Health Policy Analysis: Medicare Implementation Issues in the US

This report analyzes the implementation and strategic problems associated with public health policies, specifically focusing on Medicare in the United States. The paper highlights the increasing complexity of public health issues, including rising rates of coronary artery disease, cerebral attacks, hypertension, and obesity. It emphasizes the importance of effective policy execution by healthcare institutions and administrators to address implementation challenges. The report identifies Medicare as a vital, yet problematic, policy facing issues such as funding shortages, workforce inadequacies, and policy maker's lack of understanding. It examines the current status of Medicare, the need for policy reframing, and the importance of staff training. The projected outcomes include improved health insurance access for all age groups, decreased hospital stays, and better coverage of interventions. The report also includes a draft testimony discussing the socioeconomic factors that influence health accessibility and the need for policy adjustments to address chronic diseases, mental health issues, and the financial burden of healthcare. The report concludes with a bibliography of cited sources.

Running head: Health policy
Health policy
Name of Student
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ISSUE – Implementation and strategic problems with public health policy
in United States
Background
In United States, the public health has been taking many new forms and shapes with
the advent of new diseases and conditions that are ever increasing in the public health
scenario of United States. Coronary artery disease and cerebral attack in addition to
hypertension and obesity are the major issues in the public health scenario of United States.
The public health care policies and the various types of the government lead health care
campaigns haven been found to affect the health care scenario of United States in a very
different manner. Although the public health policies are heavily funded by the government
of united states – it is important that the various types of policies are bought into right
practice by the executives at the health care institutions and by the administrators as well so
that the various types of issues with implementation of the health care policies are addressed
at an efficient rate and manner (Nahin, Barnes & Stussman, 2016). One of the most important
health care and health servicing policy that is both vital and popular in the country of United
States is Medicare (Hall et al., 2016). Given its contribution to the alteration of the ways of
how the bundle services and costly medical services are delivered to general public - the most
important part of the issue is that the implementation and execution process is very faulty and
there are certain gaps that the health care policy that is Medicare is not being able to manage
in a very tactical manner. It is to be understood that public health care issues that are
becoming more complicated and more intricately entwined with the delivery of the service
care process to the patients of wider age group but as a matter of fact – the various types of
interventions that is the medical, nursing and other allied care services as well as the other
expenditures during a hospital stay that are supported by the wide range of services – are now

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being audited more imperatively and the services which were once regarded as a high quality
service in terms of health management and health condition preventive care service insurance
but now, the policy that is still a huge public health policy in the United States has been
found to face a lot of challenges and barriers nowadays including shortage of funding and
lack of right workforce. However, the lack of understanding of the policymakers who are
creating the inaccurate policies that are failing at a public level nowadays (Malekinejad et al.,
2018). The various types of the incapacities of the workforce such as the policy sellers and
lack of collaboration with new changing trends of health care institutions such as health
information technology and usage of medical cards that can be used at ease by the clients –
are the certain issues that is troubling the Medicare policy framework in a very deep manner
(Papanicolas, Woskie & Jha, 2018).
Current Status
The Medicare is the major insurance and public health policy in the framework and
nation of United States. It is intended to address the socioeconomic issues or parameters of
the public population of United States, through the delivery of right health insurance services.
The lead originators and the sponsors of the proposal is the national framework of public
policy development and implementation. At the state level, there are certain policy issues.
The very important aspect of the health care system of United States is that it is rapidly
changing with the emergent trends of electronic database management, health information
technology and by the application of the electronic medical records and it is very critical that
the various types of new discoveries pertaining to the kind and the type of medical disease
and condition identified, has changed the way how and in what way and manner the patient
care service is to be delivered to the general public in the framework of United States. And
this caused a lot of issues with health policy service structure and implementation. The
intended strategies of the public health policy Medicare has been barred and opposed by

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different problems and issues with implementation, structural planning and the operations at
the state level. As a matter of fact – the level of the biomedical services and the
biopsychosoical services are increasing and as the number of morbidity rate is increasing in
the United States population – the challenges to cover the expenses of such a huge population
is becoming extremely unmanageable at times for Medicare. In the current scenario, the areas
dealing with the Independent Payment Advisory Board (IPAB) and the veterans’ health
assistance programs are the major areas that are facing the huge problems in context with
complicacies with the above mentioned health care delivery conditions in the framework of
United States. It is vital to understand that the public health policies are being able to manage
different individual across various age groups with different diseases and from different
socioeconomic backgrounds and it is important that all the facets of the health care policy
issue is addressed in a very urgent way – in order to help serve the various types of the
populations in United Kingdom better (Hu et al., 2017).
Next Steps
The next step is to reframe the parameters of the policy and the framework in which
the public health policy works. The knowledge and the awareness of the workers or staffs
working with Medicare has to be increased and proper research as well as proper staff
training is required very much and then the finding issues are to be addressed. The various
health conditions with distinct and overlapping symptoms and treatments are to be identified
by the policymakers as well and then the new policy has to be formulated. In spite of
drawbacks, the majority of the people in United States continues to renew their services with
the Medicare and many of the clients has provided feedback regarding the issues that can be
addressed by the policy makers.

