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Does managed care reduce the costs of medical care while leaving the quality of treatment at least unchanged? What instruments should be employed to prevent risk selection? How can medical decision making be based on more rational criteria? This book consists of three major studies, each addressing a specific question related to the current debate on reforms in the health care sector. Insurers offering managed care contracts have the right to deny coverage for treatment prescribed by an insured's physician. In the US, such practices have provoked a wave of criticism against managed care. The first study shows that monitoring physicians' decisions can generally raise the efficiency of health care provision. However, insurers tend to intervene too much in medical decision making, such that consumer welfare may also decline. If premium payments do not reflect individual risk types, insurers have an incentive to practice risk selection (cream skimming). To prevent this, risk adjustment schemes have been introduced in several countries. The second study takes up the critique against conventional risk adjustment and shows that an inaccurate adjustment scheme may even have detrimental effects on social welfare. The optimal payment scheme in the model framework involves partial cost reimbursement based on the insurer's information. Watchfully waiting involves monitoring a patient's health state over time and deciding whether to undertake a medical intervention, or to continue waiting. The third study contains a formal model of the watchfully waiting process. Optimal decision rules for switching to direct medical intervention are derived. The approach could be applied to a wide range of decision problems in health economics and medicine.
The new edition of a textbook that combines economic concepts with empirical evidence, updated with material on the Affordable Care Act and other developments. This book introduces students to the growing research field of health economics. Rather than offer details about health systems without providing a theoretical context, Health Economics combines economic concepts with empirical evidence to enhance readers' economic understanding of how health care institutions and markets function. The theoretical and empirical approaches draw heavily on the general field of applied microeconomics, but the text moves from the individual and firm level to the market level to a macroeconomic view of the role of health and health care within the economy as a whole. The book takes a global perspective, with description and analysis of institutional features of health sectors in countries around the world. This second edition has been updated to include material on the U.S. Patient Protection and Affordable Care Act, material on the expansion of health insurance in Massachusetts, and an evaluation of Oregon's Medicaid expansion via lottery. The discussion of health care and health insurance in China has been substantially revised to reflect widespread changes there. Tables and figures have been updated with newly available data. Also new to this edition is a discussion of the health economics literature published between 2010 and 2015. The text includes readings, extensive references, review and discussion questions, and exercises. A student solutions manual offers solutions to selected exercises. Downloadable supplementary material is available for instructors.
In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
This popular textbook provides a comprehensive but accessible coverage of health economic principles and applications. It provides an introduction for those with no previous knowledge of economics, but also more advanced material suitable for those with a background in economics. Now into its second edition, Barbara McPake and Charles Normand have incorporated developments in economic evaluation and economics of health systems from recent research and experience while retaining an accessible approach and style. The book starts with a section on basic economic principles as applied to health and health care, and goes on to discuss economic evaluation in health care, the economics of health systems and health care finance. Examples and illustrations are taken from a wide range of settings and world regions, reflecting the authors¿ belief that the same principles apply, and that it is useful to have some understanding of how different countries organise the health system. It provides an understanding of the performance of different health systems from the insurance based approaches in the United States to government funding that is common in Canada and most countries in Europe, and the mixed systems that operate in most low-income countries. This book is ideal for students in public health and related courses, for health care professionals and those studying health economics at a more advanced level.
"The book Novel Perspectives in Economics of Personalized Medicine and Healthcare Systems represents a valuable interdisciplinary contribution created to fill an existing gap in the field of health economics and healthcare systems. The book brings the latest insights from the growing field of health economics and healthcare systems. It deals with various economic, technological, sociological, ethical, legal and philosophical implications and questions arising from the development and implementation of personalized medicine. It is unprecedented in combining practical guidelines for the use of economic tools and techniques with an analysis of the current process of decision-making in the health service sector. The book also provides several insights into the factors that determine human health, the socioeconomic aspects of population aging and the social implications of the evolving burden of disease. Some contributions are highly innovative and cover extremely relevant branches of medicine such as oncology, neurology and endocrinology. In addition, in a brave, yet professional and sovereign manner, the book covers the issue of biological predictors of health outcomes; though they are currently mainly used as global analytical methods, they are yet to be applied or have only recently been applied in clinical medicine. Further, it provides an example from traditional Korean medicine, a proven and valuable tool for personalized medical healthcare. This edition is unique in the sense that 30 chapters were written by 41 authors, all of them experts in their respective fields of research. The authors hail from Croatia, Hungary, South Korea and the United States. The volume is intended to serve as valuable teaching material for university students, as well as a reference book for research scholars, policymakers, business executives, health managers, physicians and freelance readers"--
This book presents a range of papers by philosophers and economists who consider the definition and value of liberty; freedom in rights and equality of opportunity. Until recently freedom has played no explicit role in the conceptual framework of economists, however freedom seems to be at the heart of economics. The book provides a substantial contribution to the fruitful dialogue between the philosophy and economics in this area. Each chapter is integrated being followed by comments which explore the underlying debates. Contributors are French economists, philosophers and political scientists, as well as authors from Belgium and the Netherlands.
This is the most complete text available on the economics of health behavior and health care delivery. Appropriate both for advanced undergraduate and beginning graduate students of economics, this text provides the key analytical tools required to understand current research. Issues discussed include the "cost explosion" in health care, the power of medical associations, the search for remuneration systems with favorable incentives, and technological change in medicine. Rather than simplifying the issues facing today’s healthcare systems, the book models existing complexities as they are, adapting economics to reflect the views of the average person.
In financially constrained health systems across the world, increasing emphasis is being placed on the ability to demonstrate that health care interventions are not only effective, but also cost-effective. This book deals with decision modelling techniques that can be used to estimate the value for money of various interventions including medical devices, surgical procedures, diagnostic technologies, and pharmaceuticals. Particular emphasis is placed on the importance of the appropriate representation of uncertainty in the evaluative process and the implication this uncertainty has for decision making and the need for future research. This highly practical guide takes the reader through the key principles and approaches of modelling techniques. It begins with the basics of constructing different forms of the model, the population of the model with input parameter estimates, analysis of the results, and progression to the holistic view of models as a valuable tool for informing future research exercises. Case studies and exercises are supported with online templates and solutions. This book will help analysts understand the contribution of decision-analytic modelling to the evaluation of health care programmes. ABOUT THE SERIES: Economic evaluation of health interventions is a growing specialist field, and this series of practical handbooks will tackle, in-depth, topics superficially addressed in more general health economics books. Each volume will include illustrative material, case histories and worked examples to encourage the reader to apply the methods discussed, with supporting material provided online. This series is aimed at health economists in academia, the pharmaceutical industry and the health sector, those on advanced health economics courses, and health researchers in associated fields.
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Digital communication has altered the flow of global information,evolved consumer values and changed consumption practices worldwide.New Perspectives on Critical Marketing and Consumer Society provides an illuminating, challenging and thought-provoking guide for all upper-level students of marketing,branding and consumer behaviour.