Healthcare Policy Case Study
Affordable
_________
Health
_____Care
____Act
Claudette D. Johnson
Grand Canyon University
NUR-508
May 30, 2012
Objectives
Present the background of a
policymaker and explain advocacy
for a cause
An outline of governmental efforts
to address healthcare issues from a
local level
Review of efforts- past, present and
future health reform direction
Explain struggles and barrier in
policy making
Meet Senator Carole Pankau (R)23rd
District Minority Caucus Whip
Background
Service
Experience
Community
Experience
Du Page County
Board member
Chambers of
Commerce
Republican
Committeeman
Illinois
Federation of
Republican
Women
Republican
Committeeman
Republican
women’s Club
National Order
of Women
Legislators
Senate
Experience
Public Health
Minority
Spokesperson
Appropriations
III
Environment &
Energy
Labor &
Revenue
(Carol Pankau, 2008-2012)
Policy Maker Skills
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Ability to listen & truly understand
Keep open mind, hear without judgment
Deal with ambiguity & complex issues
Believe that sharing challenges and asking for input is
more important than personally providing solutions
Be clear on goals, directing without ordering
Be a servant, helper, & teacher first, leader second
Think before reacting
Choose words not to damage those being led
Ability to use foresight & intuition
Seeing things whole and sensing relationships and
connections
(Marquis & Huston, 2008)
Impact in Politics
Illinois State
Senator
Senate Committee of
the Whole; Public
Health (Minority
Spokesperson);
Illinois State
Representative
Appropriations III;
Environment and
Energy; Labor;
Revenue
(Carol Pankau, 2008-2012)
Medicaid
Eligibility & Benefits
Cost Sharing & Waivers
Long-Term Services &
Supports
Outreach & Enrollment
Quality of Care
Health Policy Story
Reforming state’s Medicaid system
Establishment of various benchmarks for quality,
care and finances as required by providers to
meet reimbursement requirement
Requiring applicants to meet residency standards.
Create a newer system of income for Medicaid
eligibility
MedicaidCare Act
The Affordable
Expand
Coverage
Enhance the
quality of
care for all
Americans
Guarantee
more
choices
Hold
Insurance
Companies
Accountable
Lower
Healthcare
cost
(United States Department of Health & Human Services, 2012)
Recent Efforts
Improving quality • Encourage Integrating
Health systems
& lowering costs
• January 2012
Understanding & • Help identify & reduce
Fighting Health
disparities
Disparities
• March 2012
Framework for
Affordable care
Act
• Defining eligibility &
enrollment policies
• March 2012
(United States Department of Health & Human Services, 2012)
2013 Future Efforts
Increasing
Medicaid payments
for primary care
doctors
Expanded
Authority to
Bundle Payments
Additional Funding
for (CHIP)
(United States Department of Health & Human Services, 2012)
2014 Future Efforts
No Discrimination
Due to Pre-Existing
Conditions or
Gender
Increasing Small
Business Health
Insurance Tax
Credit
Eliminating Annual
Limits on Insurance
Coverage
Increasing Small
Business Health
Insurance Tax
Credit
Ensuring Coverage
for Individuals
Participating in
Clinical Trials
Paying Physicians
Based on Value Not
Volume
Ensuring Free
Choice
Promoting
Increasing
Access to
Individual
Medicaid
Responsibility
(United States Department of Health & Human Services, 2012)
2015 Future efforts
Paying Physicians
Based on Value
Not Volume
(United States Department of Health & Human Services, 2012)
Theories
impact of
regulation and
government on
the allocation of
resources
Overcoming
behavior for
public goodtrade-offs
to make tradeoffs among a
variety of
interests
The InterestGroup Theory
of Government
social costs of
rent seeking lobbying
Challenges/Obstacles in Policymaking
Trying to align
different ideas
with the goal of
the policy
Conflict between
morals, ideals and
Culture and
change colliding
( Carole Pankau, May 1, 2012)
Policy Making
Is a negotiating process
http://www.cartoonstock.com/directory/m/mentor.asp
Conclusion
We seek not to lead but to serve first and find
that in serving, our greatest influence is leading.
Benjamin Lichtenwalner
References
Abood, S. (2007, January). Influencing healthcare in the legislative arena. OJIN: The Online Journal of Issues in Nursing.
12(1). doi: 10.3912/OJIN.Vol12No01Man12. Retrieved from
http://www.nursingworld.org/ManMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/Tableof
contents/Volume122007/No1IJAN07/tpc32_216091.aspx
Carol Pankau (2008-2012). Carol Pankau, State Senator 23rd District. Terrain Tribune Inc. Retrieved from
http://www.pankau.senategop.org/
Centers for Medicare & Medicaid Services. (2012). Keeping America Healthy. Medicaid.gov. Retrieved from
http://www.medicaid.gov/AffordableCareAct/Provisions/Eligibility.htm
Hakala, D. (2008, March 19). The top 10 leadership qualities. HR World. Retrieved from
http://www.hrworld.com/features/top-10-leadership- qualities-031908/
Illinois General Assembly. (2012). Carole Pankau. Retrieved from http://www.ilga.gov/senate/Senator.asp?MemberID=1299
Jooste, K. (2004). Leadership: a new perspective. Journal of Nursing Management, 12(3), 217-223. Retrieved from
http://angel02.gcu.edu/section/default.asp?id=704017
References
Lichtenwalner, B. (2010, November). The modern servant leader: Servant leadership manifesto. Leadership and
Technology. Retrieved from http://modernservantleader.com/servant-leadership/servant-leadership-manifesto/
Marquis, B. L. & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application (6th
ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins.
Tollison, R. D. (1991). Regulation and Interest Groups. The Locke Institute Journal. Retrieved from
http://www.thelockeinstitute.org/journals/luminary_v1_n1_p4.html
United States Department of Health & Human Services. (2012, May). Take health care into your own hands. Retrieved from
http://www.healthcare.gov/law/timeline/index.html