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Solved Curing Your Medical Insurance Problems
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Book Synopsis Solved! Curing Your Medical Insurance Problems by : Adria Goldman Gross Fipc
Download or read book Solved! Curing Your Medical Insurance Problems written by Adria Goldman Gross Fipc and published by Outskirts Press. This book was released on 2015-10-24 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: Consumer protection advocate Ralph Nader praised Solved! Curing Your Medical Insurance Problems: "Who hasn't been bewildered and outraged by lengthy, inscrutable medical bills and the tricky ways of the health insurers? ....Learn what to watch out for in this volume by authors who know the inside ways of sellers who try to take you to the cleaners." Some say, "You get what you pay for." If only this were true! Too often, consumers find themselves paying much more than they expected, getting much less than they bargained for. Medical care is no exception. In their book, the authors show readers how to spot over-charges by providers, under-reimbursements by insurers, and inappropriate denials by insurers and government employees. Furthermore, they presented steps to take to prevent being victimized by "the system." And what is the system? In America, it is a hybrid of private healthcare providers, massive insurance companies, and governments at the state and national levels. Unlike Britain with its single-payer National Health System, this public-private mixed-breed creates the need for patient advocate professionals, who take up the cudgels on behalf of the medically disadvantaged and the financially strapped.
Book Synopsis Multi-Payer Medicine Nightmare Made in the USA by : Fipc Adria Goldman Gross
Download or read book Multi-Payer Medicine Nightmare Made in the USA written by Fipc Adria Goldman Gross and published by Outskirts Press. This book was released on 2015-09-08 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: "You get what you pay for." If only this were true! Too often, consumers find themselves paying much more than they expected, getting much less than they bargained for. Medical care is no exception. In the U.S. edition of this book - Solved! Curing Your Medical Insurance Problems - the authors showed American readers how to spot over-charges by providers, under-reimbursements by insurers, and inappropriate denials by insurers and government employees. Furthermore, they presented steps to take to prevent being victimized by "the system." And what is the system? In America, it is a hybrid of private healthcare providers, massive insurance companies, and governments at the state and national levels. Unlike Britain with its single-payer National Health System, this public-private mixed-breed creates the need for patient advocate professionals, who take up the cudgels on behalf of the medically disadvantaged and the financially strapped. The material presented here may serve as an object lesson for those countries that would create or maintain mixed public-private financing and management of medical care.
Book Synopsis The Cure That Works by : Sean M. Flynn
Download or read book The Cure That Works written by Sean M. Flynn and published by Simon and Schuster. This book was released on 2019-06-18 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Right now, a country halfway around the world is using forgotten American ideas to deliver the world’s best healthcare at a quarter of the price of American healthcare. Even more amazing: every resident has access to the same high-quality care. Economics for Dummies author Sean Flynn shows us what we can learn from Singapore's superior, free market-style healthcare system in The Cure That Works.
Book Synopsis Let's Talk American Healthcare: How the Spun Insurance Plan Can Solve Our Country's Medical Crisis by : William Frangipane M. D.
