MHA 620
Implementation of Strategy
MHA 620: Health Policy Analyses
Healthcare organizations require astute handling of strategy implementation.
The processes must be followed with a contingency plan in place for failed strategic
objectives leading to the goal.
Review the stages of implementation in Chapter 13 of your
textbook.
The stages of implementation
include;
Scope>Work breakdown>funding>risk management>stakeholder engagement>
Resources, Including Sourcing and Procurement> Quality Assurance.
Implementation planning includes stages that follow different paths from defining the scope of
work to monitoring performance and manage risk
Path 1: Define the scope of work; identify activities in project; Identification of task
dependencies; selection of information in the project as well as control system; scheduling tasks
and/or enlisting or procuring task implementers; monitoring performances and managing risk.
Path 2: Define the scope of work; identify project activities; Cost in the activities;
obtaining the necessary funds; enlisting or procuring of task implementers; monitoring
performance and managing risk.
Path 3: Define the scope of work; identify project activities; identify other resources
needed; enlist or procuring task implementers; monitoring performances and managing risk.
, Path 4: Define the scope of work; identify project activities; identification of
stakeholders; manage stakeholder involving and/or enlisting or procuring task implementers;
monitor performance and manage risk.
Review “340B Drug Pricing Program Oversight” case in your textbook (Chapter
13)
Previously section 602 of the Veterans Health Care Act of 1992 was titled "Limitations
on Prices of Drugs Purchased by Certain Clinics and Hospitals. "It was then amended to "340B
Drug Pricing Program Oversight." Section 340B had several requirements for an agreement
with the secretary that is; the secretary agrees ensures they are in agreement with all concerned
manufacturers regarding all covered drugs on the amount payable (Rana et al, 2021). Secondly,
for an outpatient drug that has been covered there is a rebate percentage that should first be the
average on the total rebate which is a requirement under section 1927 C of the Social Security
Act. Therefore, Section 340B is applied in the discounts of a Medicaid drug to all
drugs purchased on behalf of the clinics that specialized in serving a high percentage of
outpatients.
These outpatients were scaled down to those who seemed to lack eligibility for
Medicaid at any institution with qualified safety-net. Therefore, regarding the key provision of
Section
340B indicated that there were no other prohibition on larger discounts hence the subsection
does not prohibit any of the licensed manufacturer to charge the drug they manufacture on a
price that has a lower price than the maximum price. The Patient Protection and Affordable
Care Act (ACA or PPACA) implemented a decision of the increase of the discount in 340B to
13% on all generic drugs and also 23.1% on any branded drugs. On the prescription drugs, there
have been specific discounts that have been reported to range from 15 to 60%. The law has then
prohibited from getting both a rebate from the state Medicaid and a 340B discount on a drug.
Implementation of Strategy
MHA 620: Health Policy Analyses
Healthcare organizations require astute handling of strategy implementation.
The processes must be followed with a contingency plan in place for failed strategic
objectives leading to the goal.
Review the stages of implementation in Chapter 13 of your
textbook.
The stages of implementation
include;
Scope>Work breakdown>funding>risk management>stakeholder engagement>
Resources, Including Sourcing and Procurement> Quality Assurance.
Implementation planning includes stages that follow different paths from defining the scope of
work to monitoring performance and manage risk
Path 1: Define the scope of work; identify activities in project; Identification of task
dependencies; selection of information in the project as well as control system; scheduling tasks
and/or enlisting or procuring task implementers; monitoring performances and managing risk.
Path 2: Define the scope of work; identify project activities; Cost in the activities;
obtaining the necessary funds; enlisting or procuring of task implementers; monitoring
performance and managing risk.
Path 3: Define the scope of work; identify project activities; identify other resources
needed; enlist or procuring task implementers; monitoring performances and managing risk.
, Path 4: Define the scope of work; identify project activities; identification of
stakeholders; manage stakeholder involving and/or enlisting or procuring task implementers;
monitor performance and manage risk.
Review “340B Drug Pricing Program Oversight” case in your textbook (Chapter
13)
Previously section 602 of the Veterans Health Care Act of 1992 was titled "Limitations
on Prices of Drugs Purchased by Certain Clinics and Hospitals. "It was then amended to "340B
Drug Pricing Program Oversight." Section 340B had several requirements for an agreement
with the secretary that is; the secretary agrees ensures they are in agreement with all concerned
manufacturers regarding all covered drugs on the amount payable (Rana et al, 2021). Secondly,
for an outpatient drug that has been covered there is a rebate percentage that should first be the
average on the total rebate which is a requirement under section 1927 C of the Social Security
Act. Therefore, Section 340B is applied in the discounts of a Medicaid drug to all
drugs purchased on behalf of the clinics that specialized in serving a high percentage of
outpatients.
These outpatients were scaled down to those who seemed to lack eligibility for
Medicaid at any institution with qualified safety-net. Therefore, regarding the key provision of
Section
340B indicated that there were no other prohibition on larger discounts hence the subsection
does not prohibit any of the licensed manufacturer to charge the drug they manufacture on a
price that has a lower price than the maximum price. The Patient Protection and Affordable
Care Act (ACA or PPACA) implemented a decision of the increase of the discount in 340B to
13% on all generic drugs and also 23.1% on any branded drugs. On the prescription drugs, there
have been specific discounts that have been reported to range from 15 to 60%. The law has then
prohibited from getting both a rebate from the state Medicaid and a 340B discount on a drug.
