Ebook Health Care Coverage Determinations An International Comparative Study

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EBOOK: Health Care Coverage Determinations: An International Comparative Study

Author : Timothy Jost
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335225993
Total Pages : 295 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Health Care Coverage Determinations: An International Comparative Study by : Timothy Jost

Download or read book EBOOK: Health Care Coverage Determinations: An International Comparative Study written by Timothy Jost and published by McGraw-Hill Education (UK). This book was released on 2004-12-16 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.

Health Insurance Systems

Author : Thomas Rice
Publisher : Academic Press
ISBN 13 : 0128162945
Total Pages : 368 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Health Insurance Systems by : Thomas Rice

Download or read book Health Insurance Systems written by Thomas Rice and published by Academic Press. This book was released on 2021-05-06 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance Systems: An International Comparison offers united and synthesized information currently available only in scattered locations - if at all - to students, researchers, and policymakers. The book provides helpful contexts, so people worldwide can understand various healthcare systems. By using it as a guide to the mechanics of different healthcare systems, readers can examine existing systems as frameworks for developing their own. Case examples of countries adopting insurance characteristics from other countries enhance the critical insights offered in the book. If more information about health insurance alternatives can lead to better decisions, this guide can provide an essential service. Delivers fundamental insights into the different ways that countries organize their health insurance systems Presents ten prominent health insurance systems in one book, facilitating comparisons and contrasts, to help draw policy lessons Countries included are Australia, Canada, France, Germany, Japan, the Netherlands, Sweden, Switzerland, the United Kingdom, and the United States Helps students, researchers, and policymakers searching for innovative designs by providing cases describing what countries have learned from each other

Group Health Plan Comparative Information and Coverage Determination Standards

Author : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions
Publisher :
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Group Health Plan Comparative Information and Coverage Determination Standards by : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions

Download or read book Group Health Plan Comparative Information and Coverage Determination Standards written by United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions and published by . This book was released on 1999 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

EBOOK: Comparative Health Policy in the Asia Pacific

Author : Robin Gauld
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335225101
Total Pages : 273 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Comparative Health Policy in the Asia Pacific by : Robin Gauld

Download or read book EBOOK: Comparative Health Policy in the Asia Pacific written by Robin Gauld and published by McGraw-Hill Education (UK). This book was released on 2004-12-16 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Dr. Gauld’s collection of case studies is informativeand accessible. I would recommend it as acentral text for a course in comparative healthsystems." Political Studies Review Based upon research from eight countries in the Asia-Pacific – Australia, China, Hong Kong, Japan, New Zealand, Singapore, South Korea, Taiwan – this book analyses and compares their differing health policies. Key issues the book probes include: ·The ways that health care is financed and delivered across the region ·The historical and institutional arrangements that impact upon health policy and health care ·How the health systems differ between the countries under study ·How policymakers and service providers deal with unlimited demand and limited funding and issues such as service coverage and quality ·How pharmaceuticals and population health strategies are managed ·What the roles of the state and various other players (such as the private sector and professional associations) are in the making of health policy and delivery of health care ·The challenges that lie ahead for health care and health policy in the region Comparative Health Policy in the Asia-Pacific is key reading for students, researchers and policy makers with an interest in health policy. It is relevant to those studying medicine and health studies, anthropology, history, sociology, public policy, politics and Asian studies.

Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

EBOOK: The New Health Policy

Author : Robin Gauld
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335239552
Total Pages : 215 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: The New Health Policy by : Robin Gauld

