Download or read book Health Plans Unmasked written by Martin Lustick and published by JHU Press. This book was released on 2023-07-04 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book is written for leaders of provider organizations as a strategic guide to value-based contracting with health plans. In this book the author describes why insurance companies do the things they do, in order to help show ways to approach them efficiently and successfully. The book also describes how providers can put the pieces in place to make transitions to value-based care as painless as possible"--
Download or read book Unmasked written by Andy Ngo and published by Center Street. This book was released on 2021-02-02 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this #1 national bestseller, a journalist who's been attacked by Antifa writes a deeply researched and reported account of the group's history and tactics. When Andy Ngo was attacked in the streets by Antifa in the summer of 2019, most people assumed it was an isolated incident. But those who'd been following Ngo's reporting in outlets like the New York Post and Quillette knew that the attack was only the latest in a long line of crimes perpetrated by Antifa. In Unmasked, Andy Ngo tells the story of this violent extremist movement from the very beginning. He includes interviews with former followers of the group, people who've been attacked by them, and incorporates stories from his own life. This book contains a trove of documents obtained by the author, published for the first time ever.
Download or read book Health Plans Unmasked written by Martin Lustick and published by JHU Press. This book was released on 2023-07-04 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: An insightful overview of health insurers and a guide to sustainability for provider organizations. Physicians experience ongoing frustrations in their relationships with health plans. Even as they struggle to keep up with accelerating clinical advances, they face daunting challenges from payers that are transitioning from traditional fee-for-service contracts to complex alternative payment models. In Health Plans Unmasked, Martin Lustick, MD, offers insights and guidance for those who face the herculean task of transforming their business practices to achieve financial stability while improving outcomes for their patients. By explaining both how and why insurance companies behave the way they do, Dr. Lustick helps providers avoid mistakes and take advantage of opportunities for success. He provides information on: • The evolution of health care financing in the United States • The nuts and bolts of health plan capabilities and the real motives of health plan administrators • Tips for successful contracting strategies • Alternative payment models and the promises of value-based care With a career spanning five decades as a practicing pediatrician, chief operating officer of a medical group, chief medical officer of a hospital, and chief medical officer of a health plan, Dr. Lustick provides a straightforward guide to sustainability for provider organizations. Physicians, office managers, and anyone in a health-related field will benefit from his breaking down the role of health plans in our health care ecosystem.
Download or read book Navigating Health Insurance written by Pozen and published by Jones & Bartlett Learning. This book was released on 2017-02-24 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Navigating Health Insurance examines health insurance from the perspective of the consumer. Students are introduced to basic health insurance principles and terminology as well as types of insurance such as Medicaid, Medicare, Medigap, Exchanges, and others.The impacts of the ACA on health insurance are explored as well as essential services and coverage decisions, long term care, workers compensation, administration/paper work, filing claims and more.Students will also be challenged to consider market and social justice philosophies, for example the impact on health insurance and access to health care services, international comparisons, and advantages and disadvantages of the U.S. system.
Download or read book Covid 19 Unmasked The News The Science And Common Sense written by Winfried Just and published by World Scientific. This book was released on 2021-03-11 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can we keep up with the deluge of information about COVID-19 and tell which parts are most important and trustworthy?We read: 'Scientists recommend', 'Experts warn', 'A new model predicts'. How do scientific experts come up with their recommendations? What do their predictions really mean for us, for our friends, and our families?How can we make rational decisions? And how can we have sensible conversations about the pandemic when we disagree?These are the questions that this book is trying to address.It is written in the form of dialogues. Alice, a student of epidemiology, explains the science to three of her fellow students who have a lot of questions for her. The students have the same concerns that we all share to varying degrees: What the pandemic is doing to our health, our economy, and our cherished freedoms. In their conversations, they discover how the science relates to these questions.The book focuses on epidemiology, the science of how infections spread and how the spread can be mitigated. The science of how many infections can be prevented by certain kinds of actions. This is what we need to understand if we want to act wisely, as individuals and as a society.The author's goal is to help the reader think about the COVID-19 pandemic like an epidemiologist. About the various preventive measures, what they are trying to accomplish, what the obstacles are. About what is likely to be most effective in the long run at moderate economic and personal cost. About the likely consequences of personal decisions. About how to best protect oneself and others while allowing all of us to lead lives that are as close as possible to normal.While some chapters present slightly more advanced material than others, no scientific background is needed to follow the conversations. The technical concepts are explained in small steps and the occasional calculations in the book require only high-school mathematics.Related Link(s)
Download or read book America s Health Care Crisis Solved written by J. Patrick Rooney and published by John Wiley & Sons. This book was released on 2008-07-25 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: America’s Health Care Crisis Solved highlights the major pitfalls of our current health care system and shows why, without changes, health care costs will soon demolish the American economy as well as the opportunity to receive quality care. However, contrary to the increasingly popular idea of a government health plan, the alternative presented by authors J. Patrick Rooney and Dan Perrin brings the self-interest of you, the American consumer, into the equation.
