question archive A timely examination of how states articulate federal policy has us looking at how the states are responding to the passage of the federal ACA

A timely examination of how states articulate federal policy has us looking at how the states are responding to the passage of the federal ACA

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A timely examination of how states articulate federal policy has us looking at how the states are responding to the passage of the federal ACA. It behooves a health administrator to know how to track and influence developments in state policymaking as much as in the federal process. Many of the same skills apply.

In this learning activity, you will be examining how states are responding to one particular federal policy. We will be moving our focus to yet another provision of the ACA—the one dealing with development of accountable care organizations. You will discover what states are expected to do, what some have done, and finally what is happening in your own state in regard to the issue. Some federal rulemaking has already occurred about ACOs and states are busily considering what they can and should do to manage ACO development. You can read the exact wording of the provision regarding ACOs in the Affordable Care Act. Also, review Summary of the Affordable Care Act as a “layman’s” version or a summary of the ACA. Between the Longest readings that cover state policy making in general, and the Purington article about specific state responses to ACOs, you will have a good basis upon which to build.

Initial Post:

Discuss some recent happening in your state about ACOs. You should assume that the goal is to inform people in your health care organization what is going on in your state. That means you should define that organization so we know who the audience is.

About your state:

Please note that if you live in one of the states reviewed in the Purington article, find three sources beyond Purington and beyond those cited by Purington. If you find that your state has done nothing to warrant any coverage and articles, please choose a state you consider similar (you can choose the criteria you use) and research it.

  1. In a brief introductory paragraph describe your purpose and audience.
  2. Find three outside sources to support your position. You should, in particular, look for any stated or implied implications for patients, providers, and hospitals.
  3. In a concluding statement include the following: The states Purington describes have moved along on planning for ACOs, but not all states have. Where does your state seem to be as compared to those in the Purington article? What do you think about its direction? If your state seems really behind, comment on why you think that is. If you are from a state discussed by Purington, can you see any change or move forward from the time of the article? In your discussion, you should summarize your sources in order to highlight the relevance of the sources.

 

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