Protecting American Health Care Consumers

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Publisher : Duke University Press
ISBN 13 : 0822383535
Total Pages : 289 pages
Book Rating : 4.8/5 (223 download)

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Book Synopsis Protecting American Health Care Consumers by : Eleanor DeArman Kinney

Download or read book Protecting American Health Care Consumers written by Eleanor DeArman Kinney and published by Duke University Press. This book was released on 2002-05-08 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the attention to the problem of protecting the health care interests of Americans, there is little consensus on what should be done politically or otherwise to address this problem. In Protecting American Health Care Consumers Eleanor DeArman Kinney, a nationally regarded expert on health policy and law, tackles the serious and ongoing debate among state and federal policymakers, health care providers, third-party payers, and consumers about how to provide procedural justice to patients in the present health care climate. To promote and ensure consumer protection in an increasingly adversarial and complicated health-care culture, Kinney first analyzes the procedures by which consumer concerns are presently discerned and resolved and then explains why these systems are unsatisfactory. She also discusses problematic procedures for making coverage policy and quality standards and proposes reforms in a variety of processes that would enable all consumers, including the uninsured, to influence key policies and standards and also to raise concerns and obtain appropriate remedies. As the first comprehensive treatment of administrative procedures in American health plans and other such institutions, Protecting American Health Care Consumers will be welcomed by state and federal policymakers, managed care executives, and lawyers charged with designing and implementing protections for consumers in public and private health plans.

Protecting American Health Care Consumers

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Author :
Publisher :
ISBN 13 : 9786612920080
Total Pages : 289 pages
Book Rating : 4.9/5 (2 download)

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Book Synopsis Protecting American Health Care Consumers by : Eleanor D. Kinney

Download or read book Protecting American Health Care Consumers written by Eleanor D. Kinney and published by . This book was released on 2002 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: A contribution to health care studies and administrative law which offers a humane and practical alternative to the current process of reviewing consumer health care complaints.

Quality First

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Author :
Publisher : U.S. Government Printing Office
ISBN 13 :
Total Pages : 338 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Quality First by : United States. Advisory Commission on Consumer Protection and Quality in the Health Care Industry

Download or read book Quality First written by United States. Advisory Commission on Consumer Protection and Quality in the Health Care Industry and published by U.S. Government Printing Office. This book was released on 1998 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Consumer Bill of Rights and Responsibilities

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Author :
Publisher :
ISBN 13 :
Total Pages : 86 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Consumer Bill of Rights and Responsibilities by : United States. Advisory Commission on Consumer Protection and Quality in the Health Care Industry

Download or read book Consumer Bill of Rights and Responsibilities written by United States. Advisory Commission on Consumer Protection and Quality in the Health Care Industry and published by . This book was released on 1997 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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.

Section 1557 of the Affordable Care Act

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Author :
Publisher : American Dental Association
ISBN 13 : 1941807712
Total Pages : 10 pages
Book Rating : 4.9/5 (418 download)

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Book Synopsis Section 1557 of the Affordable Care Act by : American Dental Association

Download or read book Section 1557 of the Affordable Care Act written by American Dental Association and published by American Dental Association. This book was released on 2017-05-24 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.

America's Health

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Author :
Publisher :
ISBN 13 :
Total Pages : 394 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis America's Health by : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment

Download or read book America's Health written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1999 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Access to Health Insurance

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Author :
Publisher :
ISBN 13 :
Total Pages : 280 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Access to Health Insurance by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Commerce, Consumer Protection, and Competitiveness

Download or read book Access to Health Insurance written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Commerce, Consumer Protection, and Competitiveness and published by . This book was released on 1991 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt:

America's Health in Transition :: Protecting and Improving Quality

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Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (19 download)

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Book Synopsis America's Health in Transition :: Protecting and Improving Quality by : Institute of Medicine (U.S.). Council

Download or read book America's Health in Transition :: Protecting and Improving Quality written by Institute of Medicine (U.S.). Council and published by . This book was released on 1994 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care at Risk

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Publisher : Duke University Press
ISBN 13 : 9780822341246
Total Pages : 292 pages
Book Rating : 4.3/5 (412 download)

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Book Synopsis Health Care at Risk by : Timothy Jost

Download or read book Health Care at Risk written by Timothy Jost and published by Duke University Press. This book was released on 2007-08-22 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: DIVAnalyzes what is wrong with the U.S. health care system, assessing and critiquing the ability of consumer-driven approaches to fix these problems and comparing the U.S. experience with that of other nations./div

Care Without Coverage

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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.

