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"By 1990, the Kaiser Permanente health care plan, with over 6.5 million members, was the largest health maintenance organization (HMO) in the United States. Rickey Hendricks tells the story of the phenomenal growth of this plan and of its effect on health care. The Kaiser Permanente plan was to serve as a model for others due to its large scale and its combination of prepayment, group practice, complete facilities, and preventive medicine." "Hendricks begins by profiling the founder of Kaiser Permanente, Henry J. Kaiser, an industrial giant. Kaiser was the contractor in the 1930s for the Hoover and Grand Coulee dams. The workers Kaiser employed to build these dams were eager for health care, and Kaiser, knowing he had to honor workmen's compensation and health and safety laws, prepared to provide it." "Kaiser wanted to care for the working class while operating within the free-enterprise system. He thought such a plan should offend neither the Left nor the Right. But it did offend the latter. Solo practitioners affiliated with the American Medical Association felt threatened and ostracized doctors in the group plan. Some of the more conservative doctors charged that there was a communist influence in the plan. Kaiser exacerbated the situation by attempting an anticommunist purge himself. This merely alienated the plan's physicians." "Hendricks details how the plan was reorganized and decentralized in the 1950s following conflicts between the plan's physicians and Kaiser. The physicians asserted their collective authority and created their own culture within the corporate power structure." "Kaiser Permanente revolutionized national health care by offering a preventive, participatory model. Hendricks shows how Kaiser Permanente remains a major force in health care today because it transcends both the paternalism of individual doctor-patient relationships and the dependency of welfare capitalism."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved
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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.
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.
This is a meticulously detailed chronological record of significant events in the history of medical informatics and their impact on direct patient care and clinical research, offering a representative sampling of published contributions to the field. The History of Medical Informatics in the United States has been restructured within this new edition, reflecting the transformation medical informatics has undergone in the years since 1990. The systems that were once exclusively institutionally driven – hospital, multihospital, and outpatient information systems – are today joined by systems that are driven by clinical subspecialties, nursing, pathology, clinical laboratory, pharmacy, imaging, and more. At the core is the person – not the clinician, not the institution – whose health all these systems are designed to serve. A group of world-renowned authors have joined forces with Dr Marion Ball to bring Dr Collen’s incredible work to press. These recognized leaders in medical informatics, many of whom are recipients of the Morris F. Collen Award in Medical Informatics and were friends of or mentored by Dr Collen, carefully reviewed, editing and updating his draft chapters. This has resulted in the most thorough history of the subject imaginable, and also provides readers with a roadmap for the subject well into later in the century.
Suburban development is often considered synonymous with enhanced personal mobility, single-family housing, and life cycle homogeneity. According to this view, individual suburbs are residence-only enclaves, isolated commuter-sheds for a managerial and mercantile elite. Magnetic Los Angeles challenges this common vision of the expanding, twentieth-century city as the sprawling product of dispersion without planning, lacking any discernable order.
This volume examines the intersections of health care and environmental health, both in terms of traditional failures and the revolution underway to fix them. Authored by one of the pioneers in health care's green movement, it presents practical solutions for health care organizations and clinicians to improve their environments and the health of their communities.
This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work.This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
“His standing as a lesser-known in a business pantheon that would include such names as Ford and Carnegie makes this work of some scholarly importance.” —Library Journal In the 1940s Henry J. Kaiser was a household name, as familiar then as Warren Buffett and Donald Trump are now. Like a Horatio Alger hero, Kaiser rose from lower-middle-class origins to become an enormously wealthy entrepreneur, building roads, bridges, dams, and housing. He established giant businesses in cement, aluminum, chemicals, steel, health care, and tourism. During World War II, his companies built cargo planes and Liberty ships. After the war, he manufactured the Kaiser-Frazer automobile. Along the way, he also became a major force in the development of the western United States, including Hawaii. Henry J. Kaiser: Builder in the Modern American West is the first biography of this remarkable man. Drawing on a wealth of archival material never before utilized, Mark Foster covers Kaiser’s entire life (1882–1967), painting an evenhanded portrait of a man of driving ambition and integrity, demonstrating Kaiser as the prototypical “frontier” entrepreneur who often used government and union support to tame the “wilderness.” Today the Kaiser legacy remains great. Kaiser played a major role in building the Hoover, Bonneville, Grand Coulee, and Shasta dams. The Kaiser-Permanente Medical Care Program still provides comprehensive health care for millions of subscribers. Kaiser-planned communities remain in Los Angeles; San Francisco; Portland, Oregon; and Boulder City, Nevada. Kaiser Engineers was actively engaged in hundreds of huge construction jobs across the nation and around the world. US and business historians, scholars of the modern West, and general readers will find much to absorb in this well-written biography.
Kaiser Permanente is the largest managed care organization in the country. It also happens to have the largest and most complex labor-management partnership ever created in the United States. This book tells the story of that partnership-how it started, how it grew, who made it happen, and the lessons to be learned from its successes and complications. With twenty-seven unions and an organization as complex as 8.6-million-member Kaiser Permanente, establishing the partnership was not a simple task and maintaining it has proven to be extraordinarily challenging. Thomas A. Kochan, Adrienne E. Eaton, Robert B. McKersie, and Paul S. Adler are among a team of researchers who have been tracking the evolution of the partnership between Kaiser Permanente and the Coalition of Kaiser Permanente Unions ever since 2001. They review the history of health care labor relations and present a profile of Kaiser Permanente as it has developed over the years. They then delve into the partnership, discussing its achievements and struggles, including the negotiation of the most innovative collective bargaining agreements in the history of American labor relations. Healing Together concludes with an assessment of the Kaiser partnership's effect on the larger health care system and its implications for labor-management relations in other industries.