Wednesday, July 17, 2019

The Policy Process Part Iii

The Policy Process, spell II University of Phoenix HCS 455 The Policy Process, expose II In the musical composition the power discussed The Policy Process, start a room I on how Medic ar part D became a insurance policy. The agent discussed the details on the somaulation, legislative, and murder s tailes of the policy. instantaneously time to air at the concluding stages of the military operation, of Medicargon break apart D. Which be evaluation, analysis, modification, and methodology stages. In every policy there exit be an evaluation stage to forecast how the policy provide work and what c every(prenominal) for to be through with(p) to respect the process. valuation poseThe evaluation stage is a process in which policymakers in the Senate and House look at a policy and pass judgment the future outcomes of a policy in this case Medicare startle D. For compositors case at once of the evaluation process would be how policymakers would evaluate the pharma ceutical companies to make sure to corroborate prescription costs down. An other(a) would be to evaluate how m any(prenominal) of age(p) citizens are enrolling in the devise. As thoroughly as making sure old citizens take on either told the breeding available to them to prefer the correct intention that fits their prescription leases. For instance the Kaiser Foundation did a study on the technical problems of Medicare dampen D.One of Kaisers receiveings dep peculiarityn confusedness on which prescriptions would be covered from the numerous plans that an individual flock train from. As well, as medical providers not get the new medical software to passing Medicare come apart D into their reckoner systems. This meant that deflection agencies like, doctors, insurance companies, and pharmacies run different programs and that shit different policies on how to entirelyot perseverings cultivation. Now on the other hand, if all these agencies can play in the id entical software this would allow everyone in the forbearings medical circle to share the same codes and computer language.Thus, not having to set a great deal of usual pain and confusion nearly the patients medicate reportings. other problem was transferring large patients files from one investment banker to another insurer can take up to sextuplet months, from a 2004 study from the Medicare Payment consultative Commission(Terri Emerick, 2006). One of the solutions to these problems would be to evaluate the development which is being sent to ranking(prenominal) citizens. Medicare should lance out their booklet to all elder citizens that are in the do drugs plan. whole senior citizens should write down their musics which they are taking. many another(prenominal) an(prenominal) seniors that do go to their local senior centers should go online and check out the Medicare website for tuition. As well calling Medicare to ask questions some(prenominal)what which plan go forth work crush for them. Do not forget to let loose to your local pharmacist he or she might be able to enounce the names of the plans which cover the prescriptions. By evaluating these areas policymakers can get selective information from outside agencies to do research and come up with results from polls, interviews, and surveys. In evaluating all this information policymakers can form an analysis of Medicare burst D and advert what pick up to be done.Analysis Stage Analyzing Medicare transgress D as the author express earlier one of the problems where the technical problems amid the different agencies and sharing patients information. On February 17, 2009 chairman Obama signed a $787 gazillion dollar sign arousal bill which puts $150 billion dollars on spending health information technology (Omini MD, 2009). This new plan physicians and health nonrecreationals go a modality now receive incentives for implementing IT programs into their computer systems. Be coming paperless will maximize Medicare as well as physicians and medical professionals.By 2015 it will be mandatory that all physicians and medical professionals use IT programs. The United States Department of wellness and Human Services (HHS) by declination 31, 2009 under the stimulation act will develop a set of standards, implementation methods, and criteria for the new IT system to be in lieu (Chris genus Silvia, 2009). Another analysis was make about the ad on the dotment flow. The enrollment point in time to enroll in a drug coverage plan is from November fifteenth by means of declination 3 beginning(a). Many venerable individuals felt they were getting rushed into signing up for a plan.Most of them were confused and explaining why they essential preference a new drug coverage program every socio-economic class. Many individuals fail to sign up inwardly the six week time dust due to their medical or intellectual condition. This is something that would need t o be analyzed and see if they can extend the enrollment period from six week to 12 weeks. prick the enrollment period on October 1st instead of November 15th. This would give many elderly individuals plenty enough time to pick, choose, and change plans before the declination 31st end date.In this entire analysis one must think there should be revisions do to the policy to make it develop. Revision Stage In revising a policy starts by looking to see which policies need to be updated or changed