Multi-Payer Medicine Nightmare Made in the USA

Multi-Payer Medicine Nightmare Made in the USA PDF

Author: Fipc Adria Goldman Gross

Publisher: Outskirts Press

Published: 2015-09-08

Total Pages: 132

ISBN-13: 9781478760559

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"You get what you pay for." If only this were true! Too often, consumers find themselves paying much more than they expected, getting much less than they bargained for. Medical care is no exception. In the U.S. edition of this book - Solved! Curing Your Medical Insurance Problems - the authors showed American readers how to spot over-charges by providers, under-reimbursements by insurers, and inappropriate denials by insurers and government employees. Furthermore, they presented steps to take to prevent being victimized by "the system." And what is the system? In America, it is a hybrid of private healthcare providers, massive insurance companies, and governments at the state and national levels. Unlike Britain with its single-payer National Health System, this public-private mixed-breed creates the need for patient advocate professionals, who take up the cudgels on behalf of the medically disadvantaged and the financially strapped. The material presented here may serve as an object lesson for those countries that would create or maintain mixed public-private financing and management of medical care.

Solved! Curing Your Medical Insurance Problems

Solved! Curing Your Medical Insurance Problems PDF

Author: Adria Goldman Gross Fipc

Publisher: Outskirts Press

Published: 2015-10-24

Total Pages: 130

ISBN-13: 9781478760566

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Consumer protection advocate Ralph Nader praised Solved! Curing Your Medical Insurance Problems: "Who hasn't been bewildered and outraged by lengthy, inscrutable medical bills and the tricky ways of the health insurers? ....Learn what to watch out for in this volume by authors who know the inside ways of sellers who try to take you to the cleaners." Some say, "You get what you pay for." If only this were true! Too often, consumers find themselves paying much more than they expected, getting much less than they bargained for. Medical care is no exception. In their book, the authors show readers how to spot over-charges by providers, under-reimbursements by insurers, and inappropriate denials by insurers and government employees. Furthermore, they presented steps to take to prevent being victimized by "the system." And what is the system? In America, it is a hybrid of private healthcare providers, massive insurance companies, and governments at the state and national levels. Unlike Britain with its single-payer National Health System, this public-private mixed-breed creates the need for patient advocate professionals, who take up the cudgels on behalf of the medically disadvantaged and the financially strapped.

Delivering Health Care in America

Delivering Health Care in America PDF

Author: Leiyu Shi

Publisher: Jones & Bartlett Learning

Published: 2017-10-06

Total Pages: 464

ISBN-13: 128415226X

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Delivering Health Care in America, Seventh Edition is the most current and comprehensive overview of the basic structures and operations of the U.S. health system--from its historical origins and resources, to its individual services, cost, and quality. Using a unique "systems" approach, the text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance while presenting a solid overview of how the various components fit together.

Delivering Health Care in America

Delivering Health Care in America PDF

Author: Leiyu Shi

Publisher: Jones & Bartlett Publishers

Published: 2011-09-24

Total Pages: 661

ISBN-13: 1449675441

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Given the recent and rapid developments in the delivery of health care in the United States, never has it been more important to have the most up-to-date resources for teaching students about this complex and dynamic industry. Now in its Fifth Edition, Delivering Health Care in America offers the most current and comprehensive overview of the basic structures and operations of the U.S. health system--from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, this bestselling text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together. New to this Edition: New material on U.S. health reform New material on health reform in other countries New material on Healthy People 2020 New information on CMS’s innovative healthcare delivery New information on community health centers Introduction of the medical home concept Data update throughout the book Latest research findings as applicable Enhanced content on The Patient Protection and Affordability Act of 2010 Enhanced content on clinical guidelines Enhanced content on public health system and services Enhanced content on vulnerable populations Enhanced content on primary care from the Global Perspective Revised perspectives on the future of health care in America Instructor Resources: Transition Guide, Instructor's Manual, PowerPoint Presentations, TestBank Student Resources: Glossary, Flash Cards, Crosswords, Matching Questions, Web Links

Advanced Practice Nursing

Advanced Practice Nursing PDF

Author: Susan M. DeNisco

Publisher: Jones & Bartlett Publishers

Published: 2013

Total Pages: 705

ISBN-13: 1449665063

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Nursing's national accrediting bodies, including the Commission on Collegiate Nursing Education and the National League for Nursing Accreditation Commission, demand that nursing curriculum include and emphasize professional standards. This new edition provides information on these professional standards by including chapters relevant to various aspects of advanced nursing practice, including changes in the national health care agenda, the 2010 Affordable Care Act, and the Institute of Medicine (IOM) 2010 report on the future of nursing. with the explosion of the DNP, the revision of the Americ

