HCM 320 Milestone One Template

  1. Public Health Issue Topic: Healthcare for Veterans.

Veterans are a vulnerable population with unique healthcare needs. In the United States, veterans are multifaceted, with a distinct culture that encompasses selfless duty, implicit communication patterns, ethos, customs, values, and obedience to command (Olenick et al., 2015). However, this population is more predisposed to post-traumatic stress disorder, mental health disorders, traumatic brain injury, and substance use disorders than their civilian counterparts (Olenick et al., 2015). Studies have indicated that 18 in 22 American veterans commit suicide daily (Olenick et al., 2015). Additionally, veterans have complex healthcare needs that a healthcare provider needs to understand to achieve long-term positive care outcomes.  Hence, the rationale for choosing this healthcare issue.

  • Economic Forces:
  • Macroeconomic Forces: Employment rate, national expenditure, unemployment rates, and national income are some of the macroeconomic forces that affect health. Since most veterans deal with mental illness, they are less likely to be employed, which affects their income and subsequently their ability to access quality care after retirement (Yee, Frakt & Pizer, 2016). Unemployment and non-VA physician availability specifically impact veterans’ health.
  • Microeconomic Forces: Taxes and regulations are microeconomic forces that affect the quality-of-care veterans have. Medicaid eligibility and private employer insurance coverage are the two most inherent microeconomic forces that impact veterans’ health.
  •  Key Regulation Policy:

The key economic policy change that applies to veteran health in the United States is Medicaid expansion that followed the Affordable Care Act.

  • Benefits and Consequences: On the impacts of Medicaid eligibility policy, Hachate et al. (2018) noted that “in states that expanded Medicaid in 2014, this expansion was associated with 9.1 percent ($826 million) reduction in VA utilization among those aged 18–64; sizable changes occurred in all services used (inpatient, outpatient, and prescription drugs)” (p.  4224). The authors noted that while such policies reduce spending on VA health, the overall impact is limited access to care for veterans.
  • Impact of Regulation or Policy: The Medicaid eligibility policy has higher possibilities of affecting VA healthcare spending. That way, it will possibly affect the allocation of VA healthcare resources to meet local demands (Yee, Frakt & Pizer, 2016).
  • References.
    • Yee, C., Frakt, A., & Pizer, S. (2016). Economic and policy effects on demand for VA care. Policy Brief. VA Quality Enhancement Research Initiative.
    • Olenick, M., Flowers, M., & Diaz, V. (2015). US veterans and their unique issues: enhancing health care professional awareness. Advances In Medical Education and Practice, 635. https://doi.org/10.2147/amep.s89479
    • Hanchate, A., Frakt, A., Kressin, N., Trivedi, A., Linsky, A., & Abdulkerim, H. et al. (2018). External determinants of veterans’ utilization of VA Health care. Health Services Research53(6), 4224-4247. https://doi.org/10.1111/1475-6773.13011

Do you have a similar assignment and would want someone to complete it for you? Click on the ORDER NOW option to get instant services at essayloop.com. We assure you of a well written and plagiarism free papers delivered within your specified deadline.