to make the policy better. On September 5, 2008 one of the revisions in Medicare Part D was the use of electronic Prescription Program (E-prescribing) Centers for Medicare and Medicaid Services (CMS) expects that Medicare Part D sponsors will have all the necessary contracts and systems in place should prescribers liking to use E-prescribing (Claudia Schlosberg, n. . ) As stated in the paragraph above with IT systems for physicians and health professionals development paperless system w ill maximize Medicare. This revision will not only helper out pharmacies but help out physicians. Now this information will allows doctors to find out what prescriptions the patient has used in the past and where the patient usually goes to pick up his or her medications from. By revising this policy everyone in the medical community can deliver faster and better care for the individual.Since many senior citizens bear on to do work, due to their low income, CMS has rewrite a section on Medicare Part D for employers. Employers whom are offering medication drug coverages to Medicare individuals will now disclose to CMS if the plans the employer is offering are creditable. To make sure that the prescription drug plans are creditable, the plans must equal or exceed the actuarial value of be standard prescription drug coverage under CMS guidelines (Kutak vibrate, 2007).This revision in Medicare Part D is very important for seniors, this way seniors can know if the program that they have from work is creditable and make a decision on whether or not he or she should waive the enrollment of Medicare Part D. They employer must submit to CMS all the prescription drug plans that they offer to see if the plans follow CMS guidelines. Employers must also conduct out information to those individuals in the plan on or before the Medicare Part D enrollment date of November 15th of each year. Purpose and MethodologiesOne of the methodologies in Medicare Part D was to make sure senior citizens get help with their drug prescription costs. Even thou CMS has many plans to choose from seniors need to do their part in researching some of the plans via internet, CMS hotline, and talking to their pharmacist. In scrap the E-prescribing was another to help physicians and pharmacies to collect information more quickly without using any paper. By having everything computerized pharmacists can receive and gather information quickly compared to the old employ of using a fax machine. Using a computer eliminates misplaced fax paper, paper jams, or the fax did not go through. This saves time and property on some(prenominal) parts for the physician and pharmacists. IT software remark pile the president Obama signed this year to help all healthcare professions to go paperless and receive patients information more quickly than before. This as well will save time and money for healthcare professionals in managing patients data to make sure all parties involved get the information they need for billing and medical information.So these are just some of the purposes and methodologies for some changes in the Medicare Part D. Conclusion As more senior citizens coming into retirement Medicare Part D will be a major(ip) focus of discussion on the political front. Both Democrats and Republicans have different ideas on how to evaluate, analyze, and revise Medicare Part D. Of course, from the authors perspective having IT software programs in place will help out then for al l healthcare professionals and providers. Now with the Obama stimulus plan sign this year hopefully, all healthcare professions can be on the same track to get these IT systems in place.The benefits are enormous to getting information faster to the right people, especially in an emergency. Although CMS needs to do a better job on informing seniors about the prescription drug plans, so that way they can make better judgments on the plan they choose. Even better unless cut down on some of these plans these are way too many of them and they are confusing seniors on which plan to choose from. Either way policymakers from twain sides need to work with healthcare professional to see what can be done to improve on Medicare Part D. References Chris Silvia (2009).Practices paperless before 2012 could maximize Medicare bonuses. Retrieved December 2, 2011, from http//www. ama-assn. org/amednews/2009/03/16/gvsa0316. htm Claudia Schlosberg (n. d. ). CMS Revises Medicare Prescription Drug Benef it Manuel-Chapter 7 Medication Therapy Management and Quality progression Program. Retrieved December 2, 2011, from http//www. ascp. com/advocacy/upload/ASCP%20Summary%20of %20CMS%20Chap%207%20Revisions. pdf Kutak Rock (2007). Medicare Part D CMS Revises Model chance on and Disclosure Notice Requirements. Retrieved December 2, 2011, from http//www. utakrock. com/publications/employeebenefits/EBCA1107. pdf Omini MD (2011). Medicaid, health IT to see billions from stimulus package signed by Obama. Retrieved December 2, 2011, from http//www. myemrstimulus. com/tag/emr-software/ Omni MD (n. d. ). Medicaid, health IT to see billions from stimulus package signed by Obama. Retrieved December 2, 2011, from http//www. myemrstimulus. com/tag/emr-software/ Terri Emerick (2006). Part DRx for Disaster. Retrieved December 2, 2011, from http//www. epluribusmedia. org/archives/features/2006/0511part_d. html

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