An American Sickness

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Author :
Publisher : Penguin
ISBN 13 : 0698407180
Total Pages : 434 pages
Book Rating : 4.6/5 (984 download)

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Book Synopsis An American Sickness by : Elisabeth Rosenthal

Download or read book An American Sickness written by Elisabeth Rosenthal and published by Penguin. This book was released on 2017-04-11 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

Consumer Choice

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Publisher : Transaction Publishers
ISBN 13 : 1412815185
Total Pages : 252 pages
Book Rating : 4.4/5 (128 download)

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Book Synopsis Consumer Choice by : Robert F. Rich

Download or read book Consumer Choice written by Robert F. Rich and published by Transaction Publishers. This book was released on 2011-12-31 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States health care system is unique among those of other developed economies--most significantly because health care is not a legal right in the United States. Instead, it is considered an employee benefit and a privilege, unless one is over age 65 or of low income. The United States is the only developed country without some form of universal health care. Contributors to this volume represent an interdisciplinary group of academics, practitioners, and service delivery providers. The volume begins with a general examination of the politics of health and social welfare in the United States. It then focuses on the importance and role of consumers in the U.S. economy, and dilemmas associated with promoting consumer choice. It explores policy issues and challenges in three specific areas: controlling health care costs and protecting choice with respect to health care, the major challenges to informed choice in health care, and barriers to effective health care service delivery. Contributors explore changes and reforms that have been introduced within public and privately financed systems over the past ten years. Consumer Choice examines in a timely and efficient manner critical social and health policy issues--nationally and internationally--and the major challenges that face informed choice in health care and social policy. Policymakers, health care officials, and medical personnel in the United States and other countries will find this volume highly informative.

The Impacts of the Affordable Care Act on Preparedness Resources and Programs

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Author :
Publisher :
ISBN 13 : 9780309303606
Total Pages : 0 pages
Book Rating : 4.3/5 (36 download)

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Book Synopsis The Impacts of the Affordable Care Act on Preparedness Resources and Programs by : Institute of Medicine

Download or read book The Impacts of the Affordable Care Act on Preparedness Resources and Programs written by Institute of Medicine and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system. The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.

The Future of Public Health

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Publisher : National Academies Press
ISBN 13 : 0309581907
Total Pages : 240 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis The Future of Public Health by : Committee for the Study of the Future of Public Health

Download or read book The Future of Public Health written by Committee for the Study of the Future of Public Health and published by National Academies Press. This book was released on 1988-01-15 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.

The Affordable Care Act and Medicare in Comparative Context

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Author :
Publisher : Cambridge University Press
ISBN 13 : 1316352617
Total Pages : 487 pages
Book Rating : 4.3/5 (163 download)

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Book Synopsis The Affordable Care Act and Medicare in Comparative Context by : Eleanor D. Kinney

Download or read book The Affordable Care Act and Medicare in Comparative Context written by Eleanor D. Kinney and published by Cambridge University Press. This book was released on 2015-07-20 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: Burdened with perennially rising costs and responsible for providing health insurance to more than one sixth of all Americans, Medicare in its original form is fiscally and demographically unsustainable. In light of dramatic reforms under the Affordable Care Act (ACA), this book provides a comprehensive overview of the current state of Medicare. Eleanor D. Kinney explains how the ACA addresses systemic problems of cost and volume inflation, quality assurance, and fraud. Recognizing the potential for more radical change in the future, Kinney also explores the potential of Medicare to become a single-payer system. Comparisons are made with national health systems in Canada and the United Kingdom, from which the United States can draw valuable lessons. An approachable yet comprehensive account of Medicare and the ACA, this book will be invaluable for health care professionals and informed citizens.

Consumer Financial Protection in Health Care

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Author :
Publisher :
ISBN 13 :
Total Pages : 77 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Consumer Financial Protection in Health Care by : Erin C. Fuse Brown

Download or read book Consumer Financial Protection in Health Care written by Erin C. Fuse Brown and published by . This book was released on 2017 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are inadequate consumer protections from harmful medical billing practices that result in unavoidable, unexpected, and often financially devastating medical bills. The problem stems from increasing cost shifting to patients underway in American health care and the inordinate complexity that makes health care transactions nearly impossible for consumers to navigate. A particularly outrageous exemplar is the phenomenon of surprise medical bills, which refers to unanticipated and involuntary out-of-network bills in emergencies or from out-of-network providers at in-network facilities. Other damaging medical billing practices also include the opaque and a la carte nature of medical bills, epitomized by added "facility fees," as well as harsh medical debt collection and credit reporting practices. The impetus of this article was driven by the simple questions: are these harmful health care billing practices legal? And if so, what can be done to protect patients as consumers? The questions are simple but the answers are not. This article canvasses a growing body of financial protections under federal and state law for health care consumers and concludes that, notwithstanding these significant efforts, consumer financial protections are inadequate for most health care consumers in this country. The article sets forth a model set of policy reforms that build upon state reforms to protect health care consumers. The biggest gaps in protection, however, are structural -- most states have not adopted robust health care consumer financial protections, and even if many more states did, ERISA preempts many state efforts to protect health care consumers for the large and growing number of consumers insured by self-funded employer health plans. Despite salutary state innovation in the area of patient financial protection, a growing ERISA vacuum means a federal solution is necessary to protect all health care consumers from medical-billing abuses.