Choose One Of These Three Health-Related Policies

Choose One Of The Following Three Policies Related To Health Care Refo

Choose one of the following three policies related to health care reform that influences the economy: Individual Mandate, Cost-Sharing Reduction Payments to Insurers, Meaningful Use—Electronic Health Records (EHRs), HITECH Act. Write a paper of 1,000-1,250 words, not including the title and References page, that analyzes the chosen policy. Include the following in your paper: Summarize how key elements of health care reform impact the economy on a macro level. Research the governmental policy process that was involved with the development, implementation, and assessment of the chosen policy. Explain how the governmental policy process affected the way the policy was developed, implemented, and assessed. Explain how the policy proposal you selected may impact three major stakeholders within the health care system (e.g., consumers, insurers, hospital systems). Cite a minimum of five references to support your rationale. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Paper For Above instruction

The chosen policy for this analysis is the Meaningful Use—Electronic Health Records (EHRs), established under the Health Information Technology for Economic and Clinical Health (HITECH) Act. This policy represents a significant shift in United States healthcare by promoting the adoption and meaningful utilization of electronic health records to improve healthcare quality, safety, and efficiency. Its influence extends beyond individual patient care to have broad economic implications on macroeconomic levels, involving complex government policy processes, stakeholder impacts, and ongoing assessments.

Impact of EHR Policy on the Macro Economy

At the macroeconomic level, the implementation of Electronic Health Records driven by the HITECH Act has facilitated systemic improvements that influence healthcare costs, productivity, and innovation. The adoption of EHRs has streamlined administrative processes, reducing paperwork and duplication of services, thus potentially decreasing overall healthcare expenditures (Buntin, Burke, Hoaglin, & Blumenthal, 2011). Moreover, increased data availability enhances population health management and preventative care programs, potentially reducing long-term healthcare costs and improving workforce productivity.

Furthermore, the policy has stimulated growth in the health IT sector by creating demand for EHR technology and associated services. This moderation of industry growth contributes positively to employment and technological innovation. However, initial costs and ongoing investments in system upgrades, training, and security have posed economic challenges, requiring substantial capital outlays by healthcare providers, especially smaller practices (Adler-Milstein, DesRoches, Kralovec, & Jha, 2019). Overall, the macroeconomic impact of the EHR policy has been mixed, with cost savings realized selectively and economic growth driven by health IT innovations.

Governmental Policy Process in Developing, Implementing, and Assessing EHR Policy

The development of the EHR policy was rooted in legislative efforts, primarily through the HITECH Act of 2009, which allocated funding and set meaningful use criteria (HealthIT.gov, 2017). The policymaking process involved multiple stages, including stakeholder consultations, legislative debates, and regulatory rule-making by agencies such as the Office of the National Coordinator for Health Information Technology (ONC). The process emphasized broad stakeholder engagement, including healthcare providers, technology vendors, patient advocacy groups, and policymakers, ensuring that diverse perspectives molded the policy framework (Adler-Milstein et al., 2019).

Implementation of the policy employed phased milestones with incentive programs providing financial rewards for providers who demonstrated meaningful use of EHRs. The Centers for Medicare & Medicaid Services (CMS) played a central role in designing and enforcing these incentives. The assessment of the policy's effectiveness involved continuous data collection, compliance monitoring, and periodic revisions to criteria to adapt to technological advancements and practical challenges. This iterative process allowed for policy refinement but also highlighted issues such as varying levels of provider readiness and technology disparities.

Stakeholder Impact Analysis

The EHR policy significantly affects key stakeholders in the healthcare system, including consumers, insurers, and hospital systems. Patients (consumers) benefit from improved safety and more coordinated care resulting from comprehensive health records; however, concerns about data privacy and security persist (Kruse, Fredericks, Patrick, & Sharma, 2018). The increased transparency and access to health information empower consumers but also expose them to risks like data breaches.

Insurers experience changes in claims processing and data analytics capabilities. The integration of EHRs facilitates more accurate risk assessments, streamlined claims management, and the potential for value-based care models (Chung et al., 2020). Nonetheless, insurers face challenges related to data interoperability and the need to adapt existing systems, which can incur significant costs. Hospital systems see improvements in clinical workflows, reduced malpractice risks, and enhanced decision-making through comprehensive data. Conversely, smaller hospitals may face financial and technical hurdles in EHR implementation, possibly affecting their competitive position (Miliard, 2018).

Overall, the policy aims to modernize healthcare delivery, but stakeholders’ benefits are mediated by the capacity to adapt and invest in health IT infrastructure. The long-term objectives of improving quality and controlling costs depend on successfully addressing these varied stakeholder needs and concerns.

Conclusion

The Meaningful Use component of the HITECH Act exemplifies how technological policy initiatives can transform healthcare economy-wide. From stimulating industry growth to enhancing healthcare delivery, its macroeconomic effects are profound. The governmental policy process, characterized by legislative action, stakeholder engagement, phased implementation, and continuous assessment, has shaped its trajectory. Stakeholders—patients, insurers, and hospital systems—experience both benefits and challenges, highlighting the complex interplay of policy, economics, and healthcare delivery. Future evaluations will determine the policy’s sustained impact on healthcare quality and economic stability.

References

  • Adler-Milstein, J., DesRoches, C. M., Kralovec, P. D., & Jha, A. K. (2019). Electronic health records and the American recovery and reinvestment act. The New England Journal of Medicine, 380(4), 370-372.
  • Buntin, M. B., Burke, M. F., Hoaglin, M. C., & Blumenthal, D. (2011). The benefits of health information technology: A review of the recent literature shows predominantly positive results. Health Affairs, 30(3), 464-471.
  • Chung, S., Morton, J. M., Tulla, S., & Hirst, J. (2020). The impact of EHR adoption on healthcare costs. Journal of Health Economics, 69, 102250.
  • HealthIT.gov. (2017). Meaningful use and milestones for electronic health records. U.S. Department of Health & Human Services.
  • Kruse, C. S., Fredericks, K., Patrick, L., & Sharma, A. (2018). Healthcare industry and patient data privacy and security concerns. Journal of Medical Systems, 42(11), 209.
  • Miliard, M. (2018). Small hospitals face hurdles adopting EHRs. Healthcare IT News.
  • Office of the National Coordinator for Health Information Technology. (2019). EHR implementation and meaningful use programs. U.S. Department of Health & Human Services.
  • Shanafelt, T. D., Dyrbye, L. N., Sinsky, C., et al. (2016). Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2014. Mayo Clinic Proceedings, 91(12), 1681-1694.
  • Vest, J. R., & Gamm, L. D. (2010). Health information exchange: Persistent challenges and potential solutions. The International Journal of Medical Informatics, 79(12), 849-859.
  • Zimmerman, D. R., & McGinnis, J. M. (2017). The role of government policy in health information technology adoption. Health Affairs, 36(4), 722-727.