Download or read book From Company Doctors to Managed Care written by Ivana Krajcinovic and published by Cornell University Press. This book was released on 2012-09-24 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Welfare and Retirement Fund of the United Mine Workers of America (UMWA) is widely acknowledged as the most innovative effort at group health care in the United States in the twentieth century. Ivana Krajcinovic describes the establishment, operation, and demise of the Fund that brought mining families from the backwater to the forefront of medical care in less than a decade. Krajcinovic analyzes the success of the Fund over nearly three decades in providing high-quality cost-effective care to miners and their families. She also explains the irony of its dismantlement at the very moment when its innovations gained currency among mainstream commercial plans.
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 Medical Caregiving and Identity in Pennsylvania s Anthracite Region 1880 2000 written by Karol K. Weaver and published by Penn State Press. This book was released on 2015-10-13 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: While much has been written about immigrant traditions, music, food culture, folklore, and other aspects of ethnic identity, little attention has been given to the study of medical culture, until now. In Medical Caregiving and Identity in Pennsylvania’s Anthracite Region, 1880–2000, Karol Weaver employs an impressive range of primary sources, including folk songs, patent medicine advertisements, oral history interviews, ghost stories, and jokes, to show how the men and women of the anthracite coal region crafted their gender and ethnic identities via the medical decisions they made. Weaver examines communities’ relationships with both biomedically trained physicians and informally trained medical caregivers, and how these relationships reflected a sense of “Americanness.” She uses interviews and oral histories to help tell the story of neighborhood healers, midwives, Pennsylvania German powwowers, medical self-help, and the eventual transition to modern-day medicine. Weaver is able to show not only how each of these methods of healing was shaped by its patrons and their backgrounds but also how it helped mold the identities of the new Americans who sought it out.
Download or read book Essentials of Managed Health Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2003 with total page 918 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care written by Peter Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2009-10-07 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.
Download or read book The Medical Entrepreneur written by Steven M. Hacker and published by Nano 2 Business Press. This book was released on 2010 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A comprehensive primer on the business skills essential for physicians."- Kirkus Reviews"A doctors' guide to entrepreneurship..."- Kirkus ReviewsThis is the new third edition (2015-2016) of the most popular business and practice management book for physicians, medical students and medical residents. Thousands of doctors and entrepreneurs have bought this book before joining a group or starting their own practice or entrepreneurial venture. The brand new third edition contains NEW FORMATTING AND NEW MATERIAL for the same low price as past editions. This third edition includes a bonus section to help entrepreneurs and doctors source out specific vendors' and their products and services to get a jumpstart on your business or medical practice. WARNING AND ADVICE for Doctors & Medical students and entrepreneurs: BEFORE JOINING A GROUP PRACTICE OR STARTING A NEW BUSINESS, DO NOT SIGN ANY CONTRACTS UNTIL YOU HAVE FINISHED READING THIS BOOK.This book is written to help doctors, medical residents, medical students, and physicians in private practice and academia avoid costly business mistakes in their post medical school career. It is uniquely written from the perspective of a successful physician entrepreneur. Busy doctors with little time can quickly access critical cost saving information when joining or starting a private practice. Topics include everything from how to set up a practice, sign a contract with another group, hire another doctor, contract with insurance companies, understand health regulations including the HITECH stimulus act, how to qualify to receive stimulus funds, billing in the office, hiring and firing personnel, picking a location, obtaining hospital privileges, applying for the required licenses, electronic health records, practice management software, health technology in the office, how to protect your estate, liability issues, marketing and public relations, design of the medical office and more. Also written for the physician entrepreneur, the book explains how to raise capital, term sheets, understanding venture capital, board of directors, incorporation election issues, how to understand financials, balance sheets, negotiations, hiring the management team, how to take an idea and turn it into an operating business, how to protect your intellectual property, copyrights, trademarks, patents, customer acquisition and how to deal with a business when things go wrong. The book covers much more and includes expert "stat consults" or opinions from corporate attorneys, intellectual property attorneys, board certified health care attorneys and estate attorneys.
