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The Evolution Of Medical Groups And Capitation In California
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Book Synopsis Capitation in California by : Maurice J. Penner
Download or read book Capitation in California written by Maurice J. Penner and published by Maurice Penner. This book was released on 1997 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This "from-the-trenches" guide can help you meet the challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, negotiating managed care contracts, & managing utilization & quality.
Book Synopsis The Evolution of Medical Groups and Capitation in California by : Lawrence Casalino
Download or read book The Evolution of Medical Groups and Capitation in California written by Lawrence Casalino and published by . This book was released on 1997 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Financing Review written by and published by . This book was released on 1986 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Corporate Practice of Medicine by : James C. Robinson
Download or read book The Corporate Practice of Medicine written by James C. Robinson and published by Univ of California Press. This book was released on 1999-11-01 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the country's leading health economists presents a provocative analysis of the transformation of American medicine from a system of professional dominance to an industry under corporate control. James Robinson examines the economic and political forces that have eroded the traditional medical system of solo practice and fee-for-service insurance, hindered governmental regulation, and invited the market competition and organizational innovations that now are under way. The trend toward health care corporatization is irreversible, he says, and it parallels analogous trends toward privatization in the world economy. The physician is the key figure in health care, and how physicians are organized is central to the health care system, says Robinson. He focuses on four forms of physician organization to illustrate how external pressures have led to health care innovations: multispecialty medical groups, Independent Practice Associations (IPAs), physician practice management firms, and physician-hospital organizations. These physician organizations have evolved in the past two decades by adopting from the larger corporate sector similar forms of ownership, governance, finance, compensation, and marketing. In applying economic principles to the maelstrom of health care, Robinson highlights the similarities between competition and consolidation in medicine and in other sectors of the economy. He points to hidden costs in fee-for-service medicine—overtreatment, rampant inflation, uncritical professional dominance regarding treatment decisions—factors often overlooked when newer organizational models are criticized. Not everyone will share Robinson's appreciation for market competition and corporate organization in American health care, but he challenges those who would return to the inefficient and inequitable era of medicine from which we've just emerged. Forcefully written and thoroughly documented, The Corporate Practice of Medicine presents a thoughtful—and optimistic—view of a future health care system, one in which physician entrepreneurship is a dynamic component.
Book Synopsis Rise and Fall of Managed Care by : Richard Dean Smith
Download or read book Rise and Fall of Managed Care written by Richard Dean Smith and published by . This book was released on 2002 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: Casting recent changes in health care as the product of a mass movement, and comparing this movement to others like it, this brief history recounts the sudden rise and long decline of managed care. Chapters discuss its origins, expansion, supporters, financiers, the resistance it faced, the bind it created, early tremors, its collapse, and its current state. Smith's credentials are not noted. Annotation copyrighted by Book News, Inc., Portland, OR.
Book Synopsis The Oxford Handbook of Health Economics by : Sherry Glied
Download or read book The Oxford Handbook of Health Economics written by Sherry Glied and published by Oxford University Press. This book was released on 2011-04-07 with total page 992 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an engaging, comprehensive review of health economics, with a focus on policy implications in the developed and developing world. Authoritative, but non-technical, it stresses the wide reach of the discipline - across nations, health systems, and areas within health and medical care.
Book Synopsis Uncertain Times by : Peter J. Hammer
Download or read book Uncertain Times written by Peter J. Hammer and published by Duke University Press. This book was released on 2003-12-08 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume revisits the Nobel Prize-winning economist Kenneth Arrow’s classic 1963 essay “Uncertainty and the Welfare Economics of Medical Care” in light of the many changes in American health care since its publication. Arrow’s groundbreaking piece, reprinted in full here, argued that while medicine was subject to the same models of competition and profit maximization as other industries, concepts of trust and morals also played key roles in understanding medicine as an economic institution and in balancing the asymmetrical relationship between medical providers and their patients. His conclusions about the medical profession’s failures to “insure against uncertainties” helped initiate the reevaluation of insurance as a public and private good. Coming from diverse backgrounds—economics, law, political science, and the health care industry itself—the contributors use Arrow’s article to address a range of present-day health-policy questions. They examine everything from health insurance and technological innovation to the roles of charity, nonprofit institutions, and self-regulation in addressing medical needs. The collection concludes with a new essay by Arrow, in which he reflects on the health care markets of the new millennium. At a time when medical costs continue to rise, the ranks of the uninsured grow, and uncertainty reigns even among those with health insurance, this volume looks back at a seminal work of scholarship to provide critical guidance for the years ahead. Contributors Linda H. Aiken Kenneth J. Arrow Gloria J. Bazzoli M. Gregg Bloche Lawrence Casalino Michael Chernew Richard A. Cooper Victor R. Fuchs Annetine C. Gelijns Sherry A. Glied Deborah Haas-Wilson Mark A. Hall Peter J. Hammer Clark C. Havighurst Peter D. Jacobson Richard Kronick Michael L. Millenson Jack Needleman Richard R. Nelson Mark V. Pauly Mark A. Peterson Uwe E. Reinhardt James C. Robinson William M. Sage J. B. Silvers Frank A. Sloan Joshua Graff Zivin
Book Synopsis Handbook of Health Economics by : Mark V. Pauly
Download or read book Handbook of Health Economics written by Mark V. Pauly and published by Elsevier. This book was released on 2012-01-05 with total page 1149 pages. Available in PDF, EPUB and Kindle. Book excerpt: "As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].
