As a public health professional, you may be expected to research, analyze, and communicate important policies. For example, as a state health department employee, you may design an educational campaign to encourage people to get particular vaccinations updated. If you were asked to make your case to the health department leadership about the benefit of this kind of program, you would need to realize that some individuals will use Medicaid benefits for coverage. What is the value to the state for Medicaid to pay for this? Often, research and policy analysis will target key stakeholders in leadership or regulatory positions.

There are several dynamics in public payment mechanisms, which are currently one of the largest parts of the United States federal budgetary outlay. What they do and who they serve makes them unlike any other system in this country or the world. A familiarity with various kinds of organizations, structures, and functions of public health and health-related systems and their regulatory systems will set the stage for how aspects of Medicare, Medicaid, and CHIP can work.

For this assignment, you compare the organization, structure, and function of health care, public health, and regulatory systems across national and international settings and you research a pre-selected topic relevant to public payment mechanisms in Medicare, Medicaid, and CHIP. Then, you analyze the potential impact of the payment policy in a specific setting and look at the payment policy against a broader perspective.

To prepare: Review the pre-selected topic focused on public payment systems, Medicaid, Medicare, and CHIP.

To complete: Submit a 4-5 page paper on the pre-assigned topic, not including title page and references, that addresses the bullet points below.

• Title page, including name, date, course and section, and title
• Include section headers for each section, below.
  • Describe the organization, structure, and function of health care delivery system in the United States, providing specific examples of how these services could be offered. What are some of the key regulatory systems for healthcare in the United States? Why do we have the clinical preventive services and by what authority can they be required?
  • Describe the organization, structure, and function of public health in the United States, providing examples, and comparing and contrasting it to health care. What are some of the key regulatory systems for public health in the United States? What about public health would ensure support for these services and why should public health systems promote this health care mechanism?
  • Choose a specific international setting and discuss the organization, structure, and function of health care in that region or country, providing specific examples. What regulatory systems exist for healthcare in this region or country that would help establish some sort of precedent for coverage of these services?
  • o Discuss the organization, structure, and function of public health in that same region or country, providing specific examples. What regulatory systems exist for public health in this region or country?
  • Explain how public payment is implemented in your prior chosen country or region.
  • Conclude with a take-home message for the similarities and differences between the United States and your chosen international setting for the organization, structure, and function of health care and public health and its regulation.
• Cite the sources in your text, wherever you referred to them.
• Include an APA formatted reference list.

For this assignment, you compare the organization, structure, and function of health care, public health, and regulatory systems across national and international settings and you research the pre-selected topic: Choose one state and speak to how the state uses Medicaid Managed Care to deliver long-term services and supports to Children with Special Health Care Needs. (Choose one state only.)  Please consult this website for support:

https://nashp.org/how-states-use-medicaid-managed-care-to-deliver-long-term-services-and-supports-to-children-with-special-health-care-needs/.

The assignment asks you to provide an overview of regulation across healthcare and public health systems and to include an example of regulatory standards and rules in an international setting.  These overviews should not be too long, but should serve as a sort of introduction to regulatory systems.  Both systems are covered in chapters 4 and 5 of the textbook.  Additionally, you’ll see with the first section, some language related to the work you did for the assignments in both Weeks 4 and 5.  So, this assignment helps you to look at that world through a regulatory lens and then to add some context relative to international health and public health.

So, in sum, the front end of the paper is on regulatory systems in public health and health care (including international) (the first 4 sections bullets of the instructions) and then a focus on the topic: Choose one state and discuss how it uses Medicaid Managed Care to deliver long-term services and supports to child with special health care needs (the fifth section bullet).

The weight of the paper will be on the pre-selected topic (the fifth section bullet – Explain how public payment is implemented in your prior chosen country or region (the state you choose)). 

I suggest you focus your research and information gathering on how your chosen state uses Medicaid Managed Care to deliver long-term services and supports to children with special health care needs.  This should be the main focus of your paper.

Support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate.  Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct.