Explain the government’s impact on the cost of health care.
The government plays a significant role in ensuring the implementation of the Washington Indian health care improvement Act. In 2016, an update in payment policy from all the Medicare and Medicaid services centers was done. This move made it possible for the state to shift more cost of care for the vulnerable community from the state general fund to the federal government. The access to federal funds makes it possible to have the administrative burden of this policy from the state government and increase the general effectiveness of the policy. The federal payments help the state to deliver improved health care services to the American Indians and Alaska natives (Kruse, et.al. 2022). Through this fund, it is possible to strengthen the continuity of quality care and result in the general improvement of the health of the population.
Explain what regulatory authority will implement or enforce this health care policy.
The legislature through this Act intends to have a national policy of the Indian self-determination and attain quality health status for the target community implemented. The legislature will establish the governor’s Indian health advisory council. The Indian health advisory council will consist of voting members including; a representative from each tribe, a CEO from each urban Indian organization, a member from the largest house caucuses, and a member from the two largest caucuses in the senate, a representative from the governor’s office (Kruse, et.al. 2022). The other members are non-voting and are all representatives of state agencies, Indian health services, the commission, and the board.
This council will have the following responsibilities; do an assessment of the tribal implication which are not able to resolve at the agency level, oversight the implementation of the Act, develop a biennial advisory plan, and establish a reinvestment account for Indian health improvement. The council will have the responsibility to appropriate and deposit in the reinvestment account new states’ savings and maintain fiscal neutrality to the state general fund (Willging, et.al., 2021). Ensure that the funds in the account are only spent on issues pertaining to the improvement of Indian health with respect to the advisory plan.
The advisory committee can choose to appoint technical advisory committees to meet specific issues and concerns. The advisory council will also meet, and give reports and recommendations which aim at improving the health status of the American Indians and Alaska natives.
Describe the differences between federal, state, and local health care regulatory responsibilities in the chosen health policy.
The federal government has a key responsibility of funding the implementation of the Washington Indian health improvement Act. This will be done depending on the amount which the state shifts from its general funds to the federation.
The state government has a responsibility to carry out the activities needed for the implementation of the act. A key duty is a creation of an advisory council that will oversee the implementation of the act. The state has the responsibility to ensure the advisory council created meets the threshold requirements as proposed in the policy. The state will develop a reinvestment account for Indian health improvement. All the money appropriated funds set for the implementation of the Act will be deposited here (Willging, et.al., 2021). The state has the responsibility to ensure revenue control and effective expenditure of the funds in the reinvestment account.
The local governments have the responsibility to provide health statistics and records from the target population. Through local government agencies the following services should be provided; control of communicable diseases, home health care, school health services, sanitation services, public health nursing, and epidemiology (Willging, et.al., 2021). The combination of the services from the federal, state, and local government will ensure the implementation of the Washington Indian Health Improvement Act.
Regulatory And Policy Impact
References
Empey, A., Garcia, A., & Bell, S. (2021). American Indian/Alaska Native child health and poverty. Academic pediatrics, 21(8), S134-S139.
https://doi.org/10.1016/j.acap.2021.07.026.
Kruse, G., Lopez-Carmen, V. A., Jensen, A., Hardie, L., & Sequist, T. D. (2022). The Indian Health Service and American Indian/Alaska Native Health Outcomes. Annual Review of Public Health, 43.
Wilensky, S. E., & Tietelbaum, J. B., (2020). Essentials of health policy and law (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Willging, C. E., Jaramillo, E. T., Haozous, E., Sommerfeld, D. H., & Verney, S. P. (2021). Macro-and meso-level contextual influences on health care inequities among American Indian elders. BMC public health, 21(1), 1-14.
DOI https://doi.org/10.1186/s12889-021-10616-z.
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