Advanced Practice Nursing: Essential Knowledge for the Profession

Advanced Practice Nursing: Essential Knowledge for the Profession PDF

Author: Susan M. DeNisco

Publisher: Jones & Bartlett Learning

Published: 2023-02-07

Total Pages: 1022

ISBN-13: 1284264718

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Advanced Practice Nursing: Essential Knowledge for the Profession, Fifth Edition is a core advanced practice text used in both Master's Level and DNP programs. Along with original chapters, this bestselling text is a thoughtfully crafted compilation of existing chapters from a variety of advanced practice nursing textbooks from Jones & Bartlett Learning. The strength of this approach is that each chapter was written by experts in each of the content areas, creating a comprehensive and well-rounded resource for the advanced practice nursing student. The Fifth Edition is framed around the new Domains from the AACN Essentials for advanced practice education as well as the Essentials for Doctoral Education featuring the most up-to-date content on each set of Essentials. Thoroughly updated, the authors address current and emerging trends, including emergency preparedness, financing health care, the impact of big data on healthcare outcomes, ethical leadership, and more timely topics.

Medicare for All

Medicare for All PDF

Author: Abdul El-Sayed

Publisher: Oxford University Press, USA

Published: 2021

Total Pages: 369

ISBN-13: 0190056622

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A citizen's guide to America's most debated policy-in-waitingAfter languishing for decades on the fringes of political discussion, Medicare-for-All has quickly entered the mainstream debate over what to do about America's persistent healthcare problems. But for most informed Americans, this surge of public and political interest in Medicare-for-All has outpaced a strong understanding of the issues involved. This book seeks to fill this gap in our national discourse, offering an expert analysis of the policy and politics behind Medicare-for-All for theinformed American.

Code Blue

Code Blue PDF

Author: Mike Magee

Publisher: Atlantic Monthly Press

Published: 2019-06-04

Total Pages: 474

ISBN-13: 0802146872

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This “searing and persuasive exposé of the American health care system” demonstrates the disastrous consequences of putting profit before people (Kirkus Reviews, starred review). In this timely and important book, Mike Magee, M.D., sends out a “Code Blue” —an urgent medical emergency—for the American medical industry itself. A former hospital administrator and Pfizer executive, he has spent years investigating the pillars of our health system: Big Pharma, insurance companies, hospitals, the American Medical Association, and anyone affiliated with them. Code Blue is a riveting, character-driven narrative that draws back the curtain on the giant industry that consumes one out of every five American dollars. Making clear for the first time the mechanisms, greed, and collusion by which our medical system was built over the last eight decades. He persuasively argues for a single-payer, multi-plan insurance arena of the kind enjoyed by every other major developed nation.

The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-02-01

Total Pages: 536

ISBN-13: 0309133181

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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

When Breath Becomes Air

When Breath Becomes Air PDF

Author: Paul Kalanithi

Publisher: Random House

Published: 2016-01-12

Total Pages: 258

ISBN-13: 0812988418

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#1 NEW YORK TIMES BESTSELLER • PULITZER PRIZE FINALIST • This inspiring, exquisitely observed memoir finds hope and beauty in the face of insurmountable odds as an idealistic young neurosurgeon attempts to answer the question What makes a life worth living? NAMED ONE OF PASTE’S BEST MEMOIRS OF THE DECADE • NAMED ONE OF THE BEST BOOKS OF THE YEAR BY The New York Times Book Review • People • NPR • The Washington Post • Slate • Harper’s Bazaar • Time Out New York • Publishers Weekly • BookPage Finalist for the PEN Center USA Literary Award in Creative Nonfiction and the Books for a Better Life Award in Inspirational Memoir At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated. When Breath Becomes Air chronicles Kalanithi’s transformation from a naïve medical student “possessed,” as he wrote, “by the question of what, given that all organisms die, makes a virtuous and meaningful life” into a neurosurgeon at Stanford working in the brain, the most critical place for human identity, and finally into a patient and new father confronting his own mortality. What makes life worth living in the face of death? What do you do when the future, no longer a ladder toward your goals in life, flattens out into a perpetual present? What does it mean to have a child, to nurture a new life as another fades away? These are some of the questions Kalanithi wrestles with in this profoundly moving, exquisitely observed memoir. Paul Kalanithi died in March 2015, while working on this book, yet his words live on as a guide and a gift to us all. “I began to realize that coming face to face with my own mortality, in a sense, had changed nothing and everything,” he wrote. “Seven words from Samuel Beckett began to repeat in my head: ‘I can’t go on. I’ll go on.’” When Breath Becomes Air is an unforgettable, life-affirming reflection on the challenge of facing death and on the relationship between doctor and patient, from a brilliant writer who became both.