Lehman, E. P. (2015). The health care ‘iron triangle’ and the patient protection and affordable care act. Cleveland Clinic Journal of Medicine, 82(2), pp. 73-80. doi:10.3949/ccjm.82a.14035

  1. In relation to cost, quality, and access, describe the benefits and drawbacks of a retrospective payment plan in healthcare.
  2. In relation to cost, quality, and access, describe the benefits and drawbacks of a prospective payment plan (PP) in health care.
  3. In relation to cost, quality, and access describe the benefits and drawbacks of a pay-for-performance prospective payment plan (PP) in health care.
  4. According to Leger and Dunham-Taylor, the Social Security Act of 1935 shifted the burden of caring for the poor from families to the federal government.
    Would you agree or disagree? Why?
  5. Describe the implications of the Affordable Care Act’s (ACA), pay-for-performance reimbursement structure for a) nursing leadership and b) for nurses?
  6. The Affordable Care Act (ACA) has impacted the expectations for patient care in all sectors. What changes would you or have you anticipated in your employment setting as a result of ACA health care policy changes?
  7. According to Lehman (2015), the “Affordable Care Act will never function as intended.” Do you agree or disagree? Why?
  8. Given all that we have discussed, what health care policy has had the most significant impact on the U.S. healthcare system? Why?
  9. Medicaid and Medicare are two terms commonly spoken together as if they were one and the same when in fact they are not. Compare and contrast Medicare and Medicaid programs. What is their intended purpose and what populations do they serve?
  10. In relation to cost, quality, and access, describe the benefits and drawbacks associated with health maintenance organizations (HMOs) and capitation.

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