HCS455 Discussions

Question description

1. According to the Bureau of Labor Statistics’ Employment Projections 2012-2022 released in December 2013, Registered Nursing (RN) is listed among the top occupations in terms of job growth through 2022. The RN workforce is expected to grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19%. The Bureau also projects the need for 525,000 replacements nurses in the workforce bringing the total number of job openings for nurses due to growth and replacements to 1.05 million by 2022.

Current and projected shortage indicators. Retrieved September 2015 from http://www.bls.gov/news.release/ecopro.t08.htm

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Discuss trends impacting the health care delivery regarding the nursing shortage. 150-200 words

2. In 2005, Missouri adopted sweeping Medicaid cutbacks. More than 100,000 people lost coverage, and many more faced reduced benefits and higher cost sharing. Using a range of data sources, we show that the cutbacks were followed by a major increase in the numbers of uninsured people, greater uncompensated care burden on hospitals, and revenue shortfalls that forced community health centers to obtain larger state grants and charge patients more. Competing demands on state budgets and the need to balance budgets even during recessions could result in policies that disadvantage those with great needs as well as the providers who serve them.

Zuckerman, S., Miller, D., & Pape, E. (2009, March/April). Missouri’s 2005 Medicaid cuts: How did they affect enrollees and providers? Health Affairs (Project Hope), 28(2), w335.

Discuss how did the Missouri’s 2005 Medicaid cuts affect enrollees and providers?150-200 words

3. The U.S. Supreme Court made the ruling of the 2010 health care law known Affordable Care Act. It requires nearly all Americans to get health insurance or pay a fine. The goal is to expand coverage to 32 million Americans who don’t have it now. Justice Roberts wrote, “The Affordable Care Act’s requirement that certain individuals pay a financial penalty for not obtaining health insurance may reasonably be characterized as a tax. Because the Constitution permits such attacks. It is not our role to forbid it or to pass upon its wisdom or fairness.”

The video discusses the result of lawsuits brought by Florida, 25 other states, the National Federation of Independent Business, and several individuals. The justices also ruled on another key provision of the law that requires states to expand the Medicaid program which provides health care to the poor. The Court said that exceeded the federal government’s constitutional authority, but ruled states could refuse to participate in the expansion, and they could not be penalized for doing so.

Films Media Group (2012). Analysis of Dissenting Opinion (01:00) From Title: Affordable Care Act: The Supreme Court Ruling.

Discuss the States’ commitment to Medicaid before the Affordable Care Act: trends and implications. 150-200 words

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