Download or read book Consumer directed Healthcare and Its Implications for Providers written by Robert S. Bonney and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Consumer-Directed Healthcare and Its Implications for Providers will arm your organization to respond to increasing demands. It explains what consumer-directed products are entering the market, how to position your organization to respond to these models, and what strategies to use during negotiations with insurers. A payer contract checklist is included to help you evaluate contracts. The book also touches on the effect consumer-directed care will have on teaching hospitals and those hospitals providing a greater portion of indigent care. The author explores possible long-term scenarios, including a return to billed charges, rates based on a percentage of Medicare, and the development of a national health plan.
Download or read book Consumer Directed Health Care written by Kim Slocum and published by CRC Press. This book was released on 2008-07-07 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a balanced 360 degree view of consumer directed health care. It provides insight, analysis, and original research to help us see more clearly the important dimension in the future of American health care.
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.
Download or read book Consumer Driven Health Care written by Regina E. Herzlinger and published by John Wiley & Sons. This book was released on 2004-03-22 with total page 930 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professor Herzlinger documents how the consumer-driven health caremovement is being implemented and its impact on insurers,providers, new intermediaries, and governments. With additionalcontributions by health care's leading strategists,innovators, regulators and scholars, Consumer-Driven HealthCare presents a compelling vision of a health care system builtto satisfy the people it serves. This comprehensive resource includes the most important thinkingon the topic and compelling case studies of consumer-driven healthcare (CDHC) in action, here and abroad, including newconsumer-driven intermediaries for information and support; typesof insurance plans; focused factories for delivering health care;personalized drugs and devices; and government roles.
Download or read book Integration and Innovation Orient to E Society Volume 1 written by Weijun Wang and published by Springer. This book was released on 2007-12-31 with total page 697 pages. Available in PDF, EPUB and Kindle. Book excerpt: The IFIP series publishes state-of-the-art results in the sciences and technologies of information and communication Proceedings and post-proceedings of referred international conferences in computer science and interdisciplinary fields are featured. These results often precede journal publication and represent the most current research. The principal aim of the IFIP series is to encourage education and the dissemination and exchange of information about all aspects of computing.
Download or read book Choice Matters written by Gordon Moore and published by Oxford University Press. This book was released on 2018 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Choice Matters is the healthcare sector's guide to understanding and delivering the brand of consumer-centered care that is an imperative for the Zocdoc age. Drawing on the authors' diverse backgrounds in medicine, business, and public policy, this practically-oriented resource offers an on-the-ground introduction for clinicians and managers to better understand the differences between healthcare and other consumer-driven markets, what factors are most important for consumers in seeking care providers, how consumers make decisions about healthcare, the system-wide effects of increased consumer choice in healthcare, [and] the important distinction between patients and consumers"--
Download or read book Connecting with the New Healthcare Consumer written by David B. Nash and published by Jones & Bartlett Learning. This book was released on 2001 with total page 572 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leadership/Management/Administration
Download or read book Managed Care What It Is and How It Works written by Peter R. Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2008-09-19 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.
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 The Impact of Autonomy and Consumerism in Healthcare written by Simbiso Ranga, MD, MBA and published by Strategic Book Publishing Rights Agency. This book was released on 2016-02-18 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the origins of consumerism to the evolution or revolution associated with consumerism in healthcare, this book is a reflective depiction of the past, present, and future of healthcare as it empowers the consumer (patient). The Impact of Autonomy and Consumerism in Healthcare navigates the changing healthcare landscape, navigating some of these changes and what they mean, not only for healthcare delivery, but for providers, suppliers, and consumers. It comments on new healthcare developments, including the mushrooming urgent care centers and walk-in clinics, as well as such technological developments as patient portals in electronic medical records. The book reflects on the challenges of opening up the healthcare infrastructure to the consumer, while raising issues about cyber security, privacy, and litigation. The authors attempt to predict the future, just as many physicians reluctantly do for their patients, in a chapter aptly titled “Prognosis.” The book would not be complete without anecdotes and war stories from the authors’ experiences in the field, presenting surprises and contradictions in their practice of medicine across the USA as immigrant physicians. Hopefully these powerful stories will help untangle the healthcare juggernaut and move toward a more empowered consumer.
