P 4

The U.S. created Medicare, a publically funded healthcare program, to assist people sixty-five years of age and older in obtaining healthcare services.

Tasks:

  • ***Summarize the legislation that introduced Medicare and the funding source for the program.
  • ***Discuss some of the changes that have occurred in the Medicare program since its inception.
  • ***Describe the demographics of the population covered by Medicare and identify the number of people in the U.S. covered by Medicare.
  • ***Assess how changes in Medicare will affect the citizens and legal residents in your state. Include specific demographic information on age, race, income, etc., for your state to justify your response.

From the Internet, review the following:

  • Centers for Medicare & Medicaid. (2017). CMS’ program history. Retrieved from https://www.cms.gov/About-CMS/Agency-Information/History/index.html
  • Centers for Medicare & Medicaid. (2015). The Affordable Care Act and Medicare. Retrieved from https://www.medicare.gov/about-us/affordable-care-act/affordable-care-act.html
  • Cubanski, J. (2016, December 13). What are the implications of repealing the ACA for Medicare spending and beneficiaries. Retrieved from https://www.kff.org/health-reform/issue-brief/what-are-the-implications-of-repealing-the-affordable-care-act-for-medicare-spending-and-beneficiaries/

Submission Details:

  • Present your response in a 3- to 5-page Microsoft Word document formatted in APA style.
  • On a separate page, cite all sources using APA format.

 

Policy Implementation Activities

There are four activities involved in policy implementation: designing, rulemaking, operating, and evaluating. The first activity is designing and it is at this time that there is the establishment of an organizational agenda including prioritizing of tasks, identifying personnel, creating a positive organizational climate, and streamlining decision-making processes. Next in the process of policy implementation is rulemaking, which involves detailed instructions developed by the organization to meet the previously specified agenda items.

Next is the operating activity of policy implementation, which is the conduct by organizations and agencies to accomplish the tasks set forth in the design phase and detailed in the rulemaking phase; these are the actual efforts made to implement a piece of legislation. And finally, evaluating, which requires a systematic collection and analysis of data to help assess the efficacy and appropriateness of a policy, informs any necessary changes in a subsequent modification phase.