Download or read book Architectures of Care written by Brittany Utting and published by Taylor & Francis. This book was released on 2023-12-05 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing from a diverse range of interdisciplinary voices, this book explores how spaces of care shape our affective, material, and social forms, from the most intimate scale of the body to our planetary commons. Typical definitions of care center around the maintenance of a livable life, encompassing everything from shelter and welfare to health and safety. Architecture plays a fundamental role in these definitions, inscribed in institutional archetypes such as the home, the hospital, the school, and the nursery. However, these spaces often structure modes of care that prescribe gender roles, bodily norms, and labor practices. How can architecture instead engage with an expanded definition of care that questions such roles and norms, producing more hybrid entanglements between our bodies, our collective lives, and our environments? Chapters in this book explore issues ranging from disabled domesticities and nursing, unbuilding whiteness in the built environment, practices and pedagogies of environmental care, and the solidarity networks within ‘The Cloud’. Case studies include Floating University Berlin, commoning initiatives by the Black Panther party, and hospitals for the United Mine Workers of America, among many other sites and scales of care. Exploring architecture through the lenses of gender studies, labor theory, environmental justice, and the medical humanities, this book will engage students and academics from a wide range of disciplines.
Download or read book For All These Rights written by Jennifer Klein and published by Princeton University Press. This book was released on 2010-01-02 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New Deal placed security at the center of American political and economic life by establishing an explicit partnership between the state, economy, and citizens. In America, unlike anywhere else in the world, most people depend overwhelmingly on private health insurance and employee benefits. The astounding rise of this phenomenon from before World War II, however, has been largely overlooked. In this powerful history of the American reliance on employment-based benefits, Jennifer Klein examines the interwoven politics of social provision and labor relations from the 1910s to the 1960s. Through a narrative that connects the commercial life insurance industry, the politics of Social Security, organized labor's quest for economic security, and the evolution of modern health insurance, she shows how the firm-centered welfare system emerged. Moreover, the imperatives of industrial relations, Klein argues, shaped public and private social security. Looking closely at unions and communities, Klein uncovers the wide range of alternative, community-based health plans that had begun to germinate in the 1930s and 1940s but that eventually succumbed to commercial health insurance and pensions. She also illuminates the contests to define "security"--job security, health security, and old age security--following World War II. For All These Rights traces the fate of the New Deal emphasis on social entitlement as the private sector competed with and emulated Roosevelt's Social Security program. Through the story of struggles over health security and old age security, social rights and the welfare state, it traces the fate of New Deal liberalism--as a set of ideas about the state, security, and labor rights--in the 1950s, the 1960s, and beyond.
Download or read book One Doctor written by Brendan Reilly and published by Simon and Schuster. This book was released on 2013-09-03 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A first-person narrative that takes readers inside the medical profession as one doctor solves real-life medical mysteries"--Provided by publisher.
Download or read book Physician Led Healthcare Reform written by Ken Terry and published by . This book was released on 2020-07-10 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today, employed physicians and independent physicians alike feel powerless. Hospital-employed doctors feel like cogs in a machine, and community doctors are increasingly threatened by forces beyond their control. Physician-led healthcare reform would give them back a large measure of control and pride in their work. The Medicare for All debate has mostly focused on how the U.S. should finance healthcare. This book, directed to physicians, healthcare administrators, health policy experts, politicians, and consumers, explains why the U.S. healthcare delivery system must be restructured to lower costs--and how to do it. Unless we can get doctors to change how they practice, Medicare for All will struggle with the same cost pressures that have made our system the most expensive in the world. The biggest problems of physicians--both employed and independent--are a loss of professional autonomy, overwhelming administrative requirements, and the conflict between business and patient care imperatives. From the Foreword "With this manual, leaders of health systems and medical groups can achieve these goals and align their physicians, management, care teams, payers, and patients to deliver exceptional care that will improve quality while lowering costs, resulting in better care, better patient experience, and more affordable health care." This book, at this critical time, offers a comprehensive argument in favor of physician-led reform. Table of Contents Chapter 1 - Medicare for All Lives Chapter 2 - Obamacare: A Work in Progress Chapter 3 - Industry Consolidation on Steriods Chapter 4 - Primary Care on The Ropes Chapter 5 - Waste Not, Want Not Chapter 6 - Population Health Management Chapter 7 - Addressing Social Determinants of Health Chapter 8 - Physician-led Healthcare Reform Chapter 9 - Building the New Delivery System Chapter 10 - Taking Advantage of Health IT Chapter 11 - The Payoff Chapter 12 - Drugs and the Technology Challenge Final Thoughts
Download or read book Requiem for Doctor Edward Browne written by Richard Dean Smith and published by iUniverse. This book was released on 2009-06-05 with total page 582 pages. Available in PDF, EPUB and Kindle. Book excerpt: When Dr. Brownes partner retires, his practice is taken over by Dr. Forbes Q. Hazzig, who becomes a zealot for a managed care revolution of marketplace medicine. Browne and his associate Dr. Kennes receive irrational, discordant information from healthcare experts, consultants and economists. Browne learns that rhetoric of a mass movement must be as erroneous as possible promising a vague, glorious future. Hazzig grows immensely rich and gains enormous power relying on intimidation and coercion. Joanna Brownes exhibition of J.M.W. Turner becomes a thrilling success, yet Hazzigs wife succeeds in eliminating Joannas position at East Valley Museum of Art. Joanna must accept a position at a distant university; her absence devastates Browne. Browne and Kennes discover managed care was based on a Washington bureau hoax, the health maintenance strategy of 1973: an irrational mass movement, a mass hysteria. Hazzig plots to humiliate and ruin the two doctors; each threat goes awry. Hazzig is discredited; his illusory wealth collapses. Reunited with Joanna, Dr. Browne receives a disturbing invitation to return to East Valley to be recognized with Dr. Kennes for their efforts to expose the folly of managed care. Browne is reluctant to relive his lonely, troubled, distressed past.
