Teaching the ACA Under the Threat of ‘Repeal and Replace’: Our Authors Weigh In

‘Repeal and Replace’ seems to be the mantra of the new White House administration. What does the future of the Affordable Care Act (ACA) look like? How should educators approach the topic in classroom discussion? We asked our authors for their opinion and here’s what they said:

The Future of the ACA: A Health Policy Expert’s Opinion
by Sara Wilensky, JD, PhD, Co-author of Essentials of Health Policy and the Law, 3rd Edition

How Should Educators Approach the ACA Under the Threat of ‘Repeal and Replace’?
by Nancy H. Shanks, PhD, Co-author, Introduction to Health Care Management, 3rd Edition

8 Student Assignments to Help You Navigate Politics in the Classroom
by Sharon Buchbinder, RN, PhD, Author of Introduction to Health Care Management, 3rd Edition

Obamacare Could Be in for a Bumpy Ride
by Nancy Niles, MPH, MS, MBA, PhD, Author of Basics of the U.S. Health Care System, 3rd Edition

The Educational Dilemma of ‘Repeal and Replace’
by Curtis P. McLaughlin, DBA, Author of Health Policy Analysis, 2nd Edition

LinkedIn_PHFLgroupicon_100x50Continue the conversation on the new Public Health & Health Administration Faculty Lounge on LinkedIn. What do you think will happen to the ACA? How are you addressing changes in the classroom?

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How Should Educators Approach the ACA Under the Threat of ‘Repeal and Replace’?

By Nancy H. Shanks, PhD
Co-author, Introduction to Health Care Management, 3rd Edition

There is extensive discussion about what is going to happen with the ACA, but so far there is no clear direction from the Congress or the Trump Administration. What is clear to me is that repeal without replacement is a death knell. Significant push-back is already coming from many fronts, including:

  • Public concerns about repealing the ACA without having another viable solution and the impact that would have on millions of Americans.
  • Specifically, losing coverage for those with pre-existing conditions, the poor, young adults, etc. will result in many people becoming uninsured.
  • Repeal will also cause huge disruption in the health insurance markets, which that lobby will fight.
  • Hospitals are pushing back with respect to the potential increased utilization of emergency rooms and impacts on uncompensated care.
  • The states that expanded Medicaid are pushing back to maintain funding and coverage for their constituents.

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Obamacare Could Be in for a Bumpy Ride

By Nancy Niles, MPH, MS, MBA, PhD
Author of Basics of the U.S. Health Care System, 3rd Edition

The Affordable Care Act is a very complex healthcare law that resulted in an extensive set of regulations with several deadlines established over the years to implement the act.  The Republicans have tried to repeal it for years. I was shocked and dismayed that they had no replacement at hand to repeal and replace. This process is often called ‘repeal and delay’ because the process can be so lengthy.  Obamacare has to be defunded and then replaced with another program. There are already competing bills regarding the replacement. There are many in the majority party worried about the proposed options to replace this system.

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The Educational Dilemma of ‘Repeal and Replace’

by Curtis P. McLaughlin, DBA
Author of Health Policy Analysis, 2nd Edition

We all face the educational dilemma presented by the “repeal and replace” process.  Craig and I are in the middle of revising Health Policy Analysis: An Interdisciplinary Approach in the face of this six months to a year of uncertainty.  After exploring a number of avenues we find that there is a real opportunity here to focus on the policy alternatives rather than one specific bill. For example, one can get a pretty complete picture of short-run movement by contrasting the ACA with then-Representative Tom Price’s Empowering Patients First Act of 2015 (HR2300) and the Indiana Medicaid program under then-Governor Mike Pence.

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The Future of the ACA: A Health Policy Expert’s Opinion

by Sara Wilensky, JD, PhD
Co-author of Essentials of Health Policy and Law, 3rd Edition

With the Republicans in control of the Executive and Legislative branches of government, the outlook for the ACA is grim.  Republicans in Congress consistently tried to repeal and hinder the success of the ACA since its passage in 2010 with only Democratic support.  House Republicans passed multiple bills repealing the ACA despite Obama’s veto threat.  Therefore, isn’t it a forgone conclusion that the ACA is history?  Not necessarily.  As the Republicans are discovering, it is much easier to protest than to govern.  They have to deal with the reality that the uninsured rate is the lowest it has ever been and there is great political peril in upwards of 30 million individuals potentially losing their health insurance.  Furthermore, they are finding that is hard to come up with solutions that ensure low out-of-pocket costs, limit federal government intervention, protect those with pre-existing conditions, and keep most people insured.  Republicans also have to bring the conservative and moderate factions of their party together and, to date, have not been able to come up with a plan that satisfies all sides.  Not surprisingly, the Democrats have demonstrated no interest in helping the Republicans with their quandary.

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8 Student Assignments to Help You Navigate Politics in the Classroom

By Sharon Buchbinder, RN, PhD
Author of Introduction to Health Care Management, 3rd Edition

As we roll into the second month of a new administration in Washington, D.C., many of our previously held beliefs are being challenged on all levels. Therefore, it should come as no surprise when these politics and the accompanying feelings flow into our classrooms and discussion boards. How can we as healthcare management educators help our students to process these events and emotions?

