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Price Spillovers And Specialization In Health Care
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Book Synopsis Price Spillovers and Specialization in Health Care by : Ian McCarthy
Download or read book Price Spillovers and Specialization in Health Care written by Ian McCarthy and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Specialty hospitals tend to negotiate higher commercial insurance payments, even for relatively routine procedures with comparable clinical quality across hospital types. How specialty hospitals can maintain such a price premium remains an open question. In this paper, we examine a potential (horizontal) differentiation effect in which patients perceive specialty hospitals as sufficiently distinct from other hospitals, so that specialty hospitals effectively compete in a separate market from general acute care hospitals. We estimate this effect in the context of routine pediatric procedures offered by both specialty children's hospitals as well as general acute care hospitals, and we find strong empirical evidence of a differentiation effect in which specialty children's hospitals appear largely immune to competitive forces from non-children's hospitals.
Book Synopsis The Major Cause of Rising Health Care Cost with Decreasing Quality: A Scarcity of Primary Care Physicians by : Fred W. Lafferty, MD
Download or read book The Major Cause of Rising Health Care Cost with Decreasing Quality: A Scarcity of Primary Care Physicians written by Fred W. Lafferty, MD and published by Page Publishing Inc. This book was released on 2016-01-26 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 2000, the author has observed the soaring costs of health care in the United States which has accompanied a decline in quality of care for the average citizen. This has been the result of the intrusions of Medicare since 1985, the profit motivated private health insurance companies, the development of large corporate hospital chains, and the irresponsible increased cost of medications by the pharmaceutical industry. In 1985, Medicare mandated what physicians could charge with a clumsy coding system, which essentially socialized medicine. This system heavily favored the procedure driven specialties to the detriment of the primary care doctor. During the past thirty years, the percentage of American Medical School graduates entering primary care has diminished from thirty-five to five percent resulting in a scarcity of family physicians. Despite America's outstanding medical schools, academic physicians, and technology, the United States ranks from fifteenth to thirty seventh among the industrialized nations of the world in quality of care and longevity of its population. Regardless of Obamacare's promise to provide healthcare to most US citizens, it will fail unless at least fifty percent of America's physicians enter primary care as in Europe. Our fault lies with allowing the Medicare bureaucrats unrestricted power since 1985.
Book Synopsis Price Setting and Price Regulation in Health Care Lessons for Advancing Universal Health Coverage by : Barber Sarah L
Download or read book Price Setting and Price Regulation in Health Care Lessons for Advancing Universal Health Coverage written by Barber Sarah L and published by OECD Publishing. This book was released on 2019-06-26 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objectives of this study are to describe experiences in price setting and how pricing has been used to attain better coverage, quality, financial protection, and health outcomes. It builds on newly commissioned case studies and lessons learned in calculating prices, negotiating with providers, and monitoring changes. Recognising that no single model is applicable to all settings, the study aimed to generate best practices and identify areas for future research, particularly in low- and middle-income settings. The report and the case studies were jointly developed by the OECD and the WHO Centre for Health Development in Kobe (Japan).
Book Synopsis The Healthcare Imperative by : Institute of Medicine
Download or read book The Healthcare Imperative written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-17 with total page 853 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
Download or read book Big Med written by David Dranove and published by University of Chicago Press. This book was released on 2022-11-18 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.
Book Synopsis Cost Containment and Efficiency in National Health Systems by : John Rapoport
Download or read book Cost Containment and Efficiency in National Health Systems written by John Rapoport and published by John Wiley & Sons. This book was released on 2008-12-03 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by a local health economics expert, each of the eight chapters in this timely handbook and ready reference describes the national healthcare system of a different industrialized country. In each case, the 4-5 specific policies with the highest impact on that respective country over the past 20-30 years are identified. In addition, the economic characteristics of each policy are described and, where possible, its success evaluated, discussing the current policy agenda. A final chapter summarizes and synthesizes the major points of the analysis. While the main focus is on economics, this guide is written in non-technical language for an audience of health policy decision makers or students of health policy, making it an invaluable contribution to the current debate surrounding the control of rising healthcare-related costs in the developed world.
Book Synopsis Best Care at Lower Cost by : Institute of Medicine
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
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.
Book Synopsis Cost Shifting in Health Care by : Michael A. Morrisey
Download or read book Cost Shifting in Health Care written by Michael A. Morrisey and published by American Enterprise Institute. This book was released on 1994 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book studies the economy theory and empirical evidence of differential pricing in health care.
