Module 1: Discussion – Leading to Promote Financial Quality.
· List three ways the doctor of nursing (DNP)-prepared nurse could provide leadership in helping a health care entity optimize reimbursement from insurers.
· Describe a new insight or perspective gained after reviewing this weeks’ review of the IHI ACA video as it relates to quality and finance. How do you foresee this perspective impacting your practice?
Download the PowerPoint presentations below and use them to take notes on the assigned readings from the Wasman and Knighten 3rd Ed. text for Chapters 1 and 2. Then review the additional readings and IHI video before your discussion board post! POWERPOINTS ARE ATTACHED
Insurance coverage, Medicaid expansion, and payment reform have been rigorously debated since the ACA became law in 2010. This video (March 2017) overview, Dr. Don Berwick, IHI President Emeritus and Senior Fellow, explains the changing health care landscape. What’s the future of the Affordable Care Act (ACA)? What will change if it’s “repealed and replaced” by the American Health Care Act (AHC A)? What’s the difference between the two? Much has changed and will continue to change with the ACA; this illuminates the initial insurance and care delivery reforms.
Kaiser Family Foundation: Texas v. US Provisions of the ACA December 2018
President Donald Trump and Republicans in Congress pursued several major efforts to repeal and replace the Affordable Care Act (ACA). Still, they were unable to get a bill through the U.S. Senate in 2017. In 2018, Congress did pass a tax bill that eliminated the ACA’s tax penalty for not obtaining health coverage beginning in 2019. The Trump Administration’s actions and decisions also have affected the ACA marketplaces and will continue to reshape how Americans get health insurance into 2019 and beyond.
State by State:https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/
“As you may know, a health reform bill was signed into law in 2010. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it?”