Competition, Regulation, and Rationing in Health Care

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Author :
Publisher : Beard Books
ISBN 13 : 1587981416
Total Pages : 190 pages
Book Rating : 4.5/5 (879 download)

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Book Synopsis Competition, Regulation, and Rationing in Health Care by : Warren Greenberg

Download or read book Competition, Regulation, and Rationing in Health Care written by Warren Greenberg and published by Beard Books. This book was released on 2002 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a reprint. The attributes and conduct of the physician, hospital, insurance, and long-term care industries are examined.

Redefining Health Care

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Author :
Publisher : Harvard Business Press
ISBN 13 : 1422133362
Total Pages : 540 pages
Book Rating : 4.4/5 (221 download)

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Book Synopsis Redefining Health Care by : Michael E. Porter

Download or read book Redefining Health Care written by Michael E. Porter and published by Harvard Business Press. This book was released on 2006-04-24 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.

Competition in the Health Care Sector

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Author :
Publisher : Beard Books
ISBN 13 : 9781587981302
Total Pages : 428 pages
Book Rating : 4.9/5 (813 download)

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Book Synopsis Competition in the Health Care Sector by : Warren Greenberg

Download or read book Competition in the Health Care Sector written by Warren Greenberg and published by Beard Books. This book was released on 2002 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Source of the debate on how much competition and regulation are necessary in the health care industry. This is a reprint of proceedings from a 1977 conference.

Health System Efficiency

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Author :
Publisher : Health Policy
ISBN 13 : 9789289050418
Total Pages : 264 pages
Book Rating : 4.0/5 (54 download)

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Book Synopsis Health System Efficiency by : Jonathan Cylus

Download or read book Health System Efficiency written by Jonathan Cylus and published by Health Policy. This book was released on 2016-12-15 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Competition and Quality in Health Care Markets

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Author :
Publisher : Now Publishers Inc
ISBN 13 : 1601980078
Total Pages : 83 pages
Book Rating : 4.6/5 (19 download)

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Book Synopsis Competition and Quality in Health Care Markets by : Martin Gaynor

Download or read book Competition and Quality in Health Care Markets written by Martin Gaynor and published by Now Publishers Inc. This book was released on 2006 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides an economic assessment of the impact of competition on quality in health care markets. This book offers performance standards for competition; findings from economic theory; and, empirical evidence on health care competition and quality.

Handbook of Health Economics

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Author :
Publisher : Elsevier
ISBN 13 : 0444535926
Total Pages : 1149 pages
Book Rating : 4.4/5 (445 download)

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Book Synopsis Handbook of Health Economics by : Mark V. Pauly

Download or read book Handbook of Health Economics written by Mark V. Pauly and published by Elsevier. This book was released on 2012-01-05 with total page 1149 pages. Available in PDF, EPUB and Kindle. Book excerpt: "As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].

Ghana National Health Insurance Scheme

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Publisher : World Bank Publications
ISBN 13 : 1464811180
Total Pages : 101 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Ghana National Health Insurance Scheme by : Huihui Wang

Download or read book Ghana National Health Insurance Scheme written by Huihui Wang and published by World Bank Publications. This book was released on 2017-08-14 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ghana National Health Insurance Scheme (NHIS) was established in 2003 as a major vehicle to achieve the country’s commitment of Universal Health Coverage. The government has earmarked value-added tax to finance NHIS in addition to deduction from Social Security Trust (SSNIT) and premium payment. However, the scheme has been running under deficit since 2009 due to expansion of coverage, increase in service use, and surge in expenditure. Consequently, Ghana National Health Insurance Authority (NHIA) had to reduce investment fund, borrow loans and delay claims reimbursement to providers in order to fill the gap. This study aimed to provide policy recommendations on how to improve efficiency and financial sustainability of NHIS based on health sector expenditure and NHIS claims expenditure review. The analysis started with an overall health sector expenditure review, zoomed into NHIS claims expenditure in Volta region as a miniature for the scheme, and followed by identifictation of factors affecting level and efficiency of expenditure. This study is the first attempt to undertake systematic in-depth analysis of NHIS claims expenditure. Based on the study findings, it is recommended that NHIS establish a stronger expenditure control system in place for long-term sustainability. The majority of NHIS claims expenditure is for outpatient consultations, district hospitals and above, certain member groups (e.g., informal group, members with more than five visits in a year). These distribution patterns are closely related to NHIS design features that encourages expenditure surge. For example, year-round open registration boosted adverse selection during enrollment, essentially fee-for-service provider mechanisms incentivized oversupply but not better quality and cost-effectiveness, and zero patient cost-sharing by patients reduced prudence in seeking care and caused overuse. Moreover, NHIA is not equipped to control expenditure or monitor effect of cost-containment policies. The claims processing system is mostly manual and does not collect information on service delivery and results. No mechanisms exist to monitor and correct providers’ abonormal behaviors, as well as engage NHIS members for and engaging members for information verification, case management and prevention.

