Maintaining the Loyalty of Stakeholders

1 Maintaining the Loyalty of Stakeholders The American healthcare system has significantly evolved over the years, marked by transitions from a simple healthcare system of the 17th century to the 21st-century modern medical industrial complex sustained by evidence-based practice, medical research, and technology. ACA lays the basis for complementary healthcare policies, including the proposed HCA in California, which focuses on increasing care accessibility to all Californians regardless of socioeconomic status. Successful Stakeholder analysis and collaboration are imperative in enhancing the effective implementation of HCA and improving health in California.

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2 This includes stakeholders in the policy formulation and implementation, such as legislators, healthcare providers, government agencies, and the consumers of the healthcare services and products who form the consumer population. The paper centers on expounding on the HCA policy, including who wrote and promoted the policy legislation, the tradeoffs to bring a balance in the healthcare sector, the role of public perception in the performance of the policy and Healthcare at larger, and how the processes of innovations, risk-taking, health policy analysis, and governance establish a balance for stakeholders.

Healthy California Act (HCA) and how it will reform how Healthcare is provided in the State.

The Patient Protection and Affordable Care Act ( ACA) has been diversified and enhanced through different reforms to suit the healthcare needs of different states. The Healthy California Act of 2017 is a significate policy under the ACA to accomplish the larger mission of the ACA of enhancing the quality, accessibility, and affordability of healthcare services for a healthy and sustainable America. HCA was e established in 2017 by the state government of California. Senator LiCardo, the California Nurses Association, and patient rights advocates lobbied for the policy. HCA provides that all residents of California have the right to access quality and timely care without any eligibility criteria (Healthy California, 2017). This posits quality and efficient care as a right of all Californians, notwithstanding the underlying economic framework.

As aforementioned, Healthy California Act focuses on establishing a universal healthcare regime in the state under which all Californians would have unlimited access to quality and efficient healthcare services, notwithstanding the ability to pay or the underlying economic framework. HCA also intends to enhance consumerism of healthcare services in the state by

3 eliminating co-payers and corresponding deductibles in the healthcare services, as covered by the Act. This also prevents consumer extortion by health insurance companies, achieved by, for instance, avoiding delegations of payments to insurance companies and allowing direct interactions between patients and healthcare providers. Hence, the HCA will also aid in the cost minimization strategy by eliminating the administrative costs associated with the third-payer system and the premiums associated with the profit-motivated insurance companies.

The universal coverage proposed in the HCA will also bring about the pooling of funds allowing equitable redistributions of healthcare services to all Californians, notwithstanding the presenting social and economic framework. Further cost minimization under the HCA will be achieved by reorienting the healthcare system from a curative model to a preventive model.

Centers for Disease Control and Prevention (CDC) reaves that the highest proportion of healthcare costs is due to the increasing burden of chronic conditions (Mozaffarian et al., 2022).

Yet such conditions as type 2 diabetes, obesity, hypertension, and cardiovascular diseases are more easily preventable than they are curable.

TradeoffsTradeoffs to balance Stakeholders All healthcare providers are concerned with providing or accessing quality and efficient healthcare. This is achieved by stakeholder collaboration, shared decision-making, and process innovation (McLaughlin & McLaughlin, 2014). Different studies confirm the importance of shared decisions making in patients centered Healthcare and providing a balance to all stakeholders. Shared decision-making is the comprehensive process where patients, practitioners, and other stakeholders work together to select care plans and deliver Healthcare based on evidence-based practices while simultaneously balancing the preferences and values of the patients with the probable risks and the expected outcomes (McLaughlin & McLaughlin, 2014).

4 HCA is committed to establishing a balance between all stakeholders, including patients, legislators, politicians, clinicians, and other practitioners in the healthcare sector. Adopting the process innovation would help increase the audience of the HCA policy, as it helps understand the healthcare needs of Californians to form the basis for improving production and delivery methods and enabling an effective change process.

It is important to base the HCA policy on the health needs of the California population to avoid resistance to change by the stakeholders. However, this may inflate the costs and time required to implement the project due to the associated needs analysis processes and population surveys (Ko et al., 2022). whereas integrating community needs analysis may increase costs and the project implementation time, it is a necessary tradeoff to balance the interests of the patients and the healthcare providers. This would manifest into a cost minimization strategy in the future, marked by a lower readmissions rate, lower mortality rate, and generally a sustainable healthcare system.

