Evolution of the U.S. Healthcare System

HE002: History of the U.S. Healthcare System

Short Answer Submission Form

Your Name: First and last

Your E-mail Address: Your email here

Instructions

Write your responses where it reads “Enter your response here.” Write as much as needed to satisfy the requirements indicated. Each item contains the Rubric which will be used to evaluate your responses.

1. Evolution of the U.S. Healthcare System

· Part A: Describe the key historic events since World War II (after 1945) that have influenced U.S. healthcare evolution. Provide ONE topic per paragraph (5 separate paragraphs).

· Part B: Read the scenario (below), and then respond to the instruction that follows.

Scenario: You are part of an international health conference where health professionals from around the world have gathered. Your role is to provide a greater understanding of the history and current standings of the U.S. healthcare system. The first day of the conference focuses on the history of healthcare. You will have a friendly debate with Germany and Canada on how healthcare has evolved.

Create a table that presents the similarities and differences of the healthcare systems among the U.S., Germany, and Canada. Pertinent information should include but is not be limited to:

· Total population

· Gross national income per capita

· Life expectancy at birth for males and females

· Total expenditure on health per capita

· Total gross domestic product percentage (GDP %) expenditure on health

Your Response

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Rubric

0

Not Present

1

Needs Improvement

2

Meets Expectations

3

Exceeds Expectations

Sub-Competency 1:Explain how the U.S. healthcare system has evolved.
Learning Objective 1.1:

Describe historic events since World War II (WWII) after 1945 that influenced the U.S. healthcare system.

Description of historic events since WWII that influenced the U.S. healthcare system is missing. Response includes vague details and/or addresses fewer than five historic events that influenced the U.S. healthcare system following WWII.

Response does not include references to academic/professional resources or the resources are not relevant.

Response includes five key historic events that influenced the U.S. healthcare system following WWII (after 1945)

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes insight on some of the ramifications of one or more of these historic events.

Learning Objective 1.2: Identify the similarities and differences among healthcare systems in various countries. Identification of the similarities and differences among healthcare systems in various countries is missing. Response includes limited or incorrect similarities and differences among the U.S., Canada, and Germany regarding the total population; gross national income; life expectancy at birth; total expenditure on health per capita; and the gross domestic product percentage (GDP%) expenditure.

Response does not include references to academic/professional resources or the resources are not relevant.

Response details similarities and differences among the U.S., Canada, and Germany regarding the total population; gross national income; life expectancy at birth; total expenditure on health per capita; and the gross domestic product percentage (GDP%) expenditure.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes an interpretation of the data in two or more of the data sets.

2. The Complexities of the U.S. Private Insurance System

· Describe two important historic factors that led to the development of the private health insurance industry. (1–2 paragraphs)

· Describe two current regulations that govern private insurance. (1–2 paragraphs)

Your Response

Enter your response here

Rubric

Sub-Competency 2: Describe the development of the private health insurance industry in the U.S.
Learning Objective 2.1:

Describe important historic factors that led to the development of the private health insurance industry.

Description of the historic factors that led to the development of the private health insurance industry is missing. Response vaguely describes two historic factors, describes irrelevant factors, or describes only one factor that led to the development of the private health insurance industry.

Response does not include references to academic/professional resources or the resources are not relevant.

Response clearly and accurately describes two important historic factors that led to the development of the private health insurance industry.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes insight on these historic factors that influenced the development of private health insurance.

Learning Objective 2.2:

Describe current regulations that govern private insurance.

Description of current regulations that govern private insurance is missing. Response includes a vague description of current regulations that govern private insurance and/or addresses only one regulation.

Response does not include references to academic/professional resources or the resources are not relevant.

Response clearly and accurately describes two current regulations that govern private insurance.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes two to four additional regulations that govern private insurance.

3. During the late 1950s and early 1960s, the groundwork for Medicare and Medicaid began. In 1965, during the Johnson and Truman administration, Congress passed amendments to the Social Security Act and created the Medicare and Medicaid programs. Since 1965, there have been many additions and changes to the programs.

Describe each of the following by stating the key provisions of the program, who is eligible, and when it was enacted: (1–2 paragraphs each)

· Medicare A

· Medicare B

· Medicare C

· Medicare D

· Medicaid

Your Response

Enter your response here

Rubric

Sub-Competency 3: Describe the healthcare-related programs associated with Medicare and Medicaid.
Learning Objective 3.1

Describe Medicare Part A.