Download or read book Managed Care Quality written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1998 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Economic Evolution of American Health Care written by David Dranove and published by Princeton University Press. This book was released on 2002-10-13 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960s television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCOs today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970s, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCOs have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCOs of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCOs must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCOs, but they will need to rely on both their individual doctors and their own consumer awareness.
Download or read book Quality Health Care Coalition Act of 1999 written by United States. Congress. House. Committee on the Judiciary and published by . This book was released on 2000 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book They Say in Harlan County written by Alessandro Portelli and published by Oxford University Press. This book was released on 2010-11-04 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Made famous in the 1976 documentary Harlan County USA, this pocket of Appalachian coal country has been home to generations of miners--and to some of the most bitter labor battles of the 20th century. It has also produced a rich tradition of protest songs and a wealth of fascinating culture and custom that has remained largely undiscovered by outsiders, until now. They Say in Harlan County is not a book about coal miners so much as a dialogue in which more than 150 Harlan County women and men tell the story of their region, from pioneer times through the dramatic strikes of the 1930s and '70s, up to the present. Alessandro Portelli draws on 25 years of original interviews to take readers into the mines and inside the lives of those who work, suffer, and often die in them--from black lung, falling rock, suffocation, or simply from work that can be literally backbreaking. The book is structured as a vivid montage of all these voices--stoic, outraged, grief-stricken, defiant--skillfully interwoven with documents from archives, newspapers, literary works, and the author's own participating and critical voice. Portelli uncovers the whole history and memory of the United States in this one symbolic place, through settlement, civil war, slavery, industrialization, immigration, labor conflict, technological change, migration, strip mining, environmental and social crises, and resistance. And as hot-button issues like mountain-top removal and the use of "clean coal" continue to hit the news, the history of Harlan County--especially as seen through the eyes of those who lived it--is becoming increasingly important. With rare emotional immediacy, gripping narratives, and unforgettable characters, They Say in Harlan County tells the real story of a culture, the resilience of its people, and the human costs of coal mining.
Download or read book Relentless Reformer written by Robyn Muncy and published by Princeton University Press. This book was released on 2016-10-11 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: Josephine Roche (1886–1976) was a progressive activist, New Deal policymaker, and businesswoman. As a pro-labor and feminist member of Franklin D. Roosevelt's administration, she shaped the founding legislation of the U.S. welfare state and generated the national conversation about health-care policy that Americans are still having today. In this gripping biography, Robyn Muncy offers Roche’s persistent progressivism as evidence for surprising continuities among the Progressive Era, the New Deal, and the Great Society. Muncy explains that Roche became the second-highest-ranking woman in the New Deal government after running a Colorado coal company in partnership with coal miners themselves. Once in office, Roche developed a national health plan that was stymied by World War II but enacted piecemeal during the postwar period, culminating in Medicare and Medicaid in the 1960s. By then, Roche directed the United Mine Workers of America Welfare and Retirement Fund, an initiative aimed at bolstering the labor movement, advancing managed health care, and reorganizing medicine to facilitate national health insurance, one of Roche’s unrealized dreams. In Relentless Reformer, Muncy uses Roche’s dramatic life story—from her stint as Denver’s first policewoman in 1912 to her fight against a murderous labor union official in 1972—as a unique vantage point from which to examine the challenges that women have faced in public life and to reassess the meaning and trajectory of progressive reform.
Download or read book Medicine Money and Morals written by Marc A. Rodwin and published by Oxford University Press. This book was released on 1995-04-20 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals --lawyers, government officials, and businessmen--all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians' conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change.