Download or read book EBOOK: The New Health Policy written by Robin Gauld and published by McGraw-Hill Education (UK). This book was released on 2009-06-16 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This is an excellent and accessible introduction to key current debates in health policy. It is enriched by deft comparative analysis and by the way Dr Gauld locates the study in the context of current ideological debates. Students will learn a lot from wrestling with the questions posed at the end of each chapter – and so will their teachers!" Paul Wilding, Emeritus Professor of Social Policy, University of Manchester, UK This book analyzes the issues that form the nucleus of the emerging ‘new health policy’ agenda. Robin Gauld brings together in one volume a comprehensive picture of the health policy challenges facing contemporary developed world health systems, as well as the strategies for tackling these. Individual chapters, respectively, analyze: Challenges in health care funding and organization Quality and patient safety The application of information technology Clinical governance The changing nature of professionalism and public involvement in health care planning Public health The role of the private sector The book highlights the importance to policy makers of each subject, overviews research into it, and discusses policy responses in Britain, New Zealand and the United States. The New Health Policy is essential reading for all students of health policy and health care, along with policy makers and health care professionals.

Jonas and Kovner's Health Care Delivery in the United States

Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826120970
Total Pages : 615 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Jonas and Kovner's Health Care Delivery in the United States by :

Download or read book Jonas and Kovner's Health Care Delivery in the United States written by and published by Springer Publishing Company. This book was released on 2014-05-14 with total page 615 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do we understand and also assess the health care of America? Where is health care provided? What are the characteristics of those institutions which provide it? Over the short term, how are changes in health care provisions affecting the health of the population, the cost of care, and access to care?. Health Care Delivery in the United States, now in a thoroughly updated and revised 9th edition, discusses these and other core issues in the field. Under the editorship of Dr. Kovner and with the addition of Dr. James Knickman, Senior VP of Evaluation, Robert Wood Johnson Foundation, leading thinkers and practitioners in the field examine how medical knowledge creates new healthcare services. Emerging and recurrent issues from wide perspectives of health policy and public health are also discussed. With an easy to understand format and a focus on the major core challenges of the delivery of health care, this is the textbook of choice for course work in health care, the reference for administrators and policy makers, and the standard for in-service training programs.;chapter

The Learning Healthcare System

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133939
Total Pages : 374 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Learning Healthcare System by : Institute of Medicine

Download or read book The Learning Healthcare System written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine
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.

Private Health Insurance in OECD Countries

Author : Organisation for Economic Co-operation and Development
Publisher : Organisation for Economic Co-operation and Development
ISBN 13 :
Total Pages : 252 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Private Health Insurance in OECD Countries by : Organisation for Economic Co-operation and Development

Download or read book Private Health Insurance in OECD Countries written by Organisation for Economic Co-operation and Development and published by Organisation for Economic Co-operation and Development. This book was released on 2004 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report provides the first-ever comparative analysis of the role and performance of private health insurance (PHI) in OECD countries. It analyses PHI markets and identifies policy issues arising from their interdependence with publicly financed health coverage schemes. The report assesses the impact of PHI against health policy objectives, paying special attention to the challenges and benefits associated with different insurance mixes. The analysis identifies strengths as well as areas where private health insurance might pose challenges to health system performance. This report shows how governments can help ensure that PHI markets make a positive contribution to the performance of health systems. Examples of useful practices for developing more efficient and equitable health insurance markets are also presented.

Coronavirus Politics

Author : Scott L Greer
Publisher : University of Michigan Press
ISBN 13 : 0472902466
Total Pages : 416 pages
Book Rating : 4.4/5 (729 download)

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Book Synopsis Coronavirus Politics by : Scott L Greer

Download or read book Coronavirus Politics written by Scott L Greer and published by University of Michigan Press. This book was released on 2021-04-19 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: COVID-19 is the most significant global crisis of any of our lifetimes. The numbers have been stupefying, whether of infection and mortality, the scale of public health measures, or the economic consequences of shutdown. Coronavirus Politics identifies key threads in the global comparative discussion that continue to shed light on COVID-19 and shape debates about what it means for scholarship in health and comparative politics. Editors Scott L. Greer, Elizabeth J. King, Elize Massard da Fonseca, and André Peralta-Santos bring together over 30 authors versed in politics and the health issues in order to understand the health policy decisions, the public health interventions, the social policy decisions, their interactions, and the reasons. The book’s coverage is global, with a wide range of key and exemplary countries, and contains a mixture of comparative, thematic, and templated country studies. All go beyond reporting and monitoring to develop explanations that draw on the authors' expertise while engaging in structured conversations across the book.