Download or read book Health Affairs written by and published by . This book was released on 2002 with total page 940 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Incentives and Choice in Health Care by : Frank A. Sloan
Download or read book Incentives and Choice in Health Care written by Frank A. Sloan and published by MIT Press. This book was released on 2008-05-16 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading scholars in the field of health economics evaluate the role of incentives in health and health-care decision making from the perspectives of both supply and demand. A vast body of empirical evidence has accumulated demonstrating that incentives affect health care choices made by both consumers and suppliers of health care services. Decisions in health care are affected by many types of incentives, such as the rate of return pharmaceutical manufacturers expect on their investments in research and development, or disincentives, such as increases in copayments patients must make when they visit physicians or are admitted to hospitals. In this volume, leading scholars in health economics review these new and important results and describe their own recent research assessing the role of incentives in health care markets and decisions people make that affect their personal health. The contexts include demand decisions—choices made by individuals about health care services they consume and the health insurance policies they purchase—and supply decisions made by medical students, practicing physicians, hospitals, and pharmaceutical manufacturers. Researchers and students of health economics and policy makers will find this book a valuable resource, both for learning economic concepts, particularly as they apply to health care, and for reading up-to-date summaries of the empirical evidence. General readers will find the book's chapters accessible, interesting, and useful for gaining an understanding of the likely effects of alternative health care policies. Contributors Henry J. Aaron, Ernst R. Berndt, John Cawley, Julie M. Donohue, Donna Gilleskie, Brian R. Golden, Gautam Gowrisankaran, Chee-Ruey Hsieh, Hirschel Kasper, Thomas G. McGuire, Joseph P. Newhouse, Sean Nicholson, Mark V. Pauly, Anna D. Sinaiko, Frank Sloan
Book Synopsis Annual Review of Health Care Management by : Leonard H. Friedman
Download or read book Annual Review of Health Care Management written by Leonard H. Friedman and published by Emerald Group Publishing. This book was released on 2013-12-14 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume will interest healthcare researchers and health system designers alike. It revisits the evolution of health systems organization in light of regulatory and organizational evolution in health care, as well as assessing the latest evidence on physician integration, complexity, and system redesign.
Book Synopsis Health Insurance and Managed Care by : Peter R. Kongstvedt
Download or read book Health Insurance and Managed Care written by Peter R. Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2019-02-14 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Download or read book Capitation written by David I. Samuels and published by Irwin Professional Publishing. This book was released on 1996 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Capitation is defined as "a type of risk sharing reimbursement method whereby providers in a plan's network receive fixed periodic payments for health services rendered to plan members". This definition doesn't necessarily mean that hospitals need to lose money. This book provides the tools and techniques for minimizing the financial risk that is associated with this process while maintaining the bottom line.
Book Synopsis Health Policy-- the Hard Way by : James E. Ludlam
Download or read book Health Policy-- the Hard Way written by James E. Ludlam and published by Hope Publishing House. This book was released on 1998 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anyone interested in how our current healthcare dilemma came to be will be fascinated by the tales told in Health Policy--The Hard Way, for this book not only traces the inside story of the development of Blue Cross and Blue Shield through the 1956 adoption and implementation of Medicare and Medicaid, but also analyzes the medical malpractice tort reform crisis of 1975, up to and including the shift to managed care. It is an important document for those who want to track what has happened to healthcare during these decades as well as providing an important springboard for all those interested in addressing the predicament of current healthcare needs. This is a wonderful resource to add to the discussion of the public heal th issues and for those trying to understand how the United States, albeit one of the wealthiest nations in all history, cannot provide an adequate national health policy program for its citizens. The author, a founder of the specialty of health-care law, is especially well-suited to assess this vital issue, having provided legal and policy counsel to more than 100 hospitals and healthcare organizations.
Book Synopsis The Capitation Sourcebook by : Peter Boland
Download or read book The Capitation Sourcebook written by Peter Boland and published by Jones & Bartlett Learning. This book was released on 1996 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here's a challenge to conventional wisdom that will change the way you think about capitation. This hands-on resource is a collection of articles detailing the most advanced methods used by leading healthcare operational experts on how to provide high-quality care at less cost; manage financial risk more efficiently; design operational, clinical and information systems to meet the needs of patients, practitioners and managed care organizations; structure financial incentives to promote successful collaborations and make the transition from fee-for-service to risk-sharing arrangements. You'll find practical examples of how to build the trust necessary to create win-win solutions to problems that arise between competing yet interdependent interests of the various stakeholders. Edited by Peter Boland, PhD, and based on a "best practices" approach, each of the articles in the book illustrate compensation methodologies that have been successfully implemented with the support of physicians and hospitals.
Book Synopsis Fixing Medical Prices by : Miriam Laugesen
Download or read book Fixing Medical Prices written by Miriam Laugesen and published by Harvard University Press. This book was released on 2016-11-07 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Miriam Laugesen goes to the heart of U.S. medical pricing: to a largely unknown committee of organizations affiliated with the American Medical Association. Medicare’s ready acceptance of this committee’s advisory recommendations sets off a chain reaction across the American health care system, leading to high—and disproportionate—rate setting.
Book Synopsis Building and Managing Effective Physician Organizations Under Capitation by : Douglas E. Goldstein
Download or read book Building and Managing Effective Physician Organizations Under Capitation written by Douglas E. Goldstein and published by Jones & Bartlett Learning. This book was released on 1996 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: This resource offers you a unique Building Block system, a proven-effective tool used by organizations to survive and prosper in an era of different reimbursement schemes, from discounted fee-for-service and primary care capitation, to global capitation and percent of premium payment.
