Health Policy Brief Analysis-Federal and State

1. A look at reducing health care expenditures
HEALTH POLICY BRIEF
ANALYSIS
by Deana Kenney MS, RN
Salisbury University
NURS 525

2. 2

3. 3

4. 4

5. WHO’S
STAKEHOLDERS
INVOLVED?
 PATIENTS
 PROVIDERS
 HOSPITALS
 EMPLOYERS
 INSURERS
 REGULATORS
 OTHER STAKEHOLDERS
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6. Federal and State Legislation
Consu Lower Better
Healthc
mer are Health
Engag Costs Outco
ement mes
As consumers we have a voice every step of the way
6

7. Consumer Engagement
Private and public health care organizations are employing strategies to better engage patients
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8. AFFORDABLE CARE ACT 2010
James, J. (2013). “Health Policy Brief: Patient Engagement" Health Affairs, February 14, 2013. Retrieved March 1, 2013, from
htpp://healthaffairs.org/healthpolicybriefs/brief_pdfs/ healthpolicybrief_86.pdf
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9. Conceptualized Framework
“Health Policy Brief: Patient Engagement," Health Affairs, February 14, 2013. http://www.healthaffairs.org/healthpolicybriefs/ 9

10. CRITICAL POINTS-PATIENT ENGAGEMENT
#1 PRIMARY EMPHASIS OF HEALTH REFORM HAS BEEN ON
IMPROVING PATIENT OUTCOMES THROUGH TECHNOLOGY,
ACCESS, COMMUNICATION, COORDINATION OF CARE, PROVIDER
INCENTIVES, ETC.
#2 LITTLE FOCUS ON HEALTH LITERACY AND PATIENT
ENGAGEMENT
Considerable efforts are under way to hold health care organizations accountable
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11. Trends in Engagement
#1 WEB-BASED
INTERACTIVE MODULES
SELF-MONITORING TOOLS
#2 PHONE-BASED
TEXT REMINDERS AND EDUCATION
SELF-MONITORING APPS
#3 HOME TELEHEALTH DEVICES
Technology has transformed how we engage our consumers today
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12. State of Maryland Health Policy
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13.
HB 934—Maryland General “Task Force on the Use of Telehealth to Improve
Assembly-2013 session Maryland Health Care”
 Aim
 Task force representation
 Task force analysis, collaboration,
recommendations
 underserved populations and areas
 applications for cost
 innovative service models
 innovative payment models
 factors related to telehealth
 supportive uses of EHR
 health information exchange
 multimedia uses for patient engagement
 health professional productivity, resources, and
shortages
 emerging technology and standards for security
 public and private grant funding
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14.
Lower Healthcare Costs
Poor health habits and increased rates of chronic diseases calls for new interventions to reduce costs
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15.
BETTER HEALTH OUTCOMES
Health promotion, prevention, and wellness initiatives are being embraced
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16. AFFORDABLE CARE ACT 2010
WELLNESS PROGRAMS
 EXPANDED EMPLOYERS REWARD ABILIITES
 MUST COMPLY WITH FEDERAL AND STATE
REQUIREMENTS
 HIPPA REGULATIONS
 AMERICANS WITH DISABILITIES ACT (1990)
 GENETIC INFORMATION NONDISCRIMINATION ACT OF
2008
 CATEGORIZED INTO TWO GROUPS
 PARTICIPATORY WELLNESS PROGRAMS
 HEALTH CONTINGENT WELLNESS PROGRAMS
James, J. (2012). “Health Policy Brief: Workplace Wellness Programs,” Health Affairs, May 10, 2012. Retrieved March 21, 2013, from
http://healthaffairs.org/healthpolicybriefs/brief_pdfs/healthpolicybrief_69.pdf 16

17. "Health Policy Brief: Workplace Wellness Programs," Health Affairs, Updated December 04, 2012.
http://www.healthaffairs.org/healthpolicybriefs/

18. Exciting new transitions
FEDERAL HEALTH POLICY
.
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19.
S.39—113 Congress-2013
th
session “Healthy Lifestyles and Prevention America Act”
 Aim
 Incentives for a healthier workforce
 Program consistency with best practices
 Wellness program consist of any 3 components
 Health awareness
 Health education
 Health screenings
 Employee engagement
 Behavioral change component
 Participation requirements
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20. BEHAVIORAL CHANGE COMPONENT
PROGRAMS RELATED TO:
 Tobacco use
 overweight and obesity
 stress management
 physical activity
 Nutrition
 substance abuse
 Depression
 mental health promotion
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21. CRITICAL POINTS- BETTER HEALTH OUTCOMES
#1 REGULATIONS NEED TO BE EXAMINED
#2 THE CONSUMER'S VOICE IS NECESSARY
#3 BARRIERS TO WELLNESS- PRIVACY ISSUES, DISCRIMINATION
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22. Federal and State Legislation
Consu
Lower
Better
Healthc
mer are Health
Engag Costs Outco
ement mes
As consumers we have a voice every step of the way
22

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24. REFERENCES
 James, J. (2013). “Health Policy Brief: Patient Engagement" Health Affairs, February 14, 2013.
Retrieved March 1, 2013, from htpp://healthaffairs.org/healthpolicybriefs/brief_pdfs/
healthpolicybrief_86.pdf
 James, J. (2012). “Health Policy Brief: Workplace Wellness Programs,” Health Affairs, May 10,
2012. Retrieved March 21, 2013, from http://healthaffairs.org/healthpolicybriefs/brief_
pdfs/healthpolicybrief_69.pdf
 HB 934-- Task Force on the Use of Telehealth to Improve Maryland Health Care. 2013 Session
stat. (2013). Retrieved March 21, 2013, from http://
mgaleg.maryland.gov/google_docs$/2013rs/bills_noln/hb/fhb0934.pdf
S.39--113th Congress: Healthy Lifestyles and Prevention America Act. (2013). In
www.GovTrack.us. Retrieved March 21, 2013, from http://www.govtrack.us/congress/
bills/113/s39
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