Download or read book Let's Talk American Healthcare: How the Spun Insurance Plan Can Solve Our Country's Medical Crisis written by William Frangipane M. D. and published by Independently Published. This book was released on 2019-03-22 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dysfunction in American healthcare is at a critical point. We pay too much. Not everyone has insurance coverage. We get mediocre results. Due to political rhetoric, problems fester. This book is a guide as to how we all can have affordable, quality care. How we can remake the system, so it works for patient. Here are the answers for a system that is killing and bankrupting us instead helping and healing us. Dr. Frangipane witnessed how the healthcare services are inefficient and rushed. Through conversations with policy experts, colleagues and patients, he saw what is wrong. This book is what he learned from both these experiences and research. Topics, like medical insurance coding, can be real snoozers. But Dr. Frangipane engages the reader. This book feels like a talk with your friend. He anticipates the reader's objections by answering each one of them. This book makes the abstract world of healthcare policy relatable. He tells stories that entertain the reader as they illustrate the problems of the American healthcare. Finally, the book is filled with Dr. Frangipane's unique humor. Dr. Frangipane starts by asking the simplest of questions. The first is if we truly have a crisis with our country's medical care system. He answers with a resounding yes and supported his answer. He backs it up with everyday examples. Next, he looks at the possible solutions for how a country can pay for healthcare. He concludes that a universal, governmental health insurance is the least costly and most efficient. Finally, he answers the objections one might raise about such a system.Dr. Frangipane names his system, "SPUN," for Single Payer Universal National Healthcare Plan. To fund it, he believes using our present federal tax system is the simplest and fairest. He shows that SPUN will save our country money. He analyses the finances of different individuals and businesses and shows they all come out ahead with his plan.He then looks at how SPUN would operate. Doctors still will work for themselves. Patients will retain the choice of where to go for care. However, the single-payer insurance will cover everyone. The coverage will be broad, too, covering dental, eye, mental health, long-term medical care and medications. The price tag for drugs will drop as SPUN will use its market power. There will an approval system of for what tests, medications and procedures are allowed, based on scientific evidence. Good health practices, like eating vegetables, will be subsidized. While bad health practices, like eating junk food, will be taxed. How practitioners get reimbursed will change. To encourage physicians to spend more time on your care, they will be paid by time. To encourage innovation, hospitals will be paid by diagnosis. This will reduce the cost of medical billing. There will the elimination of non-profit hospitals, a restructuring of medical education costs and a greater reliance on non-physician providers.To make the flow of health information more efficient, a single repository will exist for all medical information. Part of this system will be a patient health app. Such a system will be a gold mine of medical data. Dr. Frangipane's proposes a no-fault system for medical liability reform where victims of unexpected medical events receive compensation without the assignment of blame. He details a centralized, national system of healthcare licenses and evaluations.This book next describes how to streamline the practice of medicine. This includes physicians having ownership of each of a patient's medical problems. Patients, too, will be made more responsible for their own care. Healthwebs will be created that will coordinate healthcare. Finally, he describes the needed revolution in the national mindset to permit all these changes.This book is for readers who like current events, healthcare workers and as part of the curriculum in healthcare policy or medical ethics.
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.
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.
Book Synopsis Who Killed HealthCare?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure by : Regina Herzlinger
Download or read book Who Killed HealthCare?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure written by Regina Herzlinger and published by McGraw Hill Professional. This book was released on 2007-04-17 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: A renowned authority from Harvard Business School confronts America's health care crisis-and how consumer control can fix it PRAISE FOR WHO KILLED HEALTHCARE? “A brilliant analysis... A must-read.” – Bill George, Professor, Harvard Business School and Former CEO of Medtronic “As it becomes more and more obvious to everyone that our current health care system is unsustainable, this is the book that had to be written.” – Daniel H. Johnson, Jr. MD, former president of the American Medical Association “Regina Herzlinger’s ideas to tackle the crisis of the U.S. health care system are based on keen knowledge of the system’s existing difficulties along with insights that introduce the reader to new streamlined choices that have the potential of getting both quantity and cost under control.” – Joseph Kennedy, founder, chairman, and president, Citizens Energy Corporation, CEO, Citizens Health Care, former representative (D-Mass) “Regina Herzlinger... offers a vision of the way things can be, should be, and will be sooner or later. The only question is: how long do we have to wait?” – Greg Scandlen, founder, Consumers for Health Choices“Regi Herzlinger has brilliantly articulated a better way – embracing the principles of competition and innovation that cause every other sector of our economy to thrive. Discharging American health care from the ICU can only happen by putting individual Americans – not politicians and bureaucrats – back in charge of their health care decisioins.” – U.S. Senator Tom Coburn (R-Okla), M.D. “Following on the heels of her landmark Market-Driven Health Care, Herzlinger lays it on the line with her expose of what many who work in the health care industry have felt in their gut. Now it is articulated in an entertaining and must-read portrayal, with you and me as the only way out.” – Dennis White, executive vice president for strategic development, National Business Coalition on Health“A wonderful Orwellian romp through issues which carry a deadly irony. The killers of health care are, of course, the third parties, each of which has an itchy palm and a commitment to profit or power which exceeds the commitment to service, with each engaging the others within a politically shaped box. Rarely has the case for the public been made with so much force, foresight, and wit, and a better way forward shown so clearly.” – James F. Fries, MD, Professor of Medicine, Stanford University School of Medicine “You can practically hear the war chants as Professor Herzlinger sets out her view of what’s wrong with the health care system and how to fix it. You’d best read it so you can decide which side you will be on when the battle is joined.” – Paul Levy, CEO, Beth Israel Hospital, Boston, MA “Regina Herzlinger, the nation’s leading expert on consumer-driven health care, has given us a brilliant analysis of the flaws in our health care system and what it will take to get it back on track. Her latest book is a must-read.” – Bill George, Professor of Management Practice, Harvard Business School, Former CEO, Medtronic, and author of Authentic Leadership“You don’t have to agree with her diagnosis and prescription for the U.S. health care system, but you do have to read her book. Once again, Professor Herzlinger has put together a well researched, well written, and very provocative blueprint for the future of health care.” Peter L. Slavin, MD, President, Massachusetts General Hospital
Book Synopsis Real Cause, Real Cure by : Jacob Teitelbaum M.D.
