR2eEiiQ.
Valdovinos, E., Le, S., & Hsia, R. Y. (2015). In California, not-for-profit hospitals spent more operating expenses on charity care than for-profit hospitals spent. Health Affairs, 34(8), 1296–1303. https://search-proquest-com.ezproxy.trident.edu/docview/1702790471?pq-origsite=summon
SLP HOMEWORK ASSIGNMENT-
Individuals and organizations often choose to take a stance on certain policy issues that are relevant to their field or organization. To move beyond simply having an opinion, this stance can be drafted in the form of a position statement or paper. Position statements utilize facts, evidence, and research to support them.
After reading and reviewing the required materials for this module, you are expected to draft a position statement informed by what you learned from this background information. Review the document at the link below on how to set up a position paper, including a general outline. Use this to guide your drafting of your paper.
Your paper should specifically address whether the Affordable Care Act is an effective mechanism for reducing the burden of uncompensated care
.
Xavier University Library. (2014). How to write a position paper. Retrieved from http://www.xavier.edu/library/students/documents/position_paper.pdf
attachment
IntroductionToHealthPolicy.pdf
H EALTH POL ICY I N T R O D U C T I O N T O
Leiyu Shi
Shi
One North Franklin Street, Suite 1700 Chicago, Illinois 60606-3529 Phone: (301) 362-6905, Fax: (240) 396-5907 ache.org/HAP Order No.: 2238
ealthcare policies continue to evolve and subsequently must be integrated into healthcare system operations. This book introduces readers to health policymaking,
critical health policy issues, health policy research and evaluation methods, and international perspectives on health policy. Leiyu Shi takes a unique perspective by integrating all these topics into this one-of-a-kind book. Real-world cases and examples reinforce the theories and concepts throughout the book and address all healthcare settings, including public health, managed care, ambulatory care, extended care, and hospitals.
Introduction to Health Policy provides an overview of:
✦✦ Health determinants and health policy formulation
✦✦ Major types of health policies, including those affecting special populations, such as racial and ethnic minorities, low-income individuals, senior citizens, women and children, people with HIV/AIDS, people with mental illness, and the homeless
✦✦ Health policy issues related to financing and delivery of healthcare in the United States and abroad
✦✦ The importance of an international perspective from both developed and developing countries
✦✦ Processes and context for federal, state, and local health policymaking
✦✦ Health policy research methods for use in studying and analyzing policy issues
Leiyu Shi, DrPH, is professor of health policy and health services research at the Johns Hopkins University Bloomberg School of Public Health in the Department of Health Policy and Management. He also serves as director of the Johns Hopkins Primary Care Policy Center. He received his doctoral degree from the University of California, Berkeley, majoring in health policy and services research. He has conducted extensive studies on the association between primary care and health outcomes, in particular the role of primary care in mediating the adverse impact of income inequality on health outcomes. Dr. Shi is also well known for his extensive research on vulnerable populations in the United States. He is the author of nine textbooks and more than 150 scientific journal articles.
“Dr. Shi’s book introduces readers to the opportunities and issues of policymaking in both US and international contexts. His knack for illustrating complex theory with
challenging and relevant real-life examples makes this field really come to life.” —Gregory D. Stevens, assistant professor of family medicine and preventive medicine,
Keck School of Medicine, University of Southern California
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AUPHA/HAP Editorial Board for Undergraduate Studies
Rosemary Caron, PhD, Chairman University of New Hampshire
Steven D. Berkshire, EdD, FACHE Central Michigan University
David E. Cockley, DrPH James Madison University
Tracy J. Farnsworth, EdD Idaho State University
Riaz Ferdaus, PhD Our Lady of the Lake College
Brenda Freshman, PhD California State University
Mary Helen McSweeney-Feld, PhD Towson University
John J. Newhouse, PhD St. Joseph’s University
Rubini Pasupathy, PhD, FACHE Texas Tech University
Jacqueline E. Sharpe Old Dominion University
Daniel J. West Jr., PhD, FACHE University of Scranton
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Health Administration Press, Chicago, Illinois
Association of University Programs in
Health Administration, Arlington, Virginia
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Your board, staff, or clients may also benefit from this book’s insight. For more information on quantity dis- counts, contact the Health Administration Press Marketing Manager at (312) 424-9470.
This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in render- ing professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.
The statements and opinions contained in this book are strictly those of the author(s) and do not represent the official positions of the American College of Healthcare Executives, of the Foundation of the American College of Healthcare Executives, or of the Association of University Programs in Health Administration.
Copyright © 2014 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher.
18 17 16 15 14 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Shi, Leiyu. Introduction to health policy / Leiyu Shi. pages cm Includes index. ISBN 978-1-56793-580-6 (alk. paper) 1. Medical policy–History. 2. Health care reform. 3. Public health–International cooperation. I. Title. RA393.S473 2014 362.1–dc23 2013005276
The paper used in this publication meets the minimum requirements of American National Standard for Infor- mation Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984. ∞ 
Acquisitions editor: Janet Davis; Project manager: Joyce Dunne; Cover designer: Marisa Jackson; Layout: Cepheus Edmondson
Found an error or typo? We want to know! Please email it to hapbooks@ache.org, and put “Book Error” in the subject line.
For photocopying and copyright information, please contact Copyright Clearance Center at www.copyright .com or (978) 750-8400.
Health Administration Press Association of University Programs A division of the Foundation in Health Administration of the American College of 2000 North 14th Street Healthcare Executives Suite 780 One North Franklin Street Arlington, VA 22201 Suite 1700 (703) 894-0940 Chicago, IL 60606-3529 (312) 424-2800
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mailto:hapbooks@ache.org
http://www.copyright
I dedicate this book to my wife, Ruoxian,
and my children, Sylvia, Jennifer, and Victor Shi.
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v i i
BRIEF CONTENTS
Preface ……………………………………………………………………………………………………xiii
PART I Introduction ……………………………………………………………………………1
Chapter 1 Overview of Health Policy ………………………………………………………..3
PART II Health Policymaking ………………………………………………………………29
Chapter 2 Federal Health Policymaking …………………………………………………..31 Chapter 3 Health Policymaking at the State and
Local Levels and in the Private Sector …………………………………….53 Chapter 4 International Health Policymaking …………………………………………..74
PART III Health Policy Issues ………………………………………………………………..97
Chapter 5 Health Policy Related to Financing and Delivery ………………………..99 Chapter 6 Health Policy for Diverse Populations ……………………………………..118 Chapter 7 International Health Policy Issues …………………………………………..150
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v i i i B r i e f C o n t e n t s
PART IV Health Policy Research ………………………………………………………….183
Chapter 8 Overview of Health Policy Research ……………………………………….185 Chapter 9 Health Policy Research Methods ……………………………………………216 Chapter 10 An Example of Health Policy Research ……………………………………255
by Sarika Rane Parasuraman
Glossary …………………………………………………………………………………………………295
Index ………………………………………………………………………………………………………303
About the Author ………………………………………………………………………………….320
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P r e f a c e i x
DETAILED CONTENTS
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