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Author : Patricia Bodelson
Publisher :
ISBN 13 :
Total Pages : 252 pages
Book Rating : 4.:/5 (22 download)
Download or read book The Politics of Prospective Payment written by Patricia Bodelson and published by . This book was released on 1988 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Rick Mayes
Publisher : JHU Press
ISBN 13 : 0801888875
Total Pages : 274 pages
Book Rating : 4.8/5 (18 download)
Download or read book Medicare Prospective Payment and the Shaping of U.S. Health Care written by Rick Mayes and published by JHU Press. This book was released on 2006-12-20 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Author : Jonathan Oberlander
Publisher : University of Chicago Press
ISBN 13 : 0226615960
Total Pages : 275 pages
Book Rating : 4.2/5 (266 download)
Download or read book The Political Life of Medicare written by Jonathan Oberlander and published by University of Chicago Press. This book was released on 2003-06 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, bitter partisan disputes have erupted over Medicare reform. Democrats and Republicans have fiercely contested issues such as prescription drug coverage and how to finance Medicare to absorb the baby boomers. As Jonathan Oberlander demonstrates in The Political Life of Medicare, these developments herald the reopening of a historic debate over Medicare's fundamental purpose and structure. Revealing how Medicare politics and policies have developed since Medicare's enactment in 1965 and what the program's future holds, Oberlander's timely and accessible analysis will interest anyone concerned with American politics and public policy, health care politics, aging, and the welfare state.
Author : David G. Smith
Publisher : Routledge
ISBN 13 : 1351500449
Total Pages : 277 pages
Book Rating : 4.3/5 (515 download)
Download or read book Paying for Medicare written by David G. Smith and published by Routledge. This book was released on 2017-09-29 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: ** Paying for Medicare received the American Risk and Insurance Association's Elizur Wright Award for itsoutstanding contribution to risk management and insurance literature.The Prospective Payment System and the Medicare Fee Schedule, two of the most effectively sustained and successful efforts at policy innovation in history continue to shape decisions about Medicare and cost containment efforts.Smith shows how particular policy alternatives were developed; why chosen or rejected; and how provider interests and American political institutions have shaped their design and implementation.
Author : Stuart Altman
Publisher : Prometheus Books
ISBN 13 : 1616144572
Total Pages : 479 pages
Book Rating : 4.6/5 (161 download)
Download or read book Power, Politics, and Universal Health Care written by Stuart Altman and published by Prometheus Books. This book was released on 2011-09-27 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential reading for every American who must navigate the US health care system. Why was the Obama health plan so controversial and difficult to understand? In this readable, entertaining, and substantive book, Stuart Altman—internationally recognized expert in health policy and adviser to five US presidents—and fellow health care specialist David Shactman explain not only the Obama health plan but also many of the intriguing stories in the hundred-year saga leading up to the landmark 2010 legislation. Blending political intrigue, policy substance, and good old-fashioned storytelling, this is the first book to place the Obama health plan within a historical perspective. The authors describe the sometimes haphazard, piece-by-piece construction of the nation’s health care system, from the early efforts of Franklin Roosevelt and Harry Truman to the later additions of Ronald Reagan and George W. Bush. In each case, they examine the factors that led to success or failure, often by illuminating little-known political maneuvers that brought about immense shifts in policy or thwarted herculean efforts at reform. The authors look at key moments in health care history: the Hill–Burton Act in 1946, in which one determined poverty lawyer secured the rights of the uninsured poor to get hospital care; the "three-layer cake" strategy of powerful House Ways and Means Committee Chairman Wilbur Mills to enact Medicare and Medicaid under Lyndon Johnson in 1965; the odd story of how Medicare catastrophic insurance was passed by Ronald Reagan in 1988 and then repealed because of public anger in 1989; and the fact that the largest and most expensive expansion of Medicare was enacted by George W. Bush in 2003. President Barack Obama is the protagonist in the climactic chapter, learning from the successes and failures chronicled throughout the narrative. The authors relate how, in the midst of a worldwide financial meltdown, Obama overcame seemingly impossible obstacles to accomplish what other presidents had tried and failed to achieve for nearly one hundred years.
