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  RESIDENCY FELLOWSHIP IN HEALTH POLICY
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Week 1 Discussion Questions for 3/20/2020
​History of Health Policy
  • Summarize the historic events that have shaped US health policy (Dr. Adhatamsoontra)
​
Introduction and Overview of the US Healthcare System
  • What percentage of US healthcare comes from private sources versus public sources? (Dr. Andrews)
  • What are sources of waste within the US healthcare system? (Dr. Anyanwu)
 
Federal Government Process and Spending
  • What are the steps to a bill becoming a law? (Dr. Avakame)
  • What are the main areas of spending for the federal government? What percentage goes towards healthcare? (Dr. Choi)
  • Summarize the federal budget process (Dr. Ciarloni)
 
Insurance
  • Define the following terms: premium, deductible, copay, coinsurance, cost sharing. (Dr. Covas)
  • Medicare: What does Medicare Part A cover? Part B? Part C? Part D? How is Medicare financed? (Dr. Duncan)
  • Medicaid: Who is covered under Medicaid? What are mandatory services covered under Medicaid? How is Medicaid financed? (Dr. Epling)
  • Who are dual-eligibles? (Dr. Hammond-Jack)
 
ACA: 10 Years Later
  • Describe the key components of the ACA and discuss the major events in the design, implementation, and attempted repeal of this law. (Dr. Ishola)
  • Which groups remain uninsured after the ACA? (Dr. Jones)
  • How has the ACA impacted health outcomes? (Dr. Kotler)
 
Health Reform
  • Compare and contrast Medicare for All, Single Payer, and the Public Option. (Dr. Moyer)
Week 2 discussion questions for 3/27/2020
Health Economics (Dr. Kanakamedala)
  • What unique factors shape the price of health care compared to other goods and services? 
  • Which of the dozen facts in the Brookings piece did you find most surprising?
  • What accounts for the wide variation in healthcare expenditures across individuals in the US?

Payment and Payment Reform (Dr. Nichols)
  • How does hospital payment differ from physician/provider payment? 
  • How do you think you should be paid for the care you provide as a physician? Consider the benefits and risks of traditional “Fee For Service” vs “Pay for Performance” initiatives. 
  • What is the Relative Update Committee and is it necessary?

State Health Policy (Dr. Punnoose)
  • What are the pros and cons of state autonomy in regulating health? 
  • How can state innovation achieve the triple aim: better quality of care, lower costs, and improved population health? Cite examples. 

Health Law (Dr. Quinn)
  • Tort Law: (1) What four elements must an injured patient prove to be successful in a medical malpractice claim? (2) What kind of damages may be awarded in such a case? 
  • What is EMTALA and why is it so important?
  • What are the consequences of politicizing Federal courts? Should judges have term limits?

Primary Care and Prevention (Dr. Raythatha)
  • Do you have a primary care doctor? Do you need one?
  • Should physicians be incentivized to practice primary care?
  • What role should retail clinics play in primary care provision? 
week 3 discussion questions for 4/3/2020
Comparative Health Systems (Dr. Ryan Lee)
  • What health spending lessons can the US learn from other comparable countries? 
  • Provide brief health care systems profiles for two countries of your choosing. How do they differ from the US system?

Social Medicine and Health Equity (Dr. Saleh)
  • What percentage of overall health is determined by zip code?
  • Explain the claim that financing of healthcare in the USA is regressive.
  • Describe the levels of racism. 
  • Summarize the key findings of “Ranking the Schools”. 

Medical Ethics (Dr. Stablein)
  • What forces drive physicians to overtest, overdiagnose, and overtreat? 
  • In your opinion, is it appropriate to deny some forms of treatment in end of life care? 
  • What’s a QALY? Do QALY-gains justify flattening the COVID-19 curve?

Health Workforce (Dr. Safran) 
  • What is a Health Professional Shortage Area (HPSA)? What scholarship or loan forgiveness programs are available to health professionals working in HPSAs?
  • How does graduate medical education funding shape health workforce distribution?   
  • What tensions exist in interprofessional practice? 

Health and the Media (Dr. Tayeb)
  • What communication outlets can physician’s leverage for advocacy?
  • What elements make an op-ed persuasive? 
  • Critique the assigned hearing testimony. 
The Residency Fellowship in Health Policy is made possible through the combined resources of the Milken Institute School of Public Health at GW, the GW School of Medicine and Health Sciences, and Children's National Medical Center.
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