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The health insurance industry has changed. Gone are the days when you paid your premium, and your plan picked up the tab for all your health care. Nowadays the average deductible is over $2,000, which means that you will have to pay for most, if not all of your health care in any given year. Even worse are the dirty marketing tricks used to sell health insurance. You can spend thousands of dollars a year on a policy that you'll most likely never use, or you can spend even more to get a lower deductible that only gives you the illusion of better coverage. In this book physician and licensed health insurance agent Dr. Kevin Wacasey shows you how to save money on health insurance, and health care. First he cuts through the complexity of buying health insurance, by proving that upgraded plans with supposedly better coverage often end up costing more than you could ever save. Next Dr. Wacasey takes the reader along as he shops for a health insurance plan, then using a simple formula to compare ten different scenarios (pulled straight from healthcare.gov), Dr. Wacasey demonstrates that - in all ten cases - the Bronze plan will end up saving the consumer the most money. Both in sickness, and in health. Finally Dr. Wacasey reveals how much health care goods and services really "cost," and offers tips on how patients can save money on everything from ambulances to operations. Individuals, business owners, and anyone else who has to pay for health insurance, or for health care, will find Dr. Wacasey's book invaluable as he shows how to save lots of money - yet receive better care than ever before - in the first consumer-driven health care system the U.S. has ever known.
You can reduce insurance premiums and lower your medical expenses. Millions of Americans benefit from this advice and now you can too! See the doctors you want to see! Health insurance should protect you against financial ruin, not cause it! The trick to choosing the right plan for your family is to do some homework first. Like a"friend in the business" this book outlines the things the insurance company's don't want you to know, that will save you thousands of dollars. You can keep your money in your wallet and put money in the bank! Don't let the monster eat your health care dollars. "Who knew a book about insurance would be a page turner?" Dr. B. Orange, MD "You are the Suzie Orman of Health Insurance." Robert Foster, Bridgewater Marble and Granite "An invaluable resource I go back to again and again." M. Hanhart, Business Coach " I never met anyone who worked so hard to talk me out of spending money." N. Lordi, Nalpro Business Solutions
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.
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Making healthcare decisions is hard, but making the right choices has never mattered more. Healthcare Choices: 5 Steps to Getting the Care You Want and Needgives you the tools you need to choose the best medical care—for you. Archelle Georgiou, MD, explainsher CARES model, the formula she developed to help family, friends, and thousands of television viewers make smart healthcare decisions that balance the best medical options with individual preferences. Using more than 30 real-life stories and insider tips, she demonstrates how to use this step-by-step guide to access the medical information you need to evaluate your options and make well-informed choices. Whether you are addressing a life-threatening illness, self-managing a minor ailment, selecting a doctor, or buying insurance, Georgiou’s roadmap shows you how to be an active participant in your care. Her “go to” approach describes how to: Identify all treatment options for an illness, including those not mentioned by your doctor. Make treatment decisions that reflect your priorities and preferences. Find the best doctor to treat your condition. Communicate with your doctor and make shared treatment decisions. Choose the health insurance plan that’s right for you. Maintain a voice in your lifestyle as you age. Healthcare Choiceswill give you the confidence to advocate for the healthcare you want, need, and deserve.
The contentious passage of the Affordable Care Act in 2010 highlighted the incredible complexity and controversy surrounding health care in the United States. While the U.S. federal government does not provide universal health care, it has an extremely wide reach when it comes to the health of its citizenry. From important scientific and medical research funding to infectious disease control and health services for veterans and the elderly, the pathway to legislation and execution of health policies is filled with competing interests and highly varied solutions. The Guide to U.S. Health and Health Care Policy provides the analytical connections showing researchers how issues and actions are translated into public policies and institutions for resolving or managing healthcare issues and crises. The Guide highlights the decision-making cycle that requires the cooperation of federal and state governments, business, and an informed citizenry in order to achieve a comprehensive approach to advancing the nation’s healthcare policies. Through 30 topical chapters, the book addresses the development of the U.S. healthcare system and policies, the federal agencies and public and private organizations that frame and administer those policies, and the challenges of balancing the nation’s healthcare needs with the rising costs of medical research, cost-effective treatment, and adequate health insurance. Additionally, the book comprehensively addresses significant disparities that exist in the U.S. system and the challenges to public health posed by our increasingly connected world. Taking a comprehensive approach, the Guide traces policy initiatives across time and takes into account the most recent scholarship: Part One: Evolution of American Health Care Policy Looks at the emerging and expanding role of government in the health care sector and the position the U.S. occupies today as the only advanced industrial nation without universal health care. Part Two: Government Organizations that Develop, Fund, and Administer Health Policy (1789-Today) Examines the role each branch of government plays in the forming, executing, and regulating health care policies. The authors examine the origins, organization, budget, and function of major government organizations including the FDA, CDC, and VA. An exploration of legal oversight and the roles states play in the health sector round out this section. Part Three: Contemporary Health Policy Issues: Goals and Initiatives (1920s-Today) Explores the wide range of players in the health care sphere and the role the government plays, particularly in funding them. Special attention is paid to policy issues surrounding medical research and medical professions. This section also looks at the ethical issues in play when making health policy and the inequalities that have plagued the U.S. health care system. Part Four: Contemporary Health Policy Issues: People and Policies (1960s-Today) This part of the book looks in-depth at health disparities in the U.S., health challenges particular to specific groups, mental health, obesity, and the influence of interest groups. Part Five: U.S. Response to Global Health Challenges (1980s-Today) The last section of the book looks beyond the borders of the United States and the serious challenges posed by our increasingly connected world.
The Healthcare Labyrinth is not just a comprehensive guide to navigating health plans--it offers a blueprint for fixing our broken healthcare system. The American health insurance system is anything but simple to maneuver. Health plan enrollees become entangled in an intricate and opaque maze of confusion, often resulting in frustration, regret, and deep debt. In The Healthcare Labyrinth, health plan and healthcare technology veteran Marc S. Ryan seeks to demystify the U.S. healthcare system, helping Americans become wiser consumers and allowing them to navigate the maze with more confidence and certainty. Marc walks through how the current system operates, tracing the dysfunction, high costs, and lack of quality to three major issues: --a lack of affordable universal access; --little focus on wellness, prevention, and care management; and --outrageous pricing, especially compared to other developed nations. Using his decades of experience, Marc outlines a bipartisan blueprint to transform America's unique system without upending the employer-based system. He relies on leading academic, research, and mainstream media sources from across the political spectrum to examine the U.S. healthcare system and compare it to those of other developed nations.
Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.