Description of Medicare Part A is missing. Response vaguely or inaccurately describes key provisions of Medicare Part A, when it was enacted, and who is eligible and/or the response is incomplete.

Response does not include references to academic/professional resources or the resources are not relevant.

Response clearly and accurately describes key provisions of Medicare Part A, when it was enacted, and who is eligible.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes critical issues or other insights related to Medicare Part A.

Learning Objective 3.2

Describe Medicare Part B.

Description of Medicare Part B is missing. Response vaguely or inaccurately describes key provisions of Medicare Part B, when it was enacted, and who is eligible and/or the response is incomplete.

The response does not include references to academic/professional resources or the resources are not relevant.

Response clearly and accurately describes key provisions of Medicare Part B, when it was enacted, and who is eligible.

The response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes critical issues or other insights related to Medicare Part B.

Learning Objective 3.3

Describe Medicare Part C.

Description of Medicare Part C is missing. Response vaguely or inaccurately describes key provisions of Medicare Part C, when it was enacted, and who is eligible and/or the response is incomplete.

Response does not include references to academic/professional resources or the resources are not relevant.

Response clearly and accurately describes key provisions of Medicare Part C, when it was enacted, and who is eligible.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes critical issues or other insights related to related to Medicare Part C.

Learning Objective 3.4

Describe Medicare Part D.

Description of Medicare Part D is missing. Response vaguely or inaccurately describes key provisions of Medicare Part D, when it was enacted, and who is eligible and/or the response is incomplete.

Response does not include references to academic/professional resources or the resources are not relevant.

Response clearly and accurately describes key provisions of Medicare Part D, when it was enacted, and who is eligible.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes critical issues or other insights related to related to Medicare Part D.

Learning Objective 3.5

Describe Medicaid.

Description of Medicaid is missing. Response vaguely or inaccurately describes key provisions of Medicaid, when it was enacted, and who is eligible and/or the response is incomplete.

Response does not include references to academic/professional resources or the resources are not relevant.

Response clearly and accurately describes key provisions of Medicaid, when it was enacted, and who is eligible.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response includes critical issues or other insights related to Medicaid.

4. The passage of the Patient Protection and Affordability Care Act (PPACA) has many different components that impact healthcare services by expanding access, lowering costs, and improving quality. Describe the following programs, which evolved from the PPACA: (2 paragraphs each)

· Individual Mandate and Tax Implications

· Patient-Centered Medical Home Model (PCMH)

· Accountable Care Organization (ACO)

· Prevention and Wellness (two programs)

Your Response

Enter your response here

Rubric

Sub-Competency 4: Describe components of the Patient Protection and Affordable Care Act (PPACA).
Learning Objective 4.1:

Describe the Individual Mandate and Tax Implications.

Description of the Individual Mandate and Tax Implications is missing. Response includes a vague or incomplete description of the Individual Mandate and Tax Implications and/or its purpose.

Response does not include references to academic/professional resources or the resources are not relevant.

Response accurately and completely describes and states the purpose of the Individual Mandate and Tax Implications.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response explains the impact of the Individual Mandate and Tax Implications on quality and cost of healthcare.

Learning Objective 4.2:

Describe the Patient-Centered Medical Home Model.

Description of the Patient-Centered Medical Home Model is missing. Response includes a vague or incomplete description of the Patient-Centered Medical Home Model and/or its purpose.

Response does not include references to academic/professional resources or the resources are not relevant.

Response accurately and completely describes and states the purpose of the Patient-Centered Medical Home Model.

The response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response explains the impact of the Patient-Centered Medical Home Model on quality and cost of healthcare.

Learning Objective 4.3:

Describe the Accountable Care Organization.

Description of the Accountable Care Organization is missing. Response includes a vague or incomplete description of the Accountable Care Organization and its purpose.

Response does not include references to academic/professional resources or the resources are not relevant.

Response accurately and completely describes and states the purpose of the Accountable Care Organization.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response explains the impact of Accountable Care Organization on quality and cost of healthcare.

Learning Objective 4.4:

Describe Prevention and Wellness programs.

Description of two Prevention and Wellness programs is missing. Response includes a vague or incomplete description and/or purpose of two Prevention and Wellness programs.

Response does not include references to academic/professional resources or the resources are not relevant.

Response accurately and completely describes and states the purpose of two Prevention and Wellness programs.

Response includes references to relevant academic/professional resources.

Response demonstrates the same level of achievement as “2,” plus the following:

Response explains the impact of two Prevention and Wellness programs on quality and cost of healthcare.

©2015 Walden University 1

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