Author : David G. Smith
Publisher : Routledge
ISBN 13 : 1351328026
Total Pages : 718 pages
Book Rating : 4.3/5 (513 download)
Download or read book Entitlement Politics written by David G. Smith and published by Routledge. This book was released on 2017-07-28 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: Entitlement Politics describes partisan attempts to shrink the size of government by targeting two major federal health care entitlements. Efforts to restructure or eliminate entitlements as such, and to privatize and decentralize programs, along with more traditional attempts to amend and reform Medicare and Medicaid have radically transformed policymaking with respect to these programs. However, they have failed to achieve fundamental or lasting reform.Smith combines historical narrative and case studies with descriptions of the technical aspects and dynamics of policymaking to help the consumer understand how the process has changed, evaluate particular policies and outcomes, and anticipate future possibilities. His account intentionally goes at some length into the substance of the programs, the policies that are involved, and the views of different protagonists about the major issues in the dispute.One unhealthy consequence of politicizing Medicare and Medicaid policy has been to separate public debate from the technical and organizational realities underlying issues of cost containment or program structure. Smith considers this development unfortunate, since it leaves even informed citizens unable to evaluate the claims being made. Ironically, strife over Medicare has complicated the political and policy issues in American life. Only a serious and genuine bipartisan effort bringing forth the best efforts of both political parties--and some of the best industry leaders and policy experts in the field--is likely to achieve genuine reform. The more people and parties know about the history, politics, and policies of these programs, the better our prospects for devising workable, equitable, and lasting solutions. This volume leads the way toward that understanding.
Author : Martha Dale Nathanson
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763731915
Total Pages : 240 pages
Book Rating : 4.7/5 (319 download)
Download or read book Health Care Providers' Government Relations Handbook written by Martha Dale Nathanson and published by Jones & Bartlett Learning. This book was released on 2005 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Indispensable New Resource Provides Health Executives And Their Consultants With The Expertise To Develop Their Own Long-Term Plan For Government Relations And Explains How To Utilize The Services Of Contract Lobbyists More Efficiently.
Author : Suzanne Mettler
Publisher : University of Chicago Press
ISBN 13 : 0226521664
Total Pages : 172 pages
Book Rating : 4.2/5 (265 download)
Download or read book The Submerged State written by Suzanne Mettler and published by University of Chicago Press. This book was released on 2011-08-31 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Keep your government hands off my Medicare!” Such comments spotlight a central question animating Suzanne Mettler’s provocative and timely book: why are many Americans unaware of government social benefits and so hostile to them in principle, even though they receive them? The Obama administration has been roundly criticized for its inability to convey how much it has accomplished for ordinary citizens. Mettler argues that this difficulty is not merely a failure of communication; rather it is endemic to the formidable presence of the “submerged state.” In recent decades, federal policymakers have increasingly shunned the outright disbursing of benefits to individuals and families and favored instead less visible and more indirect incentives and subsidies, from tax breaks to payments for services to private companies. These submerged policies, Mettler shows, obscure the role of government and exaggerate that of the market. As a result, citizens are unaware not only of the benefits they receive, but of the massive advantages given to powerful interests, such as insurance companies and the financial industry. Neither do they realize that the policies of the submerged state shower their largest benefits on the most affluent Americans, exacerbating inequality. Mettler analyzes three Obama reforms—student aid, tax relief, and health care—to reveal the submerged state and its consequences, demonstrating how structurally difficult it is to enact policy reforms and even to obtain public recognition for achieving them. She concludes with recommendations for reform to help make hidden policies more visible and governance more comprehensible to all Americans. The sad truth is that many American citizens do not know how major social programs work—or even whether they benefit from them. Suzanne Mettler’s important new book will bring government policies back to the surface and encourage citizens to reclaim their voice in the political process.
Author : Lawrence David Brown
Publisher : Duke University Press
ISBN 13 : 9780822307907
Total Pages : 188 pages
Book Rating : 4.3/5 (79 download)
Download or read book Health Policy in Transition written by Lawrence David Brown and published by Duke University Press. This book was released on 1987 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines how to contain rising costs of health care and looks at the welfare state in advanced democracies. Probes into the prospective payment system and addresses the politics of health policy in the U.S. Finally, focuses on prevention (policy measure) and explains the rediscovery of market principles and solutions in law and policy.
Author : National Academies of Sciences Engineering and Medicine
Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)
Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Author : Rick Mayes
Publisher : JHU Press
ISBN 13 : 9780801884542
Total Pages : 274 pages
Book Rating : 4.8/5 (845 download)
Download or read book Medicare Prospective Payment and the Shaping of U.S. Health Care written by Rick Mayes and published by JHU Press. This book was released on 2006-12-20 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: health care system.--Andrew B. Whitford "International Public Management Journal"
Author : Peter A. Gourevitch
Publisher : Princeton University Press
ISBN 13 : 1400837014
Total Pages : 365 pages
Book Rating : 4.4/5 (8 download)
Download or read book Political Power and Corporate Control written by Peter A. Gourevitch and published by Princeton University Press. This book was released on 2010-06-20 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why does corporate governance--front page news with the collapse of Enron, WorldCom, and Parmalat--vary so dramatically around the world? This book explains how politics shapes corporate governance--how managers, shareholders, and workers jockey for advantage in setting the rules by which companies are run, and for whom they are run. It combines a clear theoretical model on this political interaction, with statistical evidence from thirty-nine countries of Europe, Asia, Africa, and North and South America and detailed narratives of country cases. This book differs sharply from most treatments by explaining differences in minority shareholder protections and ownership concentration among countries in terms of the interaction of economic preferences and political institutions. It explores in particular the crucial role of pension plans and financial intermediaries in shaping political preferences for different rules of corporate governance. The countries examined sort into two distinct groups: diffuse shareholding by external investors who pick a board that monitors the managers, and concentrated blockholding by insiders who monitor managers directly. Examining the political coalitions that form among or across management, owners, and workers, the authors find that certain coalitions encourage policies that promote diffuse shareholding, while other coalitions yield blockholding-oriented policies. Political institutions influence the probability of one coalition defeating another.
