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Health policy analysis addresses the key problem about CMS contribution and the dynamic challenges posed by population demographics. Marć et al. (2019) argue that the age group highly affected by the healthcare policy is the elderly, mainly because of the lack of clarity in the standards of healthcare operations. The aging nurses further encounter a key challenge from the health policy since it falls short of such expectations as addressing the disability retirement conditions and approaches to prevent the outcome. Efficiency in the healthcare department depends on the regulations, outreach, and programs as the circumstances to the key legal issue (Teitelbaum & Wilensky, 2020). There is a controversial work requirement to enhance the significant impact of the Medicaid stamp.
There is a plan of shifting the present Medicaid funding specifically to a block grant exemplary. One of the main issues in the financial management of Medicaid resources involves the budgeting limits on direct safety-net health programs, especially for the dynamic population. Effective healthcare management is the involvement of all stakeholders, such as CMS, and the federal government in the decision-making process to improve the sustainable growth in the effectiveness of Medicaid.
The Center for Medicare and Medicaid Services (CMS) is more concerned with the act of administering the world’s major health programs. Another role for CMS is the management of the insurance policies for American citizens. The organization is also concerned with collecting and analyzing data and producing various research reports. CMS is greatly concerned with managing the Administrative Simplification Standards associated with the Health Insurance Profitability and Accountability Act (HIPPA). The Administrative Simplification Standards’ primary usage is the critical implementation of the adoption, which conducts related to the national electronic health care records, enforcing the HIPPA rules, and guaranteeing patients’ security and privacies. The integral participation of all stakeholders in the implementation process of the policy is a sustainable approach that boosts efficiency in service delivery (Teitelbaum & Wilensky, 2020). An interplay of both institutions’ roles fosters a sustainable improvement in the healthcare sector decision-making process with a profound support system from the technological tools.
Stakeholders such as the government, American citizens, non-governmental organizations, healthcare practitioners, and foreign companies, contribute to society’s health landscape. The role of the partners involves mainly addressing the issue of quality assurance and management (Leonard et al., 2017). Teitelbaum and Wilensky (2020) further establish that the key participants in policy implementation such as the Governor’s office, the Patient and advocacy community, and the senior Medicaid and agency leadership influence medical care. The primary issue that impacts the quality and efficiency of the Medicaid policies is technology in service delivery. Pesapane et al. (2018) establish that artificial intelligence upgrades healthcare services quality mainly because of the cost-effectiveness and required resources for delivery. The primary regulatory instruments contributing to effective healthcare services are the decision-making process and service delivery tools, mainly artificial intelligence. Apart from the tools and policies, McDowell and South (2017) establish that the involvement of spiritual well-being in medical operations is a strategy that promotes effectiveness in the patients’ treatment. It is crucial that nurses focus on enhancing the quality of services under the stipulations of the code of ethics.
Euthanasia is a concept that involves the assisted death of a patient and usually encounters profound controversies. According to Dierickx et al. (2018), a significant percentage of sick people under palliative care chose euthanasia, explaining that their decision was satisfactory. The researchers further depict that patients without palliative care sought alternatives from euthanasia mainly because of the lack of disclosure. Therefore, palliative care is an essential factor in the determination of euthanasia among patients. In a different spectrum, the researchers provide an integrated approach towards enhancing the role of family and relatives. Although palliative care influenced the decision-making about euthanasia, the family and relatives played a vital role by influencing the patient’s autonomy. The results showed that a higher number of patients under palliative care who made the euthanasia decision were in the hospitals with a smaller percentage from home-based care. In this case, the patient’s autonomy in deciding about euthanasia relies on palliative care and contribution by families and relatives.
There is a significant interdependence between euthanasia and ethical practice. In this case, the physician geared the end-of-life care for patients. However, the policy’s change to patient autonomy as a right rendered the one-sided view of euthanasia as either an option or the singular solution to the patient’s health problem. Kouwenhoven et al. (2019) stipulate that the essence of the term “autonomy” among patients plays a crucial role in the effectiveness of euthanasia. Therefore, the context enhances the derivation of important information about the impact of an ill person’s decision. In America, the healthcare policy changed the regulatory framework to establish that the decision depends on the patient’s choice. According to the researchers, the change of liberty from an ideal to the concept of a right negatively affected the physician’s ability to deliver the services. Initially, the physician operated on the basis of autonomy as an ideal, hence the capacity to choose the best alternative for the sick individual.