Explaining Divergent Levels of Longevity in High-Income Countries

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309217105
Total Pages : 194 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Explaining Divergent Levels of Longevity in High-Income Countries by : National Research Council

Download or read book Explaining Divergent Levels of Longevity in High-Income Countries written by National Research Council and published by National Academies Press. This book was released on 2011-06-27 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which -- unlike randomized controlled trials -- are subject to many biases.

Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide

Author : Agency for Health Care Research and Quality (U.S.)
Publisher : Government Printing Office
ISBN 13 : 1587634236
Total Pages : 204 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide by : Agency for Health Care Research and Quality (U.S.)

Download or read book Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide written by Agency for Health Care Research and Quality (U.S.) and published by Government Printing Office. This book was released on 2013-02-21 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is a resource for investigators and stakeholders who develop and review observational comparative effectiveness research protocols. It explains how to (1) identify key considerations and best practices for research design; (2) build a protocol based on these standards and best practices; and (3) judge the adequacy and completeness of a protocol. Eleven chapters cover all aspects of research design, including: developing study objectives, defining and refining study questions, addressing the heterogeneity of treatment effect, characterizing exposure, selecting a comparator, defining and measuring outcomes, and identifying optimal data sources. Checklists of guidance and key considerations for protocols are provided at the end of each chapter. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. More more information, please consult the Agency website: www.effectivehealthcare.ahrq.gov)

Finding What Works in Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309164257
Total Pages : 267 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Finding What Works in Health Care by : Institute of Medicine

Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

Registries for Evaluating Patient Outcomes

Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 396 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

EBOOK: Reasonable Rationing

Author : Chris Ham
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335225675
Total Pages : 194 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Reasonable Rationing by : Chris Ham

Download or read book EBOOK: Reasonable Rationing written by Chris Ham and published by McGraw-Hill Education (UK). This book was released on 2003-05-16 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Reasonable Rationing is must reading for those interested in how to connect theory about fair rationing processes to country-level practices. The five case studies reveal a deep tension between political pressures to accomodate interest group demands and ethically motivated efforts to improve both information and institutional procedures for setting fair limits to care. The authors frame the issues insightfully." - Professor Norman Daniels, Harvard School of Public Health . How are different countries setting priorities for health care? . What role does information and evidence on cost and effectiveness play? . How are institutions contributing to priority setting? . What are the lessons for policy makers? Priority setting in health care is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. A number of countries have sought to strengthen their approach to priority setting by drawing on research-based evidence on the cost and effectiveness of different treatments. This book brings together leading experts in the field to summarize and analyse the experience of priority setting in five countries: Canada, The Netherlands, New Zealand, Norway and the United Kingdom. Drawing on literature from a range of disciplines, it makes a significant contribution to the debate on the role of information and institutions in priority setting. Reasonable Rationing has been written with a broad readership in mind. It will be of interest to policy makers, health care professionals and health service managers, as well as students of health and social policy at advanced undergraduate and postgraduate levels.

Navigating Health Insurance

Author : Pozen
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284113124
Total Pages : 216 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Navigating Health Insurance by : Pozen

Download or read book Navigating Health Insurance written by Pozen and published by Jones & Bartlett Learning. This book was released on 2017-02-24 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Navigating Health Insurance examines health insurance from the perspective of the consumer. Students are introduced to basic health insurance principles and terminology as well as types of insurance such as Medicaid, Medicare, Medigap, Exchanges, and others.The impacts of the ACA on health insurance are explored as well as essential services and coverage decisions, long term care, workers compensation, administration/paper work, filing claims and more.Students will also be challenged to consider market and social justice philosophies, for example the impact on health insurance and access to health care services, international comparisons, and advantages and disadvantages of the U.S. system.