Role public perception and disinterestedness played in the valuation of healthcare performance.

HCA received a majority favorable vote of 23 against 14 senators. This was in favor of the legislators’ prominent supporters, including the primary proponent, Senator LiCardo, the California Nurses Association, and the advocates for patients’ rights. The underlying motive for HCA is to complement ACA in increasing the accessibility and affordability of health in the United States (Healthy California, 2017). Whereas ACA has increased the number of Americans covered by third-party providers, approximately three million people in California are yet to be insured, implying limited accessibility to care. Introducing the HCA would bridge the accessibility gap by creating a pool of funds to ensure that all Americans' health needs are

5 catered for, notwithstanding the presenting economic hardships. The policy developers and lobbyists have also focused on engaging the public on online platforms, including Facebook, Twitter, and professional LinkedIn, to lobby for the program while at the same time promoting a positive public perception.

Effective policy implementation will provide a balance for the healthcare stakeholders, including the patient population, who can access healthcare services without limitations. The healthcare plan will also create a pool of funds based on stakeholders' contributions on a progressive basis. This implies that contributions would be based on the income level, hence allowing redistribution of resources from the wealthy to the poor in the community.

How process innovation, risk-taking, health policy analysis, and governance "sensemaking" provide balance for stakeholders Process innovation, risk-taking, health policy analysis, and effective governance are imperative for providing a balance to all stakeholders (McLaughlin & McLaughlin, 2014).

Process innovation is a significant accomplishment of evidence-based research centered on improving production and delivery methods, including equipment, software, and techniques in delivering quality and effective healthcare services. As aforementioned, process innovation helps identify and meet unique patient needs.

Risk-taking and management are equally important in providing a stakeholder balance in Healthcare (Love & Ika, 2022). Risk identification and risk management in Healthcare may include faulty equipment, medical malpractice, and other health hazards. Identification and management of such risks help bring down costs. Stakeholder collaborations are necessary for

6 balancing the interests of the patients in accessing efficient care and the stakeholders' interests in cost minimization.

Healthcare is diverse and different stakeholders have different needs. Policy analysis helps identify different policy options and select the most feasible one to suit the presenting needs. Policy analysis also provides the basis for an interdisciplinary approach to Healthcare, providing a broad scope for solving healthcare needs (Love & Ika, 2022). Effective governance must be emphasized in maintaining a balance between stakeholders. Effective governance has multiple benefits, including effective decision-making, shared decision-making, improved risk management, and trust and accountability in the healthcare sector. This is necessary because of the diversity and the need for teamwork and care coordination.

Conclusion Overall, stakeholder analysis is imperative in determining the responsibilities and rights of each stakeholder. Stakeholder analysis also lays the basis for stakeholder collaborations and shared decision-making in Healthcare. It is also imperative to determine the public perceptions of a given policy, lobby for policy formulations, and implement an effective change process. In the context of HCA, stakeholder analysis helps establish the proposed universal care with the intention of cost minimization and ensuring that Californians access quality and efficient care, notwithstanding their socioeconomic orientation. Whereas the policy stakeholders represented in the Senate passed the HCA policy, stakeholder analysis, and collaboration are imperative for the effective delivery of the policy.

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References Healthy California. (2017). Summary: Healthy California Act polling and economic analysis.

Retrieved from https://www.healthcareforall.org/sites/default/files/files/downloads/ sb562economicstu dy_ poll_highlights20170531.pdf Ko, M., Newcomer, R. J., Bindman, A. B., Kang, T., Hulett, D., & Spetz, J. (2020). Changing home care aides: Differences between family and non-family care in California Medicaid home and community-based services. Home health care services quarterly, 39(1), 1-16.

Love, P. E., & Ika, L. A. (2022). Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It? Engineering, 12, 183-201.

McLaughlin, C. P., McLaughlin, C. D., & McLaughlin, M. C. D. (2014). Health policy analysis.

Jones & Bartlett Publishers.

8 Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., ... & Turner, M. B. (2022). Heart disease and stroke statistics—2016 update: a report from the American Heart Association. circulation, 133(4), e38-e360.