Hallenges in Containing Health Care Costs

PLEASE ANSWER IN THE SAME ORDER THAT IS WRITTEN BELOW:



Briefly describe at least one significant challenge to containing health care costs in the United States, and identify a cost containment strategy that has been developed to address those challenges. In your response, make use of the terminology involving health care costs and trends presented in the readings.



Regarding the cost containment strategy you selected, identify the kinds of measurements or data that would help policy makers better understand the relevant costs and trends, and justify your answer. What are possible challenges in gaining timely and accurate information to inform policy making?



Identify which interest groups would be most strongly impacted by this cost containment strategy. What might be the ramifications to these groups if the status quo is changed?



Describe one or more insights or lessons learned from managed care or other efforts that could be applied to maximize the potential for success for current or future cost containment strategies.

Article: Orszag, P., & Ellis, P. (2007). The challenge of rising health care costs: A view from the Congressional Budget Office. The New England Journal of Medicine, 357(18), 1793a 1795.
Retrieved from the ProQuest Central database in the Walden Library

This reading presents projections of future health care costs and describes factors that contribute to rising costs.

Article: Cutler, D. (2010). How health care reform must bend the cost curve. Health Affairs, 29(6), 1131a 1135.
Retrieved from the ProQuest Central database in the Walden Library

This article analyzes the cost-savings features of the Patient Protection and Affordable Care Act (PPACA) that have the potential to make the health care system more efficient, more effective, and less expensive.

Article: Orszag, P., & Emanuel, E. (2010). Health care reform and cost control. The New England Journal of Medicine, 363(7), 601a 603.
Retrieved from the ProQuest Central database in the Walden Library

The authors describe policies in the PPACA that aim to reduce health care costs.

Issue Brief: Cutler, D. M., Davis, K., & Stremikis, K. (2010, May). The impact of health reform on health system spending (Publication No. 1405). Retrieved from Commonwealth Fund website: Impact-of-Health-Reform-on-Health-System-Spending.aspx

Course Text: Changing the U.S. Health Care System



o Chapter 5, Measuring Health Care Costs and Trends”

This chapter explains how health care costs are measured, and discusses trends in prices and expenditures. Why is accurate data on national health care spending important to enacting appropriate health policy reforms?

o Chapter 6, Containing Health Care Costs”

An analysis of cost containment strategies under fee-for-service options and capitation options is presented in this chapter. Note the advantages and disadvantages of these strategies within each option.

o Chapter 7, Controlling Pharmaceutical Prices and Expenditures”

This chapter reviews trends in drug expenditures, describes factors that determine drug prices, and discusses policy options for containing pharmaceutical expenditures. It concludes with implications for policy aimed at pharmaceutical cost containment.

o Chapter 19, Managed Care and the Growth of Competition”

As discussed in this chapter, managed care has declined in favor of more consumer-centered health plans. Still, the impact of managed care on the health care system has been significant. As you read this chapter, consider the effects of competition and market forces on price.



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Course Text: Essentials of Health Policy and Law



o Chapter 4, Understanding Health Insurance”

Review this chapter, which was assigned in a previous week, focusing on the Managed Caresection and the cost containment mechanisms of managed care organizations.

o Chapter 5, Health Economics in a Health Policy Context(pp. 63 a 67, up to Economic Basics: Demand”)

Economic theory provides a fundamental building block for making health policy choices. This section describes how economic principles guide policy makers in crafting effective and efficient policy.

Hallenges in Containing Health Care Costs

Write two pages essay that address the following:

1.) Briefly describe at least one significant challenge to containing health care costs in the United States and identify a cost containment strategy that has been developed to address those challenges. In your response make use of the terminology involving health care costs and trends.
2.) Regrading the cost containment strategy you selected, identify the kinds of measurement or data that would help policy makers better understand the relevant costs and trends and justify your answer. What are the possible challenges in gaining timely and accurate information to inform policy making.
3.) Identify which interest groups would be most strongly impacted by this cost containment strategy. What might be the ramifications to thses groups if the status quo is changed?
4/) Describe one or more insights or lessons learned from managed care or other efforts that could be applied to maximize the potential for success for current or future cost containment strategies. Please sue headings/subheadings if appropriate.