Download or read book Real Cause, Real Cure written by Jacob Teitelbaum M.D. and published by Rodale Books. This book was released on 2012-08-07 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: An eye-opening guide that boils down common health problems to nine simple causes and offers the relief readers have been searching for. An expert in combining both traditional and alternative medicine, Dr. Teitelbaum explains that tackling nine wholly preventable causes is the key to long-term, real relief from nagging health concerns. Real Cause, Real Cure unearths the underlying causes of more than 50 health problems, steering readers toward cost-effective, safe, and easy remedies to combat woes ranging from acne and food allergies to diabetes and cancer. Readers will discover how getting a full night's rest can combat heart disease, diabetes, depression, heartburn, weight gain, and chronic pain; how adding exercise to one's daily routine not only prevents an expanding waistline, but also wards off Alzheimer's, fibromyalgia, insomnia, and stroke; and how drugs taken to improve our health are a major culprit in why we keep getting sick. This user-friendly guide takes the confusion out of personal health care so readers can enjoy a life free of needless prescriptions, doctors' offices, and irritating health issues.
Book Synopsis Curing Our Sick Health Care System by : Robert Gumbiner
Download or read book Curing Our Sick Health Care System written by Robert Gumbiner and published by AuthorHouse. This book was released on 2008 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Catastrophic Care by : David Goldhill
Download or read book Catastrophic Care written by David Goldhill and published by Vintage. This book was released on 2013-01-08 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result. Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues. Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future. If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.
Download or read book Curing Medicare written by Andy Lazris and published by Cornell University Press. This book was released on 2016-06-14 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare’s payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly. Lazris offers straightforward solutions to ensure Medicare’s solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.
Book Synopsis Insurance Handbook for the Medical Office by : Marilyn Takahashi Fordney
Download or read book Insurance Handbook for the Medical Office written by Marilyn Takahashi Fordney and published by Saunders. This book was released on 2010 with total page 674 pages. Available in PDF, EPUB and Kindle. Book excerpt: Keep current with all the latest changes with this complete resource! Trusted by medical insurance instructors and billers for more than 30 years, Insurance Handbook for the Medical Office helps you excel at all aspects of insurance billing for a full range of today's health care plans. In full color, this edition includes all the new regulations, such as the latest information on HIPAA, diagnostic coding, procedural coding, bill collection strategies, and Medicare. Meticulously reviewed by a panel of industry experts. Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist's role in filing clean claims, solving problems, and collecting overdue payments. Key terms are bolded at first mention, explained within the context of the discussion, and defined in the glossary. Key points summarize important chapter content. Block-by-block explanations and examples demonstrate the correct way to complete the CMS-1500 claim form. Completed sample insurance forms apply concepts to real life. Unique payer icons clarify CMS claim form completion. Form icons and Computer icons ease the transition from paper to electronic filing. Special HIPAA Alerts ensure compliance with governmental privacy regulations. Guidelines for the filing and submission of electronic claims include the do's and don'ts for the electronic environment. Service to Patient features discuss ways to provide quality service to the patient as well as to your co-workers. A documentation chapter covers the principles of documentation and shows how proper documentation can prevent penalties and refund requests, and help you prove compliance in the case of an audit or review. An Evolve website includes supplemental Medisoft activities, self-assessment quizzes, updates of content, and web links for further research and study. A workbook contains learning tips, review exercises, cases, and critical thinking activities for hands-on experience with real-world cases. (Available separately.) Updated learning objectives correlate directly to the text, making it easier to study and to measure your progress. New CMS-1500 form filler software on Evolve provides additional exercises for hands-on practice.