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Projected Outcome
The projected outcomes is as follows: -
1) All the age groups of the society will be equally addressed with quality health
insurance policies.
2) The clients will have a wide range of bundle care packages to choose from.
3) The length of hospital stay of each of the client, who are treated under the framework
of the United States will be decreased.
4) The various types of the interventions which are performed with costly technologies
at hand, will be covered more effectively under the scheme of the policy as well.
5) The health preventive programs and its costs will be covered under the new schemes
of changed policy framework.
6) More equity and equality will be maintained between urban and community at local,
state and the national level as well.
Personal Assessment of Issue and Process
There is a lack of proper coverage issues by the policies and the Medicare card is
unable to cover the expensive counterparts of a delivered hospital service in States. Many of
the interventions and the procedures are not mentioned and not covered by the range of
services that comes under the framework of the discussed health care policy in United States.
Thus, with the new policy changes that is been proposed above, it would address the
issues and attempt to achieve the above mentioned outcomes – thus balancing the issues of
the public health and covering the expenses in a more meaningful manner.

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DRAFT TESTIMONY IN SUPPORT OR OPPOSITION
The general population of the United States is the main service receivers of the
Medicare led health care services and it is to be critically understood though that the various
underpinnings of the socioeconomic status of the people that varies from urban to community
to rural backgrounds. This factor also affects the level of health accessibility and Medicare
which has been considerably successful in changing and shifting the pace of how the aspects
of social determinants of health in pertinence to a certain social or cultural group or to a
certain population is handled but nowadays, with the increase in health diversity of the health
care service and due to the increase in the complicacy of the health disorders – the situation
has become very difficult for the United States population. It is critically important and vital
to understand that the treatment protocols and the level of health philosophies has changed
over the years and over the years, the same has changed in accordance with the advent new of
and more important and relevant health and heath care ethics - thus adding new dimension to
the patient centered delivery style and process in United States national, local and state
framework and thus it is very important to consider that as the variety of medical, nursing and
the allied health care has been changed and made more detailed pertinent to each symptom of
each health condition or disease – the challenge has increased drastically for the quality of the
services and the quantity of the services that is delivered by Medicare in United States. The
chronic diseases and the old people in United States who have been suffering from these
chronic lifestyle and metabolic diseases such as diabetes and dyslipidemia, chronic kidney
disease, hypertension – are not covered properly by the policies – are to be reframed and
addressed. The mental health issues should be put in a section of policy and care services has
to be framed. In order to finance such a wide range of services and to back and address the
financial needs of the patient who have been prescribed a detailed range of biomedical
processes as for assessments and then a wide range of therapeutic intervention that is to be

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delivered by an allied health care team and a nursing and a medical team in a framework of
multidisciplinary care – is high in expense and it is quite a challenge for the Medicare public
health policy to support every individual who has been given such a plan of care.
Bibliography
Nahin, R. L., Barnes, P. M., & Stussman, B. J. (2016). Expenditures on complementary
health approaches: United States, 2012.
Hall, K. S., Sales, J. M., Komro, K. A., & Santelli, J. (2016). The state of sex education in the
United States. The Journal of adolescent health: official publication of the Society for
Adolescent Medicine, 58(6), 595.
Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Health care spending in the United States
and other high-income countries. Jama, 319(10), 1024-1039.
Malekinejad, M., Horvath, H., Snyder, H., & Brindis, C. D. (2018). The discordance between
evidence and health policy in the United States: the science of translational research and the
critical role of diverse stakeholders. Health research policy and systems, 16(1), 1-21.
Hu, J. C., Nguyen, P., Mao, J., Halpern, J., Shoag, J., Wright, J. D., & Sedrakyan, A. (2017).
Increase in prostate cancer distant metastases at diagnosis in the United States. JAMA
oncology, 3(5), 705-707.

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References
Hall, K. S., Sales, J. M., Komro, K. A., & Santelli, J. (2016). The state of sex education in the
United States. The Journal of adolescent health: official publication of the Society for
Adolescent Medicine, 58(6), 595.
Hu, J. C., Nguyen, P., Mao, J., Halpern, J., Shoag, J., Wright, J. D., & Sedrakyan, A. (2017).
Increase in prostate cancer distant metastases at diagnosis in the United States. JAMA
oncology, 3(5), 705-707.
Malekinejad, M., Horvath, H., Snyder, H., & Brindis, C. D. (2018). The discordance between
evidence and health policy in the United States: the science of translational research
and the critical role of diverse stakeholders. Health research policy and
systems, 16(1), 1-21.
Nahin, R. L., Barnes, P. M., & Stussman, B. J. (2016). Expenditures on complementary
health approaches: United States, 2012.
Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Health care spending in the United States
and other high-income countries. Jama, 319(10), 1024-1039.