WASHINGTON, DC - OCTOBER 22: Health-care reform advocates march in the streets outside of a meeting of America's Health Insurance Plans (AHIP) on October 22, 2009 in Washington, DC.; Shutterstock ID 39745732; PO: JBL Marketing; Job: JBL Marketing; Client: JBL; Other: Robert Boder

Photo © Ryan Rodrick Beiler/Shutterstock, Inc.

With data.

We must give our students assignments that demand the use of critical thinking skills. And use the roiling waters of politics as our inspiration. The following are some examples of how to do this across the curriculum.

Assignment for a Healthcare Financial Management Course:

You are the director of the emergency department in an inner city hospital. Three blocks from your hospital is a large Planned Parenthood (PP) facility. As a healthcare manager, you know PP provides a significant number of primary care services to the female and male population in your catchment area. Although you’ve seen the protests, you’ve been so busy putting out fires in your department, you really haven’t given it much thought. That is, until your weekly one on one with your Service Line VP, when she turns to you and says, “I want a report on the impact of the potential closure of the PP on our ED—and I need it on my desk in 48 hours.” Based on a worst case scenario with the PP facility being completely shut down, provide a detailed list of services you anticipate will be in demand along with an estimates of costs for providing these services. Continue reading

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NBCOT Exam Study Tips & Skills

Are you preparing to take the National Board for Certification in Occupational Therapy (NBCOT) Exam?

These study tips and skills will help you stay focused, organized and motivated as you study for your exam.

DiZazzoOT2e

• Maintain Focus, Endurance, and Motivation

• Maintain and Bolster Self-Confidence

• Actively Monitor Learning and Comprehension

• Facilitate Productive Collaborative Learning

• Choose Study Companions & Groups Wisely

• Manage Time and Projects

• Set Goals & Create Schedules

• Identify, Collect & Organize Study Resources

These skills are explained in detail in the new, second edition of Preparing for the Occupational Therapy National Board Exam: 45 Days and Counting by Rosanne DiZazzo-Miller, PhD, DrOT, OTR/L, CDP and Fredrick D. Pociask, PhD, PT, OCS, FAAOMPT. The book also includes a full review of all OT content related to the exam, a 45 day study calendar, and access to an online test prep software with over 1,000 practice questions.

You can purchase your copy at go.jblearning.com/NBCOTexamprep

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Jones & Bartlett Learning Statement on Teaching the Affordable Care Act

Our editorial team and our authors are well aware of the changes that may come and we are looking into ways to offer complementary updates that are instructor-friendly and student-friendly, whether it be a website or secure PDF via website, or a simple printed update chapter, similar to our annual health reform update chapter. (http://www.jblearning.com/catalog/9781284132380/)

No one can predict with 100% accuracy what will happen to the ACA in the coming years, not even our authors. But rest assured, as soon as there are any changes, Jones & Bartlett will be looking for ways to help you easily deliver that information to your students.

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Developing Future Health Care Leaders

Ledlow3eRegardless of his/her official title, it is imperative in today’s health care environment that every professional posses the skills and abilities needed to be an effective leader. Developing future health care leaders requires introducing students to key leadership principles, applications and constructs.

Leadership for Health Professionals: Theory, Skills, & Applications, Third Edition by Gerald (Jerry) R. Ledlow, PhD, MHA, FACHE and James H. Stephens, DHA, FACHE is the first textbook of its kind to apply classical knowledge of leadership theory and time-honored best practices to a health organization context. This comprehensive, well-organized text is grounded in real-world applications of theoretical concepts, focusing on practical examples of leadership in actual healthcare scenarios.

Key Updates to the Third Edition include: 
• 35 New Mini Case Studies with Suggested Answers for Instructors
• 9 Leadership in Practice Cases
• New Industry Macro-Model
• New Leadership Competency Domain Model for Healthcare Leadership
• New Assignments on Value-Based Purchasing (MACRA) System
• New Interprofessional Team Model (Chapter 8)
• New Chapter on Leadership and Informatics Strategy: The 4 Ps of Health Analytics
Navigate 2 Advantage Access

Learn more at go.jblearning.com/Ledlow3e 

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New Edition Available: Fundamentals of the Physical Therapy Exam

Fruth2eWe are pleased to announce the release of the updated and revised “purple book”!

Fundamentals of the Physical Therapy Examination: Patient Interview and Tests & Measures, Second Edition by Stacie J. Fruth, PT, DHSc, OCS is now available.

This best-selling text provides physical therapy students and clinicians with the necessary tools to determine what questions to ask and what tests and measures to perform during a patient exam. This text utilizes a fundamental, step-by-step approach to the subjective and objective portions of the examination process for a broad spectrum of patients.

The Second Edition has been updated and revised to reflect the APTA’s Guide to Physical Therapist Practice 3.0. It also features new and extensive coverage of goniometry, manual muscle testing techniques, mobility and locomotion.

Key Features:
• Over 300 new color photographs
• Brief case and sample documentation examples accompany coverage of each test and measure
• “Priority or Pointless” feature indicates when a particular assessment tool should be considered a priority
Navigate 2 Advantage Access includes an eBook and robust video assets demonstrating numerous assessment techniques as well as two patient interview

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