Book Synopsis Specialization, Option, Demand and the Pricing of Medical Services by : David Dranove
Download or read book Specialization, Option, Demand and the Pricing of Medical Services written by David Dranove and published by . This book was released on 1993 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :Minnesota Coalition on Health Care Costs. Task Force on the Affordability of New Technology and Highly Specialized Care: Life at Any Price? Publisher : ISBN 13 : Total Pages :59 pages Book Rating :4.:/5 (123 download)
Book Synopsis The Price of Life by : Minnesota Coalition on Health Care Costs. Task Force on the Affordability of New Technology and Highly Specialized Care: Life at Any Price?
Download or read book The Price of Life written by Minnesota Coalition on Health Care Costs. Task Force on the Affordability of New Technology and Highly Specialized Care: Life at Any Price? and published by . This book was released on 1984 with total page 59 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A New Approach to the Economics of Health Care by : Mancur Olson
Download or read book A New Approach to the Economics of Health Care written by Mancur Olson and published by A E I Press. This book was released on 1981 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Economics of the Private Demand for Outpatient Health Care by : Alphonse G. Holtmann
Download or read book The Economics of the Private Demand for Outpatient Health Care written by Alphonse G. Holtmann and published by . This book was released on 1978 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Applied Methods of Cost-effectiveness Analysis in Healthcare by : Alastair M. Gray
Download or read book Applied Methods of Cost-effectiveness Analysis in Healthcare written by Alastair M. Gray and published by OUP Oxford. This book was released on 2010-10-14 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third volume in the Handbooks in Health Economic Evaluation series, this book provides the reader with a comprehensive set of instructions and examples of how to perform an economic evaluation of a health intervention. It focuses solely on cost-effectiveness analysis in health care. The book is developed out of the Advanced Methods of Cost-Effectiveness Analysis course taught at the University of Oxford and the four main sections mirror the four principal components of the course: Outcomes, Costs, Modelling using decision tress and Markov models, and Presenting cost-effectiveness results.&L ABOUT THE SERIES Series editors Alastair Gray and Andrew Briggs Economic evaluation of health intervention is a growing specialist field, and this series of practical handbooks tackles, in depth, topics superficially addressed in more general economics books. Each volume includes illustrative material, case histories and worked examples to encourage the reader to apply the methods discussed, with supporting material provided online. The series is for health economists in academia, the pharmaceutical industry and the health sector, those on advanced health economics courses, and health researchers in associated fields.
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.
Book Synopsis Improving Health Care Cost Projections for the Medicare Population by : National Research Council
Download or read book Improving Health Care Cost Projections for the Medicare Population written by National Research Council and published by National Academies Press. This book was released on 2010-11-30 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developing credible short-term and long-term projections of Medicare health care costs is critical for public- and private-sector policy planning, but faces challenges and uncertainties. There is uncertainty not only in the underlying economic and demographic assumptions used in projection models, but also in what a policy modeler assumes about future changes in the health status of the population and the factors affecting health status , the extent and pace of scientific and technological breakthroughs in medical care, the preferences of the population for particular kinds of care, the likelihood that policy makers will alter current law and regulations, and how each of these factors relates to health care costs for the elderly population. Given the substantial growth in the Medicare population and the continued increases in Medicare, Medicaid, and private health insurance spending, the availability of well-specified models and analyses that can provide useful information on the likely cost implications of health care policy alternatives is essential. It is therefore timely to review the capabilities and limitations of extant health care cost models and to identify areas for research that offer the most promise to improve modeling, not only of current U.S. health care programs, but also of policy alternatives that may be considered in the coming years. The National Research Council conducted a public workshop focusing on areas of research needed to improve health care cost projections for the Medicare population, and on the strengths and weaknesses of competing frameworks for projecting health care expenditures for the elderly. The workshop considered major classes of projection and simulation models that are currently used and the underlying data sources and research inputs for these models. It also explored areas in which additional research and data are needed to inform model development and health care policy analysis more broadly. The workshop, summarized in this volume, drew people from a wide variety of disciplines and perspectives, including federal agencies, academia, and nongovernmental organizations.
Book Synopsis Understanding Value Based Healthcare by : Vineet Arora
Download or read book Understanding Value Based Healthcare written by Vineet Arora and published by McGraw Hill Professional. This book was released on 2015-04-03 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provide outstanding healthcare while keeping within budget with this comprehensive, engagingly written guide Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on cost- and value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today. Understanding Value-Based Healthcare is divided into three sections: Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more. Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care. Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives. The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis. .