The Health Care Marketplace

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461216680
Total Pages : 179 pages
Book Rating : 4.4/5 (612 download)

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Book Synopsis The Health Care Marketplace by : Warren Greenberg

Download or read book The Health Care Marketplace written by Warren Greenberg and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 179 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this wide-ranging book, Warren Greenberg surveys the health care industry using the economics of industrial organisations approach. By doing so, he provides the reader with an understanding of the differences between health care and other industries in the economy. As a result, this will be ideal for students in health care economy and policy who need to gain an understanding of this, the single largest sector of the economy.

American Health Policy

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Publisher : American Enterprise Institute
ISBN 13 : 9780844738185
Total Pages : 448 pages
Book Rating : 4.7/5 (381 download)

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Book Synopsis American Health Policy by : Robert B. Helms

Download or read book American Health Policy written by Robert B. Helms and published by American Enterprise Institute. This book was released on 1993 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the process of competition in our private health insurance market and its effects on the cost of care and access to insurance coverage.

Regulating Healthcare

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335210228
Total Pages : 276 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Regulating Healthcare by : Walshe, Kieran

Download or read book Regulating Healthcare written by Walshe, Kieran and published by McGraw-Hill Education (UK). This book was released on 2003-06-01 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare organizations in the UK and the USA face a growing tide of regulation, accreditation, inspection and external review, all aimed at improving their performance. In the US, over three decades of regulation by state and federal government, and by non-governmental agencies, has created a complex, costly and overlapping network of oversight arrangements for healthcare organizations. In the UK, regulation of the government-run National Health Service is central to current health policy, with the creation of a host of new national agencies and inspectorates tasked with overseeing the performance of NHS hospitals and other organizations. But does regulation work? This book: . explores the development and use of healthcare regulation in both countries, comparing and contrasting their experience and drawing on regulatory research in other industries and settings . offers a structured approach to analysing what regulators do and how they work . develops principles for effective regulation, aimed at maximising the benefits of regulatory interventions and minimising their costs Regulating Healthcare is aimed at all with an interest or involvement in health policy and management, be they policy makers, healthcare managers or health professionals. It is particularly suitable for use on postgraduate health and health-related programmes.

Rationing Health Care

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Author :
Publisher : Maklu
ISBN 13 : 9046605256
Total Pages : 252 pages
Book Rating : 4.0/5 (466 download)

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Book Synopsis Rationing Health Care by : André den Exter

Download or read book Rationing Health Care written by André den Exter and published by Maklu. This book was released on 2012 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Medical need' is a factor in health care access decision-making, but merit-considerations are becoming important too. In the shortening of waiting time, priority arrangements are considered and/or introduced, based on non-medical criteria. Simultaneously, in terms of financing, health status has become important due to payment arrangements, limited insurance package options, etc. At the same time, health status disparities, due to socioeconomic inequalities, seem to be increasing. Under these circumstances, confronted with increased health spending, it is expected that rationing will become more eminent. Due to this, the emerging relevant questions are: Who will be responsible for rationing (the market, governments, bureaucrats, physicians, or others)? * How does it function (explicit or implicit)? * What are relevant and acceptable selection criteria (QUALYs, DALYs, health status, sex, age, etc.)? * To what extent is current rationing just? * What can be done to make it more just? *

