Use the framework presented in Stone’s Policy Paradox and the expertise you have developed in your previous assignments (position paper, discussion boards, web exploration, and readings) to consider your policy issue, understand the politics surrounding it, analyze and critique the arguments on both (or all) sides of the issue, and finally, argue persuasively for what you believe.  In other words, in your analysis, show how both the main proponents and opponents of the issue think, what they believe, and what their strategies are. By doing this you will in effect deconstruct both positions—yours and the others—to then argue for what you believe. Your aim is to produce a clear, compelling evidence-based report that could be presented to legislators or policy organizations. Ground your paper in policy research, published analyses, and other credible sources.

Include the following in your analysis:

Introduction (1 page maximum)

Provide a brief introduction, including the proper citation of the legislation and its sponsors

Describe how the issue evolved (context, legislation, political history, persons and groups involved)

Describe your interest in the issue (briefly)

Position Statement (2 pages maximum)

Clearly state your position on the issue

Specify who or what organizations or groups support your position

Specify who or what organizations or groups oppose your position

Analysis (3 pages maximum)

Discuss, from the perspective of your position and those in opposition, how the following are used in your policy:

Goals

Equity, efficiency, security, liberty as applicable

Problems

Symbols, numbers, causes, interests, decisions as applicable

Solutions

Inducements, rules, facts, rights, power as applicable

Conclusion and Recommendations (1 page maximum)

Persuasively present your conclusion as to the most appropriate or best solution and your recommendations for legislators. State the intended outcomes of your recommendations.

Advocacy Plan (1 page maximum)

Describe the strategies you would use to advocate for this policy.

Use the most recent APA style, include a title page and abstract. Include supporting evidence from the literature or credible websites in each of the above listed areas.  The paper should be absolutely no more than 8 pages in length excluding references, title page and abstract. Two points will be deducted for every page over the maximum.

Use the framework presented in Stone’s Policy Paradox and the expertise you have developed in your previous assignments (position paper, discussion boards, web exploration, and readings) to consider y
Health Policy Developments Introduction  The Affordable Care Act (ACA) has been a continuing healthcare process to enhance the affordability of healthcare given within the United States (US). However, the ACA affects the patient and the healthcare system expected to deliver care (Henry, 2013). Whether patients or outpatient, several patients are affected by these decisions.  Quality of Life  Quality of care involves many aspects of patient care (Piekes, 2020). Providing high-quality care certifies that care is safe, effective, patient-centered, timely, efficient, and reasonable. The care providers, insurers, delivery systems, and quality improvement organizations are focused on improving the quality of care. Several approaches can be taken to safeguard the quality-of-care standards are met. They can entail evidence-based decisions, performance assessment, and explicit efforts to improve quality, reduce errors, and involve patients in care decisions. However, inequalities and inconsistency can exist in care quality, leading to health disparities (Piekes et al., 2020).   ACA and the Impact on Telehealth According to Gilman (2013), there has been a long-standing hope that Telehealth could be used to conquer a lack of local medical specialists in rural areas. To support rural access to care, Medicare covers telehealth services provided through live, interactive videoconferencing between a beneficiary located at a certified rural site and a distant practitioner. These services include office psychiatry visits, other office visits, and additional physician visits (e.g., consultations). Since 1999, Medicare payment rates for telehealth services have increased, the number of telehealth services that Medicare covers have increased, provider requirements have been reduced, and federal grants advocating telehealth adoption have been provided. This study aims to assess growth in various types of Medicare-paid telehealth services. Despite higher payments and lower regulatory burdens, growth in Telehealth adoption among providers has been modest (Gilman et al., 2013).  Gilman (2013) suggests promises for tele pharmacy and tele-emergency care, where consulting pharmacists supervise remote pharmacy technicians in rural pharmacies and hospitals, and central emergency room physicians consult with remote primary care providers treating patients in emergency rooms. The Commonwealth Fund organized a report on North Dakota’s experience with tele pharmacy and found that tele pharmacy extended access to patients in their rural communities and was economically (Gilman, 2013).  During the COVID-19 pandemic past few years, our practice used Telehealth for our patients in the office and patients in rural communities. According to Brotman (2021), telehealth reimbursements for office visits for evaluation and management of established patients with low complexity were 30% lower than the corresponding non-telehealth service. Corresponding with the Centers for Medicare and Medicaid Services (CMS), Reimbursement by clinical diagnosis code also tended to be lower for Telehealth than non-telehealth claims. Lower reimbursements may hamper widespread adoption of Telehealth for telehealth services relative to face-to-face services (Brotman, 2021). References Brotman, J. J., & Kotloff, R. M. (2021). Providing outpatient telehealth services in the United States: before and during coronavirus disease 2019. Chest, 159(4), 1548-1558. Centers for Medicare & Medicaid Services. (2021, November 8). BPCI ADVANCED: CMS Innovation Center. Innovation Center. Retrieved May 21, 2022, from https://innovation.cms.gov/innovation-models/bpci-advanced#pricing (Links to an external site.). Gilman, M., & Stensland, J. (2013). Telehealth and Medicare: payment policy, current use, and prospects for growth. Medicare & Medicaid research review, 3(4), mmrr.003.04.a04. https://doi.org/10.5600/mmrr.003.04.a04 Henry J. Kaiser Family Foundation (2013, April 23). Focus on health reform: Summary of the Affordable Care Act. https://files.kff.org/attachment/fact-sheet-summary-of-the-affordable-care-act (Links to an external site.) Peikes, D., Taylor, E. F., O’Malley, A. S., & Rich, E. C. (2020). The Changing Landscape Of Primary Care: Effects Of The ACA And Other Efforts Over The Past Decade: A description of primary care delivery system reform models developed and tested over the past decade by the Center for Medicare and Medicaid Innovation, which was created by the Affordable Care Act. Health Affairs, 39(3), 421-428.