The independence aspect from the patient is an important element when practicing euthanasia. Pesapane et al. (2018) stipulate that the essence of the term “autonomy” among patients plays a crucial role in the effectiveness of euthanasia. Therefore, the context enhances the derivation of important information about the impact of an ill person’s decision. In America, the healthcare policy changed the regulatory framework to establish that the decision depends on the patient’s choice. According to the researchers, the change of liberty from an ideal to the concept of a right negatively affected the physician’s ability to deliver the services. Initially, the physician operated on the basis of autonomy as an ideal hence the capacity to choose the best alternative for the sick individual. In this case, the physician geared the end-of-life care for patients. However, the policy’s change to patient autonomy as a right rendered the one-sided view of euthanasia as either an option or the singular solution to the patient’s health problem.
The interdependence between nursing practice and euthanasia’s ethical issues highly affects the continuum of care. In this case, the researchers focus on the interpretation of mercy killing by nurses and its significance to patient treatment (Pesut et al., 2020). On the one hand, assisted death provides a solution to the pain and agony of an ill person. On the other hand, nurses lack clarity on the basis of its effectiveness and relevance despite a sick person’s autonomy being a right in some countries. According to the researchers, the change of autonomy from an ideal to the concept of a right negatively affected the physician’s ability to deliver the services. Initially, the medical practitioner operated on the basis of self-reliance as an ideal solution hence the ability to choose the best alternative for the patient. This article provides an insight into the operability of an individual’s sovereignty and the nurses’ justification. Therefore, it is paramount that researchers further explore the rationale for autonomy and the essence of the care policy to protect life.
The CMS was once absent for admittance purposes due to the institutional policies and practices. CMS is recognized as the primary executive payer concerned with existing social insurance present in the United States of America (Leonard et al., 2017). Medicaid is a mainframe that profoundly influences the trickle-down health benefits to the Americans. However, the above active projects are substantially regulated by the CMS. The agency ensures practical medical services applications by focusing on the critical human services costs recognized to influence their sustainability rate. Essentially, the concern of monetary challenges must be addressed by the CMS, which improves the essential eradication of inadequate health services to the patients. Thus, to address low health services, there is a need for the critical provision of payment services to medicinal suppliers. The key social determinants of health encompass safe and affordable housing, availability of healthy foods, public safety, social support system, and socioeconomic conditions.
The primary recommendation that can be articulated is to embrace CMS’s presence towards the provision of esteem and critical-driven therapeutic activities. In this case, there will be a practical outline of various ventures for testing some ideas and strategies associated with giving adequate and reasonable social insurance measures. Apart from enhancing the participation and influence of CMS, it is important that the healthcare policy incorporate the use of a holistic approach for the operations. Concurrently, the final results tend to spread from the hospital sector, mostly from the top management to the employees. Compromising the management-related rules, specifically during the decision-making process, will contribute to the eradication of delays and incurrence of high costs in medical care and treatment. Thus, the appropriate recommendation measure is the adequate provision of efficient regulatory standards that enhance effective managerial functions.
References
Dierickx, S., Deliens, L., Cohen, J., & Chambaere, K. (2018). Involvement of palliative care in euthanasia practice in a context of legalized euthanasia: a population-based mortality follow-back study. Palliative medicine, 32(1), 114-122.
Leonard, C. E., Brensinger, C. M., Nam, Y. H., Bilker, W. B., Barosso, G. M., Mangaali, M. J., & Hennessy, S. (2017). The quality of Medicaid and Medicare data obtained from CMS and its contractors: Implications for pharmacoepidemiology.BMC Health Services Research, 17(1).
Kouwenhoven, P. S., Van Thiel, G. J., van der Heide, A., Rietjens, J. A., & van Delden, J. J. (2019). Developments in euthanasia practice in the Netherlands: Balancing professional responsibility and the patient’s autonomy. European Journal of General Practice, 25(1), 44-48.
Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage–a prospect of global and local policies. International Nursing Review, 66(1), 9-16.
McDowell, L., & South, R. M. (2017). Christians’ perceptions of receiving spiritual care in the bible belt of the United States: A qualitative study of care provided in the healthcare setting. Religions, 8(7), 127.
Pesapane, F., Volonté, C., Codari, M., & Sardanelli, F. (2018). Artificial intelligence as a medical device in radiology: Ethical and regulatory issues in Europe and the United States. Insights into Imaging, 9(5).
Pesut, B., Greig, M., Thorne, S., Storch, J., Burgess, M., Tishelman, C.,… & Janke, R. (2020). Nursing and euthanasia: A narrative review of the nursing ethics literature. Nursing ethics, 27(1), 152-167.
Teitelbaum, J. B., & Wilensky, S. E. (2020). Essentials of health policy and law. Jones & Bartlett Publishers.
Wadhera, R. K., Figueroa, J. F., Maddox, K. E. J., Rosenbaum, L. S., Kazi, D. S., & Yeh, R. W. (2020). Quality measure development and associated spending by the centers for Medicare & Medicaid Services. Jama, 323(16).
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