Moral Hazard in Health Insurance

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Publisher : Columbia University Press
ISBN 13 : 0231538685
Total Pages : 161 pages
Book Rating : 4.2/5 (315 download)

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Book Synopsis Moral Hazard in Health Insurance by : Amy Finkelstein

Download or read book Moral Hazard in Health Insurance written by Amy Finkelstein and published by Columbia University Press. This book was released on 2014-12-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice

The Health Care Mess

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Publisher : Harvard University Press
ISBN 13 : 0674042719
Total Pages : 320 pages
Book Rating : 4.6/5 (74 download)

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Book Synopsis The Health Care Mess by : Julius B. RICHMOND

Download or read book The Health Care Mess written by Julius B. RICHMOND and published by Harvard University Press. This book was released on 2009-06-30 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this important new book, Julius Richmond and Rashi Fein recount the fraught history of health care in America since the 1960s, showing how the promises of medical advances have not been matched either by financing or by delivery of care. As a new crisis looms, and the existing patchwork of insurance is poised to unravel, American leaders must again take up the question of health care. This book brings the voice of reason and the promise of compromise to that debate.

The Oxford Handbook of Health Economics

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Publisher : OUP Oxford
ISBN 13 : 0191667161
Total Pages : 992 pages
Book Rating : 4.1/5 (916 download)

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Book Synopsis The Oxford Handbook of Health Economics by : Sherry Glied

Download or read book The Oxford Handbook of Health Economics written by Sherry Glied and published by OUP Oxford. This book was released on 2013-05-23 with total page 992 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Handbook of Health Economics provides an accessible and authoritative guide to health economics, intended for scholars and students in the field, as well as those in adjacent disciplines including health policy and clinical medicine. The chapters stress the direct impact of health economics reasoning on policy and practice, offering readers an introduction to the potential reach of the discipline. Contributions come from internationally-recognized leaders in health economics and reflect the worldwide reach of the discipline. Authoritative, but non-technical, the chapters place great emphasis on the connections between theory and policy-making, and develop the contributions of health economics to problems arising in a variety of institutional contexts, from primary care to the operations of health insurers. The volume addresses policy concerns relevant to health systems in both developed and developing countries. It takes a broad perspective, with relevance to systems with single or multi-payer health insurance arrangements, and to those relying predominantly on user charges; contributions are also included that focus both on medical care and on non-medical factors that affect health. Each chapter provides a succinct summary of the current state of economic thinking in a given area, as well as the author's unique perspective on issues that remain open to debate. The volume presents a view of health economics as a vibrant and continually advancing field, highlighting ongoing challenges and pointing to new directions for further progress.

Priced Out

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Publisher : Princeton University Press
ISBN 13 : 0691208530
Total Pages : 232 pages
Book Rating : 4.6/5 (912 download)

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Book Synopsis Priced Out by : Uwe E. Reinhardt

Download or read book Priced Out written by Uwe E. Reinhardt and published by Princeton University Press. This book was released on 2020-09 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uwe Reinhardt was a towering figure and moral conscience of health care policy in the United States and beyond. Famously bipartisan, he advised presidents and Congress on health reform and originated central features of the Affordable Care Act. In Priced Out, Reinhardt offers an engaging and enlightening account of today's U.S. health care system, explaining why it costs so much more and delivers so much less than the systems of every other advanced country, why this situation is morally indefensible, and how we might improve it.

Health-Care Utilization as a Proxy in Disability Determination

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Author :
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Improving Health Care: A Dose of Competition: A Report by the Federal Trade Commission and the Department of Justice

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Author :
Publisher : DIANE Publishing
ISBN 13 : 1428952675
Total Pages : 361 pages
Book Rating : 4.4/5 (289 download)

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Book Synopsis Improving Health Care: A Dose of Competition: A Report by the Federal Trade Commission and the Department of Justice by :

Download or read book Improving Health Care: A Dose of Competition: A Report by the Federal Trade Commission and the Department of Justice written by and published by DIANE Publishing. This book was released on with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: