Politics of Home Health Care Changes

The proposed policy analysis will examine the various political sources involved in the home health care industry in relation to accommodating the consequences, implications, and stipulations mandated by the Balanced Budget Act of 1997. Specifically, the analysis will examine who supports these changes and who opposes them. Also, an examination will be made of the various interest groups involved on each side of the issue.

So that the issue may be fully understood, it is important to examine legislation, agencies and people currently defining the issue. Examination indicates that current conceptualizations of the issue are associated with:

(1) The actual stipulations, mandates, consequences, and implications associated with he Balanced Budget Act of 1977.

(2) Diverse politicians of both political parties who, in many of their discourses on the Balanced Budget Act as it relates to changes in the home health care industry are also motivated by a political agenda (Rodat & Zadoorian, 1996).

(3) Home health care administrators whose basic goal is to provide quality service in a manner that yields profit.

(4) Geriatric health care providers such as physicians or nurses whose practice includes mostly older and aged patients;

(5) Insurance companies whose primary goal is to provide coverage for areas not covered by medicare and to do so in a manner that ensures profit (MAGA, Limited, 1998); an

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in a manner that is cost efficient. Thus, the analysis that will be conducted will examine the impact of political pressures and the Balanced Budget Act of 1997 as they specifically relate to facilitating or obstructing community health care nursing's primary care objectives. It should be noted here that the just stated objectives appear to be basically compatible with the objectives of all other key actors influencing the issue in that most of the other agencies, institutions, organizations and individuals associated with the issue consider the need for quality services delivered with a cost-effectiveness framework an important and necessary goal. Methods of Analysis Data Collection Methods The policy analysis will be developed using a literature search for relevant documents and then analyzing these documents for: (a) each source's objectives for the Balanced Budget Act and its impact on home health care; and (b) the magnitude of influence the source played in shaping the eventual provisions in the ACT; and (c) the current role (if any) this source is now having with respect to ongoing policy changes in the home health care industry in efforts to comply with the ACT. In this way, it will be possible to determine those sour
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Approximate Word count = 1236
Approximate Pages = 5 (250 words per page)

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