The Changing Health Care Marketplace

The Changing Health Care Marketplace PDF

Author: Walter A. Zelman

Publisher: Jossey-Bass

Published: 1996-05-31

Total Pages: 372

ISBN-13:

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Explores the Rise of Managed Care An incisive and informative analysis of our rapidly changing health care system--the best of current books on the subject. --Arnold S. Relman, former editor-in-chief, New England Journal of Medicine Walter A. Zelman, a leading expert on health care research and policy, examines the key trAnds that are changing today's health care marketplace. He looks at the growth of managed care; the new and sometimes uneasy partnerships among physicians, hospitals, and health plans; and the trAnd toward integration between sectors. This important resource draws on the latest data and research, including more than fifty interviews with expert analysts and practitioners.

The Affordable Care Act

The Affordable Care Act PDF

Author: Tamara Thompson

Publisher: Greenhaven Publishing LLC

Published: 2014-12-02

Total Pages: 130

ISBN-13: 0737776196

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The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.

Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-04-02

Total Pages: 161

ISBN-13: 030946921X

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Medical Innovation in the Changing Healthcare Marketplace

Medical Innovation in the Changing Healthcare Marketplace PDF

Author: National Research Council

Publisher: National Academies Press

Published: 2002-06-06

Total Pages: 92

ISBN-13: 0309084164

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A wave of new health care innovation and growing demand for health care, coupled with uncertain productivity improvements, could severely challenge efforts to control future health care costs. A committee of the National Research Council and the Institute of Medicine organized a conference to examine key health care trends and their impact on medical innovation. The conference addressed the following question: In an environment of renewed concern about rising health care costs, where can public policy stimulate or remove disincentives to the development, adoption and diffusion of high-value innovation in diagnostics, therapeutics, and devices?

Forces of Change

Forces of Change PDF

Author: David A. Shore

Publisher: John Wiley & Sons

Published: 2012-06-20

Total Pages: 217

ISBN-13: 1118237005

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American health care has made great strides in the past hundred years. Life expectancy has increased dramatically and advances in medicine and treatments have eradicated many life-threatening diseases. However, in today's health care arena there is divergence between our health needs, the structure of our health care system, and how health care is delivered and funded. In Forces of Change, David A. Shore has collected the leading thinking from experts in the field on how our health care system can benefit from important lessons from other industries and effect transformational change that truly serves all stakeholders well. Contributors include Max Caldwell of Towers Watson; Michael J. Dowling of North Shore Long Island Jewish Medical Health System; John P. Glaser of Siemens Healthcare; Ashish K. Jha of the Harvard School of Public Health; Eric D. Kupferberg of Northeastern University; Lucian Leape of the Harvard School of Public Health; Jeff Margolis of the TriZetto Group, Inc.; and David Shoultz of Philips Electronics.

Care Without Coverage

Care Without Coverage PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2002-06-20

Total Pages: 213

ISBN-13: 0309083435

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Strategies for the New Health Care Marketplace

Strategies for the New Health Care Marketplace PDF

Author: Dean C. Coddington

Publisher: Jossey-Bass

Published: 2001-02-21

Total Pages: 0

ISBN-13: 9780787955939

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Learn to can better meet the needs of the new consumer-driven marketplace. Strategies for the New Health Care Marketplace--written by a team of acclaimed experts--examines the factors changing today's health care system: the growth in demand for services, the increasing influence of consumers on how services are provided, and the dramatic new advances in treatment made possible by technology.

America's Health Care Safety Net

America's Health Care Safety Net PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2000-09-04

Total Pages: 304

ISBN-13: 030906497X

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America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.

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