ESSAYS -
LIST OF AVAILABLE ESSAYS ...
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Medicare Policy Change Proposal Memorandum
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A 2 page memo to Thomas Scully, Administrator, Centers for Medicare and Medicaid Services proposing a 6 – 9 month moratorium on health care provider reporting compliance. The purpose of this waiver will be to allow providers to design and implement operational changes designed to streamline their communications with CMS while enabling them to adopt the TQM (total quality management) principle of continuous improvement. The ultimate result is intended to be a more effective reporting and accountability system that the private sector – rather than taxpayer dollars – designs for CMS and for all of health care providers associated with Medicare. Bibliography lists 6 sources.
Filename: KSmediPolChgMemo.rtf

Medicare Policy Memo
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A 3 page memo discussing two leading problems of Medicare. The two primary problems facing Medicare is (1) the requirement that all individuals aged 65 and older participate even when they have no specific need; and (2) annual automatic increases in allowable charges for service to Medicare. Bibliography lists 3 sources.
Filename: KSmedPolProbM.rtf

Medicare PPS Legislative Environment
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A 5 page paper discussing some of the legislative issues regarding the prospective payment system (PPS) Medicare reform system. Few legislators disagree that "something" must be done with Medicare. One attempt at reform has been implementation of PPS designed to replace the fee-for-service approach to payment under Medicare coverage. PPS addresses cost containment, though it is lacking in prescription assistance. It also raises questions regarding patients' rights to continued coverage. Bibliography lists 7 sources.
Filename: KSmedicarePPS.rtf

Medicare PPS Regulations and Regulatory Agencies
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A 5 page paper discussing Medicare’s attempts to find and halt abuses. The regulatory environment is such that many facilities employ workers for the sole purpose of reporting and filing claims, decreasing the facility’s ability to operate efficiently. The Health and Human Services Department instituted Operation Restore Trust in 1995, and the program has evolved into one that saves far more than it costs. Care providers can benefit from increased regulation and accountability in that they are forced to adopt sound business practices. Bibliography lists 6 sources.
Filename: KSmediRegulat.rtf

Medicare: What We Can Learn From the Past
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A 10 page overview of the history behind Medicare. The author asserts that to find a solution to Medicare's current problems we must examine both the similarities and differences between the era in which Medicare was initiated and today's environment. We must be cognizant of just who the current stakeholder is and constantly remind ourselves of how important they are. To fully assess Medicare and the potential impact its fall would have it is prudent to obtain input from these stakeholders, evaluate that input, and initiate measures which have the most likelihood of stabilizing the top heavy system and halting its rapid spiral to the bottom. Bibliography lists 10 sources.
Filename: PPmedic2.rtf

Methods of Implementing Public Policy
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This 8 page paper considers the different ways in which public policy may be pursued by government. The model used looks at the level of government involvement and defines voluntary instruments, such as families and charities, mixed instruments such as coercion with tax incentives, fines and subsidies and compulsory instruments such as regulations, direct provision and public enterprises. The writer then looks at an issue in public policy to see how it is enacted uses a variety to tools. The bibliography cites 5 sources.
Filename: TEpubpol.rtf

Michigan Poverty and Social Welfare Policy
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8 pages. This paper will explain the history, feasibility and economics of the Michigan Poverty and Social Welfare Policy. Starting with a brief outline the paper will organize this information and give the reader an overall view of the State of Michigan's stance on poverty and social welfare in a well-put together format. Bibliography lists 3 sources.
Filename: JAmipovt.rtf

Much Work Still Needed in Welfare Reform
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An 8 page consideration of the advances and shortcomings that have been made in welfare reform. Noting the mandates of the 1996 welfare reform act, the author points out that while some of the more developed areas have seen some improvements, they have done so only with improvements in the infrastructure that is needed to move people from the welfare roles to gainful employment. Less developed areas still lag behind in that they don't have provisions for transportation, child care, and the like. Bibliography lists 6 sources.
Filename: PPwelfa2.rtf

National Identification in Australia
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This 6 page paper provides an overview of the issue of a national identification system in Australia. This paper considers the history and the current issues related to privacy and the governmental need for standardized identification. Bibliography lists 4 sources.
Filename: MHNatIDA.rtf

Native American Casinos: An Interesting Impact on the U.S, Economic System
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A 4 page consideration of the economic impacts of Native American gambling casinos. Using the example of the Mississippi Choctaw the author illustrates that not only have the Choctaw prospered from their casino, so has the U.S. economic system. Bibliography lists 3 sources.
Filename: PPnaCas2.rtf