Book Synopsis The Healing of America by : T. R. Reid
Download or read book The Healing of America written by T. R. Reid and published by Penguin. This book was released on 2010-08-31 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: A New York Times Bestseller, with an updated explanation of the 2010 Health Reform Bill "Important and powerful . . . a rich tour of health care around the world." —Nicholas Kristof, The New York Times Bringing to bear his talent for explaining complex issues in a clear, engaging way, New York Times bestselling author T. R. Reid visits industrialized democracies around the world--France, Britain, Germany, Japan, and beyond--to provide a revelatory tour of successful, affordable universal health care systems. Now updated with new statistics and a plain-English explanation of the 2010 health care reform bill, The Healing of America is required reading for all those hoping to understand the state of health care in our country, and around the world. T. R. Reid's latest book, A Fine Mess: A Global Quest for a Simpler, Fairer, and More Efficient Tax System, is also available from Penguin Press.
Download or read book The Cure written by Seth Denson and published by . This book was released on 2019-09 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on the entire healthcare system and all of its various stakeholders, The Cure aims to provide a roadmap inclusive of both legislative and societal changes needed to improve the method by which healthcare is accessed, delivered and financed within the United States. With detailed analysis investigating both the cause and current status of major problems within the healthcare space, The Cure is able to provide insight and guidance to begin solving those issues. This book is written in a non-partisan manner and wastes no time with finger pointing, instead focusing on realistic goals and practical solutions to elevate and enhance the healthcare system. Outlining the need for transparency, reasonable regulation, and consumer engagement, along with other key drivers of cost and inefficiencies in healthcare, Seth Denson uses his vast industry experience to shine a spotlight on what is keeping America's healthcare system sick, but more importantly, outline what is needed to cure it.
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)
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.
Download or read book Cured! written by Stephen S. S. Hyde and published by Stephen Hyde. This book was released on 2009 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: Veteran health care insider Stephen S. S. Hyde says we can cure today's health care crisis by enabling every American consumer to demand the answers to two question: "Which are the best doctors and hospitals for my medical needs?" and "Which of them are the least expensive?" None of these answers are available now. They should be, and they can be. But to get there we must first correct the fundamental market and regulatory failure that has given us 7 decades of misguided actions by employers, government, insurers, medical providers, and consumers to produce the dysfunctional mess we have today. Hyde reveals how we can have affordable, portable health insurance and high-quality health care for everyone, and How we can double medical quality at half the cost Why the government must adopt 3 critical regulatory reforms The 7 key elements of health care reform to achieve 8 essential goals
Book Synopsis Curing Our Sick Health Care System by : Robert Gumbiner M. D.
Download or read book Curing Our Sick Health Care System written by Robert Gumbiner M. D. and published by . This book was released on 2006 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: David Silver's dream is to graduate from student crime fighter to become the greatest homicide detective on Metro City's police force. But he finds himself thrown into the biggest, and most dangerous criminal investigation in the city's history. There is a killer on the loose and the authorities have no clues. Davey has more than an interest in the case as his future wife is being stalked and may become the next victim of the Alphabet Killer. The killer is leading police in circles and Davey enlists the help of his fellow students as they launch their own investigation. All the while Davey ignores the calling God has on his life. A dream alerts him of an impending disaster, which leads him thousands of miles from home. With the Lord's help he attempts to rescue his father from a tribe of flesh eating cannibals. Giant Slayer is much more than your ordinary Christian novel. It supports the message of the inevitable triumph of good over evil in this attention-grabbing tale that is filled with action and adventure, which guarantees hours of energy generated reading. You'll find yourself living an experience rather than just simply reading. This powerful tale combines martial arts, high speed chases, intriguing detective work and soft romance with a message not only for the saved but also exhortation for those who are seeking a better way. Giant Slayer proclaims a vanishing, but priceless example of virtue and more than one kind of salvation in this modern da
