Which of the following important events related to health care occurred during the Reagan administration? (Select all that apply.)
a. Increase in national health planning and coordination of efforts
b. Decrease in both federal control and federal funding
c. Increase in state funding with concurrent control by local boards of health
d. Implementation of Medicare funding based on diagnosis-related groups
e. Suggestions to shift costs and reduce costs
f.
Suggestions to mobilize the community to become involved
ANS: B, D, E
The Reagan administration encouraged competition. Emphasis was on cost shifting and cost reduction with greater state power, less centralization, and less national control. The Omnibus Budget Reconciliation Act of 1981 reduced federal funding, which also decreased federal planning efforts. The federal government recommended eliminating planning agencies. Also during this time was the implementation of basing payments to Medicare on diagnosis-related groups (DRGs). A reduction in federal funding caused cost shifting and cost reduction to be emphasized.
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