Author : Huihui Wang
Publisher : World Bank Publications
ISBN 13 : 1464811180
Total Pages : 101 pages
Book Rating : 4.4/5 (648 download)
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.
Author : United States Government Printing Office
Publisher :
ISBN 13 : 9780160271052
Total Pages : 151 pages
Book Rating : 4.2/5 (71 download)
Download or read book Report to Congress written by United States Government Printing Office and published by . This book was released on 1990-10-01 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Daniel Cotlear
Publisher : World Bank Publications
ISBN 13 : 146480611X
Total Pages : 289 pages
Book Rating : 4.4/5 (648 download)
Download or read book Going Universal written by Daniel Cotlear and published by World Bank Publications. This book was released on 2015-09-28 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is about 24 developing countries that have embarked on the journey towards universal health coverage (UHC) following a bottom-up approach, with a special focus on the poor and vulnerable, through a systematic data collection that provides practical insights to policymakers and practitioners. Each of the UHC programs analyzed in this book is seeking to overcome the legacy of inequality by tackling both a “financing gap†? and a “provision gap†?: the financing gap (or lower per capita spending on the poor) by spending additional resources in a pro-poor way; the provision gap (or underperformance of service delivery for the poor) by expanding supply and changing incentives in a variety of ways. The prevailing view seems to indicate that UHC require not just more money, but also a focus on changing the rules of the game for spending health system resources. The book does not attempt to identify best practices, but rather aims to help policy makers understand the options they face, and help develop a new operational research agenda. The main chapters are focused on providing a granular understanding of policy design, while the appendixes offer a systematic review of the literature attempting to evaluate UHC program impact on access to services, on financial protection, and on health outcomes.
Author : Rose McDermott
Publisher : University of Michigan Press
ISBN 13 : 9780472087877
Total Pages : 256 pages
Book Rating : 4.0/5 (878 download)
Download or read book Risk-Taking in International Politics written by Rose McDermott and published by University of Michigan Press. This book was released on 2001 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses the way leaders deal with risk in making foreign policy decisions
Author : Gunnar Almgren, MSW, PhD
Publisher : Springer Publishing Company
ISBN 13 : 0826102360
Total Pages : 368 pages
Book Rating : 4.8/5 (261 download)
Download or read book Health Care Politics, Policy, and Services written by Gunnar Almgren, MSW, PhD and published by Springer Publishing Company. This book was released on 2006-11-07 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! Winner of an AJN Book of the Year Award! Who Has a Right to Health Care? What Is the Government's Role in Providing Accessible Health Care? How Are Corporations, Insurance Companies, and Health Care Providers Affecting the Quality of Health Care? And, Most Importantly, Can We Reform the U.S. Health Care System? We often debate these issues in health care policy or public health courses, yet we do so without the proper knowledge of the underlying structure of the U.S. health care system--or a framework by which it can be judged. Many health care workers entering the system are ill-equipped to address the issues faced in direct health care practice, in part because they have no ability to evaluate it. In this innovative text, Gunnar Almgren provides all the tools necessary to understand and critique a health care policy in dire need of change. First, he describes the historical evolution of U.S. health care, explaining how the early roles of hospitals, doctors, and nurses still influence today's system. He explains the complex financial aspects of health care, including the concerns of all its major stakeholders. He looks at the government's role in regulating and funding health care, and how that role has expanded and contracted through various political administrations. An entire chapter describes the facilities and services available for the elderly--an issue that will continue to rise in importance as America ages. Finally, he examines the many causes of disparities in the U.S. health care system. In addition, Almgren offers a unique social justice analysis as a framework by which the current system--and proposed reforms--can be judged. By analyzing the health care system through various models of social justice, we can begin to understand and address the urgent issues of economic, racial, and geographic disparities that plague our current system. With its clear, thorough, and comprehensive coverage of U.S. health care, this unique text is accessible to all those in public health, nursing, social work, public policy, or public administration. No other book addresses the underlying issues of the U.S. health care system alongside a variety of social justice models that we can use to evaluate, and perhaps eventually, change it.
