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TEST BANK Essentials of Health Policy and Law, 4th Edition by Wilensky

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Test Bank for Essentials of Health Policy and Law, 4th Edition, 4e by Sara E. Wilensky, Joel B. Teitelbaum TEST BANK ISBN-13: 9781284151589 Full chapters included Chapter 1 Understanding the Role... of and Conceptualizing Health Policy and Law Introduction Role of Policy and Law in Health Care and Public Health Conceptualizing Health Policy and Law The Three Broad Topical Domains of Health Policy and Law Social, Political, and Economic Historical Context Key Stakeholders Conclusion References Endnotes Chapter 2 Policy and the Policymaking Process Introduction Defining Policy Identifying Public Problems Structuring Policy Options Public Policymaking Structure and Process State-Level Policymaking The Federal Legislative Branch The Federal Executive Branch The Health Bureaucracy The Federal Government State and Local Governments Interest Groups Conclusion References Endnotes Chapter 3 Law and the Legal System Introduction The Role of Law The Definition and Sources of Law Defining “Law” Sources of Law Key Features of the Legal System Separation of Powers Federalism: Allocation of Federal and State Legal Authority The Role of Courts Conclusion References Endnotes Chapter 4 Overview of the United States Healthcare System Introduction Healthcare Finance Health Insurance Direct Services Programs Healthcare Access The Uninsured The Underinsured Insurance Coverage Limitations Safety Net Providers Workforce Issues Healthcare Quality Key Areas of Quality Improvement Assessment of Efforts to Improve Quality Comparative Health Systems A National Health Insurance System: Canada A National Health System: Great Britain A Socialized Insurance System: Germany The Importance of Health Insurance Design Conclusion References Chapter 5 Public Health Institutions and Systems Introduction What Are the Goals and Roles of Governmental Public Health Agencies? What Are the 10 Essential Public Health Services? What Are the Roles of Local and State Public Health Agencies? What Are the Roles of Federal Public Health Agencies? What Are the Roles of Global Health Organizations and Agencies? How Can Public Health Agencies Work Together? What Other Government Agencies Are Involved in Health Issues? What Roles Do NGOs Play in Public Health? Nongovernmental Organizations How Can Public Health Agencies Partner With Health Care to Improve the Response to Health Problems? How Can Public Health Take the Lead in Mobilizing Community Partnerships to Identify and Solve Health Problems? Conclusion References Endnotes Chapter 6 Individual Rights in Health Care and Public Health Introduction Background Individual Rights and Health Care: A Global Perspective Individual Rights and the Healthcare System Rights Under Healthcare and Health Financing Laws Rights Related to Freedom of Choice and Freedom From Government Interference The Right to Be Free From Wrongful Discrimination Individual Rights in a Public Health Context Overview of Police Powers The Jacobson v. Massachusetts Decision The “Negative Constitution” Conclusion References Endnotes Chapter 7 Social Determinants of Health and the Role of Law in Optimizing Health Introduction Social Determinants of Health Defining Social Determinants of Health Types of SDH The Link Between Social Determinants and Health Outcomes Law as a Social Determinant of Health Right to Criminal Legal Representation vs. Civil Legal Assistance Combating Health-Harming Social Conditions Through Medical-Legal Partnership The Evolution of an “Upstream” Innovation The Benefits of MLPs Conclusion References Endnotes Chapter 8 Understanding Health Insurance Introduction A Brief History of the Rise of Health Insurance in the United States How Health Insurance Operates Basic Terminology Uncertainty Risk Setting Premiums Medical Underwriting Managed Care Cost Containment and Utilization Tools Utilization Control Tools Common Managed Care Structures The Future of Managed Care Conclusion References Endnotes Chapter 9 Health Economics in a Health Policy Context Introduction Health Economics Defined How Economists View Decision Making How Economists View Health Care Economic Basics: Demand Demand Changers Elasticity Health Insurance and Demand Economic Basics: Supply Costs Supply Changers Profit Maximization Health Insurance and Supply Economic Basics: Markets Health Insurance and Markets Market Structure Market Failure Conclusion References Endnotes Chapter 10 Health Reform in the United States Introduction Difficulty Achieving Health Reform in the United States Culture U.S. Political System Interest Groups Path Dependency Unsuccessful Attempts to Pass National Health Insurance Reform The Stars Align (Barely): How the ACA Became Law Commitment and Leadership Lessons From Failed Health Reform Efforts Political Pragmatism Overview of the ACA Individual Mandate State Health Insurance Exchanges/Marketplaces Employer Mandate Changes to the Private Insurance Market Financing Health Reform Public Health, Workforce, Prevention, and Quality The U.S. Supreme Court’s Decision in the Case of National Federation of Independent Business v. Sebelius States and Health Reform Key Issues Going Forward Congressional Activity Insurance Plan Premium Rates ACA Litigation Conclusion References Chapter 11 Government Health Insurance Programs: Medicaid, CHIP, and Medicare Introduction Medicaid Program Administration Eligibility Benefits Amount, Duration, and Scope, and Reasonableness Requirements Medicaid Spending Medicaid Financing Medicaid Provider Reimbursement Medicaid Waivers The Future of Medicaid Children’s Health Insurance Program CHIP Structure and Financing CHIP Eligibility CHIP Benefits and Beneficiary Safeguards CHIP and Private Insurance Coverage CHIP Waivers The Future of CHIP Medicare Medicare Eligibility Medicare Benefits Medicare Spending Medicare Financing Medicare Provider Reimbursement The Future of Medicare Conclusion References Endnotes Chapter 12 Healthcare Quality Policy and Law Introduction Quality Control Through Licensure and Accreditation Medical Errors as a Public Health Concern Promoting Healthcare Quality Through the Standard of Care The Origins of the Standard of Care The Evolution of the Standard of Care Tort Liability of Hospitals, Insurers, and MCOs Hospital Liability Insurer Liability Managed Care Liability Federal Preemption of State Liability Laws Under ERISA Overview of ERISA ERISA Preemption The Intersection of ERISA Preemption and Managed Care Professional Medical Liability Measuring and Incentivizing Healthcare Quality Quality Measure Development Quality Measurement Public Reporting Value-Based Purchasing National Quality Strategy Private Payer Efforts Role of Health Information Technology Conclusion References Endnotes Chapter 13 Public Health Preparedness Policy Introduction Defining Public Health Preparedness Threats to Public Health CBRN Threats Naturally Occurring Disease Threats Natural Disasters Man-Made Environmental Disasters Public Health Preparedness Policy Federal Response Agencies and Offices Preparedness Statutes, Regulations, and Policy Guidance Presidential Directives International Agreements Conclusion References Chapter 14 The Art of Structuring and Writing a Health Policy Analysis Introduction Policy Analysis Overview Client-Oriented Advice Informed Advice Public Policy Decision Providing Options and a Recommendation Your Client’s Power and Values Multiple Purposes Structuring a Policy Analysis Problem Identification The Background Section The Landscape Section The Options Section The Recommendation Section [Show More]

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