Kategoria BISAC: Business & Economics >> Insurance - Health

The U.S. healthcare system is in critical condition--but this should come as a surprise to no one. Yet until now the solutions proposed have been unworkable, pie-in-the-sky plans that have had little chance of becoming law and even less of succeeding. In Code Red, David Dranove, one of the nation's leading experts on the economics of healthcare, proposes a set of feasible solutions that address access, efficiency, and quality.

Dranove offers pragmatic remedies, some of them controversial, all of them crucially needed to restore the system to vitality. He pays special...

This book focuses on how a distinctly American product--managed care--got its start, how it works, and what needs to be adjusted in the future. As Birenbaum makes clear, this book is about social change. It is about doctors contracting with health maintenance organizations (HMOs) and being subject to their rules; about the limited access to specialty care; and about the frugal use of hospital admissions and stays. Consumers and providers have had mixed experiences in these health-delivery systems. Birenbaum, a health-policy analyst, has created a synthesis of research studies and analyses...

The skill levels of financial workers can vary as much as those of medical personnel, and the impact that these workers have on the viability, let alone profitability and efficient running, of any hospital, medical practice or facility is quite profound. The common belief now is that the multitude of payment systems that every medical practitioner must access, with their diverse procedures and hundreds if not thousands of medical codes, are scarcely manageable. However, with the right knowledge and the right approach, you can turn a system that controls you into one that you control....

As a result of the reform of nursing care, nursing structures and processes will change. This comprehensive volume on nursing care insurance also deals with private nursing care insurance and its particular features in comparison to social nursing care insurance.

Proposals to reform the health care system typically focus on either increasing private insurance or expanding government-sponsored plans. Guaranteeing that everyone is insured, however, does not create a system with the quality of care patients want, the flexibility clinicians need, and the internal dynamics to continually improve the value of health care.

In Total Cure, Hal Luft presents a comprehensive new proposal, SecureChoice, which does all that while providing affordable health insurance for every American. SecureChoice is a plan that restructures payment for medical...

For healthcare providers and patients alike, the ways of private third-party payer payment systems can be mysterious and oftentimes quite frustrating. Payment for hospital, nursing, or homecare services can be subject to a variety of payment systems including cost-based and charge-based or those with payments that are determined in advance. Knowing the specific rules needed to navigate each type of payment system is essential for all healthcare administrators and accountants.

Healthcare Payment Systems: Fee Schedule Payment System, the second volume in a...