Week I DQ 1 due 1/4/19
In reviewing the Affordable Care Act, what are the potential effects of the options for insurance coverage in both the private and public sectors? How will this impact the discussion about population-based nursing?
Week 1 DQ 2 due 1/6/19
Identify a population-based problem of interest, such as obesity among children. After reviewing topical information in Healthy People 2020 and The Community Guide to Preventive Services, identify relevant outcomes related to this problem that will help guide your plans for intervention.
no cover page is needed. Make sure to indicate if DQ1 or 2
DNP – 825: Week 1 DQ 1
Patient Protection and Affordable Care Act (ACA) 2010 has significant potential effects on public and private insurance options. Individuals may be confused on the right insurance options for them between public health insurance and private health insurance. Private health insurance is provided by private entities including private insurance companies and employers. Majority of Americans currently receive their health coverage via private health insurance plans. The employer-sponsored health insurance plans are provided by employers as a benefit of employment in the form of group health insurance or group coverage (Smith, 2018). On the other hand, public health insurance plans are provided by the government. Public health insurance plans are available for low-income populations, families, individuals, special groups, and the elderly. Under public health insurance, Medicare is a federally-funded insurance program for people aged 65 years and over, individuals who have been diagnosed with end-stage renal disease, and the disabled young people. Likewise, Medicaid is co-funded by the state and federal government and available for low-income families, and individuals with certain form of disabilities, pregnant women, and other qualified persons (Feldman et al., 2015). Other public insurance plans for special groups include Tricare for military personnel and their families, Veteran Affairs for military veterans and retired military members, and the Children’s Health Insurance Program for uninsured children and teenagers who are ineligible for medical assistance (ACA, 2010).
The impact of ACA 2010 on public and private insurance options can have significant implications on population-based nursing. ACA 2010 requires all employers who have more than 50 employees on full-time basis be provide affordable health coverage to their employees or else face tax penalties. Alternatively, individuals and families can opt for individual health insurance plans since they are less costly than group insurance plans. The advantage of private health insurance plans is that individuals can choose their own physicians, one can enjoy a wider network of healthcare providers to choose from, and more plan options are available. However, it is associated with demerits such as payment of mandatory monthly premiums, it is more expensive than public health insurance plans, and that more flexibility and better coverage implies more payments. The advantage of public health insurance plans is that it is more affordable compared to the private insurance plans, no deductibles or co-payments, and individuals may qualify for assistance with associated payments. However, the public insurance plans are less flexible in terms of choice of providers, limitations in covered treatments, and that some providers may object government-sponsored health insurance plans (Smith, 2018).
Feldman, H.M., Buysse, C.A., Hubner, L.M., Huffman, L.C., & Loe, I.M. (2015). Patient Protection and Affordable Care Act of 2010 and children and youth with special health care needs. J Dev Behav Pediatr., 36(3), 207-217. DOI: 10.1097/DBP.0000000000000151.
Patient Protection and Affordable Care Act 2010. (2010). Patient Protection and Affordable Care Act 2010. Retrieved on Jan 04, 2019 from, https://democrats.senate.gov/pdfs/reform/patient-protection-affordable-care-act-as-passed.pdf
Smith, A. (2018). Private health insurance vs. public health insurance. Retrieved on Jan 04, 2019 from, https://www.firstquotehealth.com/health-insurance-news/private-vs-public-health
DNP – 825: Week 1 DQ 2
Substance abuse among adolescents is a population-based problem of interest in this essay. Adolescent health topics from the Healthy People 2020 (2019) and the Community Guide (2019) informs the objectives for the plan of intervention to address substance abuse problems among adolescents. The scope of this essay is to identify relevant outcomes related to this issue. The outcomes will help guide the plans for intervention.
The following are desirable outcomes for interventions aimed at addressing substance abuse issues among the adolescents. According objective SA-8.2 of the Healthy People 2020 (2019), the proportion of individuals who need illicit drug and/or alcohol treatment or those who receive specialty treatment for substance dependence need to be increased compared with the previous year. Object SA-13.2 requires reduction of the proportion of teenagers who report to have used marijuana in the past 30 days. In addition, objective SA-14.4 calls for reduction of the proportions of teenagers aged 12 to 17 years who engage in binge drinking during the past month (Healthy People 2020, 2019). Similarly, the Community Guide (2019) relevant laws that prohibits sales of alcohol to minors need to be enforced to prevent excessive consumption among teenagers. Besides, minors need to be shielded from exposure to secondhand tobacco smoke and/or access to tobacco products. There must be active enforcement of tobacco sales laws that is aimed at retailers to restrict access of tobacco products to minors. Besides, community education directed at the youth is essential to regulate access, use and exposure of secondhand tobacco smoke to the minors (The Community Guide, 2019).
Healthy People 2020. (2019). Adolescent health. Retrieved on Jan 04, 2019 from, https://www.healthypeople.gov/2020/topics-objectives/topic/Adolescent-Health/objectives
The Community Guide. (2019). Adolescent health. Retrieved on Jan 04, 2019 from, https://www.thecommunityguide.org/topic/adolescent-health?field_recommendation_tid=All&items_per_page=25