Policies And Intergovernmental Relations

Effects of Federal Mandates on Intergovernmental Relations Public policy making is a central task of the Government . in that location has been concerns regarding the influence federal mandate on intergovernmental relations . In to understand and evaluate these influences we will discuss the influence of the intergovernmental mansion house over the Medicaid program . We will also analyze the grandness of interest alignment between the federal and tell aparts Governments and auditing transp atomic number 18ncy in to ensure smooth working of these public programsMedicaid is the health indemnification program that is administered by the shows and funded jointly by federal and state governments (Weissert 1992 . The Medicaid has an valuable place in the history of medical word in the U .S . An organisation noble in creation has two dimensions to put up with . The dual dimension challenges are to cope up with the changing need of patients with ever amplification costs delinquent to advances in medical knowledge , medicines and technology . From the other side the pressure is to find solutions in the certified budget and to handle the changing political pressures . From its beginning the Medicaid gone through many reformsCoote (2005 ) identifies few challenges facing Medicaid in to supply the needs of the patients . They are keeping it clear to engage profit users in decisions or engaging the wider publicSecondly to develop a consociate between the public and the health systemThird , Quick solutions through circulate discussionsThe fourth is to take a long run at thisFinally , achieving above goals and much more from the Medicaid by engaging users and patients in the decision making cultivateThe last few decades have seen a major change in the Primary care requirements , step-up in the ageing population , widespread of chronic diseases , increase in the patient s awareness , and greater accountability due to increased exposure (Coote , 2005 . This has created a paradigm shift in the requirements of patients .

The increasing trend of client centred services has made it important for the Medicaid to find ways to provide rapid and easy to nettle primary care to the patientsAccording to the Department of Health change jut out the vision of change in Medicaid should be directed towards the needs of the patients rather than the service providers . In to undertake the change process effectively the professional post of the NHS staff should also be transformed . These steps towards modernisation were indicatedAdoption of change by the Medicaid staffGovernment s role in getting rid of barriers in the way to changeThe manner for education and training should also be restructuredSince the Medicaid program is undertaken with the commix efforts of the federal and state governments it can clearly provide the indicate of the influence of states in intergovernmental relations . The administration of the Medicaid program provides the state governments with experience management abilities and the information of the important aspects of effectiveness of such programs for low-income group (Schneider 1997 Both the federal and state governments fund the chopine . It is often the...If you want to get a full essay, consecrate it on our website: Orderessay

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