Download or read book Managing Managed Care written by Institute of Medicine and published by National Academies Press. This book was released on 1997-04-21 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Download or read book The Changing Context of Social health Care written by Helen Rehr and published by Psychology Press. This book was released on 1991 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: This invaluable text addresses the social organizational approach to education in present day academic health centers. The many changes in the provision of health services that are a result of the reallocation of government resources are discussed. Recommendations for health care policy, practice, and the education of health care professionals and consumers are presented. Students in health care professions will benefit from this extensive evaluation of the changing health care environment and its implications for both providers and consumers. Professors and educators will find this insightful volume helpful in assisting students in health care services to assess the present relationship between administrators and patients and the changes that must be instigated in order to offer affordable, quality delivery of health services. This significant volume provides guidance for such vital problems as determining which social-health issues are most critical today, what changes result from government policies on consumers and providers, and what our social-health policies, services, research, and educational directions should be for the future. Students in the health care professions at the college level, doctors, health care administrators and educators, social workers, nurses, medical sociologists, and economists will value The Changing Context of Social Health Care as a key to understanding how the relationship between health care providers and consumers must be carefully developed to provide quality health care for future generations.
Download or read book Managed Competition written by and published by DIANE Publishing. This book was released on 1993-07 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pamphlet from the vertical file.
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
Download or read book Consumer directed Health Care written by and published by . This book was released on 2004 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Consumer Oriented Strategies for Improving Health Benefit Design written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-07-31 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Responding to persistently rising health care costs and continuing concerns about the quality of health care, many health insurance purchasers have become interested in consumer-oriented strategies to improve health plan design that hold the promise of reducing health care costs and improving quality. While a number of specific activities fall within the general umbrella of consumer-oriented strategies, most of the recent developments in this area can be classified in three categories. Consumer directed health plans (CDHPs) are health insurance plans that use high deductibles coupled with personal health spending accounts to increase consumer accountability for health care spending. Tiered networks are health benefit structures that group providers into tiers based on their costs or quality, and reward consumers with favorable prices if they choose providers in higher quality or lower cost tiers. These strategies, which place greater financial responsibility on consumers for health care decision-making, can also be accompanied by initiatives to provide consumers with better information about the cost and quality of health care, including, for example, information about the quality of health care providers, to enable them to make more informed decisions. While these three strategies have been increasingly discussed, there remains little consensus about their likely impacts on the health care system or how purchasers can most effectively use these strategies, either alone or in combination, to achieve the goals of reducing costs and improving quality. Over the past several years, several studies and reviews have been published that appear to offer some insight into how consumer-oriented strategies can affect the provision of care, costs, and outcomes. However, many of these studies have examined narrow ranges of consumer oriented strategies and often do so in a very tightly focused setting such as a single employer. A synthesis of the existing literature may be able to provide valuable information about the potential for consumer-oriented strategies to bring about beneficial outcomes in health care. Discussion concerning the relative newness of the topic and the possibility of limited scope of literature prompted the decision to conduct an initial exploratory analysis and draft a feasibility report, with the goal of developing a foundation for further evidence review work in this area. AHRQ further determined that this initial analysis should address three issues. First, a conceptual framework should be developed that identifies important factors determining the impacts of consumer-oriented strategies, within which questions about the impacts of consumer oriented strategies on health care utilization, costs, and quality can be addressed. Second, a review of published, peer-reviewed literature on CDHPs should be conducted. Several guiding questions were identified: What are prevalence rates and expected trends for CDHPs? What is the evidence on the effect of CDHPs on quality improvement or lack of improvement? What is the evidence that CDHPs affect utilization of health care services, including doctors visits, ER visits, medications, and diagnostic tests? Is there evidence to determine whether effects on utilization are necessary vs. unnecessary services? What is the evidence that CDHPs discourage access to appropriate care? Is there evidence that effects of CDHPs on utilization vary depending on the underlying health status, income or education of individuals? What is the evidence that CDHPs reduce health care expenditures? Third, preliminary evidence should be gathered about the ability of the literature on tiered networks and provider quality collection and dissemination to support further productive evidence review.
