Read the following case study, “Hard Economic and Finance Choices in US Healthcare” (Milstead): ◦Case Study 1: Hard Economic and Finance Choices in US Healthcare
The U.S. health care system is an exemplar of scarcity: primary care physicians, substance abuse treatment centers, trauma centers, registered nurses, and the money to pay for goods and services. Finance is all about how to pay for goods and services. The Medicare Payment Advisory Commission (MedPAC) is appointed by the Executive branch of the federal government to make decisions about what the Medicare program will and will not pay for. In this role, MedPAC makes decisions about medications, procedures and treatments. Examples of MedPAC decisions include coverage for left ventricular assistive devices as a destination therapy, coverage for bariatric surgery, and in 2010, coverage of the drug Provenge™. By law, MedPAC is not allowed to use price or cost of any treatment in its decision-making processes.
Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources.
Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process.
Reflect on how the Washington Post example illustrates the tension between cost and care.
•Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing. ◦Chapter 11, “Health Care Financing” (pp. 231-251)
◦Chapter 12, “Health Care Costs and Value” (pp. 253-270)
◦Chapter 10, “Health Workforce” (pp. 213-225)
•Stein, R. (2010, November 8). Review of prostate cancer drugs Provenge renews medical cost-benefit debate. The Washington Post. Retrieved from http://www.washingtonpost.com/wp-dyn/content/article/2010/11/07/AR2010110705205.html
•Milstead, J. A. (2013). Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers. ◦Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 191–206)
pls use the included references
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