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Healthcare economics is a topic of increasing importance due to the substantial changes that are expected to radically alter the way Americans obtain and finance healthcare. Understanding Healthcare Economics, 2nd Edition provides an evidence-based framework to help practitioners comprehend the changes already underway in our nation’s healthcare system. It presents important economic facts and explains the economic concepts needed to understand the implications of these facts. It also summarizes the results of recent empirical studies on access, cost, and quality problems in today’s healthcare system. The material is presented in two sections. Section 1 focuses on the healthcare access, cost and quality issues that create pressures for change in health policy. The first edition was completed just as the Patient Protection and Affordable Care Act (PPACA) was debated and passed. This new edition updates the information about access, cost, and quality issues. It also discusses the pressure for change that led to the passage of the PPACA, evidence that shaped the construction of the act, evidence on the impacts of the PPACA, and evidence on the pressures for future changes. Section 2 focuses on changes that are underway including: changes in the Medicare payment system; new types of healthcare delivery organizations such as ACOs and patient-centered medical homes. It also discusses the current efforts to help patients build health such as wellness programs and disease management programs. And finally, health information technology will be discussed. The new edition will maintain the current structure; however each chapter will be updated to discuss post-PPACA evidence on each type of type. In addition to the updates previously mentioned, the authors will present a series of data explorations to several chapters. Most of the new data explorations present summarized statistical information based on de-identified data from one hospital electronic data system. These data explorations serve two purposes. First, they illustrate the impacts of the pressures for change – and some of the changes – on healthcare providers. For example, the data illustrates the financial impact of pre-PPACA uncompensated care. Second, explanation of the data will require explanations of standard coding systems that are used nationwide (DRGs, CPT, ICD) codes. Other data explorations provide detail about other sources of data useful for health policy analysis, and for healthcare providers and insurers.
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know describes the Patient Protection and Affordable Care Act of 2010. Now that the U.S. Supreme Court has upheld the individual mandate and other key parts of the law—what must busy healthcare professionals, insurance industry professionals, business and HR managers, and policymakers do? First, read this book. It translates the law’s complex language into terms that are easy to understand, explaining what the new law does, when its provisions take effect, and how to implement it. This brand-new second edition also updates all the provisions and explains the myriad ways the ACA is already being put into practice. Health Care Reform Simplified, Second Edition, outlines the financial impact of the law and how it affects businesses, insurers, hospitals and doctors, and state and local governments. Most important, this book gives consumers and employers critical information for making informed choices about new options for private and public health insurance coverage. It also describes how the law interacts with Medicare and Medicaid. Finally, it looks at the potential roadblocks—political, judicial, and economic—that may yet derail some of the provisions. But with more than half of the Act's provisions in force already, and the Supreme Court's landmark decision upholding the law, there is no time to lose in understanding how the legislation affects you whether you are a consumer or deliverer of health care in the U.S. This book: Explains health reform in easy-to-understand terms Shows how the law is playing out in the real world Explains the ways the law or parts of it yet may be repealed by the 2012 election and the implications for readers Provides HR professionals and managers options for covering employees while explaining costs and benefits Details the impact on medical professionals and insurers and steps they must take now to comply with the law Shows policymakers the way forward now that legal challenges have abated This edition, completely updated to incorporate the newest regulations and the practices that have been put into place in various states, will prove an indispensable guide for those implementing the law, as well as those receiving health care, in the coming years.
In this long-awaited updated edition of his groundbreaking work Priceless: Curing the Healthcare Crisis, renowned healthcare economist John Goodman ("father" of Health Savings Accounts) analyzes America's ongoing healthcare fiasco—including, for this edition, the failed promises of Obamacare. Goodman then provides what many critics of our healthcare system neglect: solutions. And not a moment too soon. Americans are entangled in a system with perverse incentives that raise costs, reduce quality, and make care less accessible. It's not just patients that need liberation from this labyrinth of confusion—it's doctors, businessmen, and institutions as well. Read this new work and discover: why no one sees a real price for anything: no patient, no doctor, no employer, no employee; how Obamacare's perverse incentives cause insurance companies to seek to attract the healthy and avoid the sick; why having a preexisting condition is actually WORSE under Obamacare than it was before—despite rosy political promises to the contrary; why emergency-room traffic and long waits for care have actually increased under Obamacare; how Medicaid expansion spends new money insuring healthy, single adults, while doing nothing for the developmentally disabled who languish on waiting lists and children who aren't getting the pediatric care they need; how the market for medical care COULD be as efficient and consumer-friendly as the market for cell phone repair... and what it would take to make that happen; how to create centers of medical excellence, which compete to meet the needs of the chronically ill; and much, much more... Thoroughly researched, clearly written, and decidedly humane in its concern for the health of all Americans, John Goodman has written the healthcare book to read to understand today's healthcare crisis. His proposed solutions are bold, crucial, and most importantly, caring. Healthcare is complex. But this book isn't. It's clear, it's satisfying, and it's refreshingly human. If you read even one book about healthcare policy in America, this is the one to read.
The message of this extraordinary election [in November 2010] is clear enough: the American citizenry has rejected the secular dogma, socialist policies, and machine-driven politics that comprise the Obama agenda. Now, the question is whether President Obama and his Democratic Party will accept the will of the people and change the destructive course upon which they have set this country. . . . [F]irst and foremost, Republicans must fight to dislodge the secular-socialist machine whose methods and goals are described in this book. This machine has driven America so deeply into debt, and has so fundamentally changed the relationship between the American citizenry and our government, that our childrenâ??s future is now imperiled. We cannot assume that after the 2010 election, the machine will simply accept the will of the people. After all, the very purpose of a political machine is to thwart the will of the people.
"Health Care Ethics and the Law bridges research and practice, reflecting real-world knowledge of the health industry and government agencies. It covers basic ethical principles and practical applications of ethics and the law in the world of health care delivery and practice"--