Download or read book Unmasked written by Ian Miller and published by Post Hill Press. This book was released on 2022-02-11 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: Masks have been a ubiquitous and oft-politicized aspect of the COVID-19 pandemic. Years of painstakingly organized pre-pandemic planning documents led public health experts to initially discourage the use of masks, or even insinuate that they could lead to increased rates of spread. Yet seemingly in a matter of days in spring 2020, leading infectious disease scientists and organizations reversed their previous positions and recommended masking as the key tool to slow the spread of COVID and dramatically reduce infections. Unmasked tells the story of how effective or ineffective masks and mask mandate policies were in impacting the trajectory of the pandemic throughout the world. Author Ian Miller covers the earliest days of the pandemic, from experts such as Dr. Anthony Fauci contradicting their previous statements and recommending masks as the most important policy intervention against the spread of COVID, to the months afterward as many locations around the globe mandated masks in nearly all public settings. With easy-to-understand charts and visual aids, along with detailed, clear explanations of the dramatic shift in policy and expectations, Unmasked makes the data-driven case that masks might not have achieved the goals that Fauci and other public health experts created.
Download or read book Health Insurance written by Michael A. Morrisey and published by Asociation of University Programs in Health Administration/Health Administration Press. This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: History of Health Insurance in the United States -- The Affordable Care Act -- A Summary of Insurance Coverage -- The Demand for Insurance -- Adverse Selection -- Underwriting and Rate Making -- Risk Adjustment -- Moral Hazard and Prices -- Utilization Management -- Managed Care, Selective Contracting, and the Insurance Industry -- Provider Consolidation, Monopsony Power, and the Managed Care Backlash -- Insurance Market Structure, Conduct, and Performance -- Premium Sensitivity and Health Insurance -- Compensating Differentials -- Taxes and Employer-Sponsored Health Insurance -- Employers as Agents -- Health Savings Accounts and Consumer-Directed Health Plans -- The Small-Group Market -- The Individual Insurance Market -- Health Insurance Regulation -- High-Risk Pools -- An Overview of Medicare -- Retiree Coverage -- Medicaid, Crowd-Out, and Long-Term Care Insurance.
Download or read book Economics Unmasked written by Manfred Max-Neef and published by Bloomsbury Publishing. This book was released on 2011-08-30 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: An inspiring outline of a new economics system, where justice, human dignity, compassion and reverence for life are the guiding values. The economic system under which we live not only forces the great majority of humankind to live their lives in indignity and poverty but also threatens all forms of life on Earth. Economics Unmasked presents a cogent critique of the dominant economic system, showing that the theoretical constructions of mainstream economics work mainly to bring about injustice. The merciless onslaught on the global ecosystem of recent decades, brought about by the massive increase in the production of goods and the consequent depletion of nature's reserves, is not a chance property of the economic system. It is a direct result of neoliberal economic thinking, which recognizes value only in material things. The growth obsession is not a mistaken conception that mainstream economists can unlearn, it is inherent in their view of life. But a socio-economic system based on the growth obsession can never be sustainable. This book outlines the foundations of a new economics, where we are not ruled by greed and injustice. Contrary to the absurd assumption of mainstream economists that economics is a value-free science, a new economics must make its values explicit.
Download or read book Unmasked written by L. Brent Bozell III and published by Humanix Books. This book was released on 2019-06-04 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lecturer, syndicated columnist, television commentator, debater, marketer, businessman, bestselling author, publisher and activist, L. Brent Bozell III is one of the most outspoken and effective national leaders in the conservative movement today. As Founder and President of the Media Research Center, Mr. Bozell runs the largest media watchdog organization in America, and is uniquely positioned to offer this blazing critique of bias of all types in the national media and how it damages American democracy. By analyzing the coverage of the rise of Donald Trump and his presidency, Bozell explains all the different types of bias that can occur and exposes the insidious effects. ENEMIES LIST will also examine the campaigns for the 2018 midterms – and the results – which will provide the most comprehensive, detailed, and explosive analysis to date of how the media stokes divisiveness in American politics.
Download or read book Healthcare from the Trenches written by Alejandro Badia and published by . This book was released on 2020-06-20 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. healthcare system is in crisis. As Americans, we're facing serious problems - not only with skyrocketing healthcare costs, but also lack of patient access and inefficient delivery. Despite all the political debates and media coverage on healthcare policy and reform, there is always one glaring omission: Feedback from the people in the trenches - the doctors and other healthcare professionals who actually provide care to the patients. This book is written from a doctor's perspective, by Alejandro Badia, M.D., F.A.C.S., who didn't want to write this book, but felt he had to because of the incredible problems he sees every day in getting the patient the care they need. As an expert, his treatment plans are constantly second-guessed and obstructed by the system which has a near zero understanding of the problem that the patient faces. It became unbearable for Dr. Badia to continue to practice without calling out what is happening every day, as the norm, and is not the exception anymore.Medicine, once a noble calling, as evidenced by The Hippocratic Oath (Do No Harm), has transformed into an oppressive burdensome system for both doctors and patients. Non-Medical Experts hired by the Insurance Companies with zero medical training, and without any degrees or knowledge (in most cases) are calling the shots and continue to interfere with the doctor-patient relationship, delay and prevent the delivery of care, and present an obstacle to innovations that would improve patient outcomes and reduce overall healthcare costs. This is a life and death matter and people are dying because of this flawed system.Healthcare from the Trenches will give you an in-depth behind the scenes look at our system from a practicing doctors' perspective along with contributors ranging from fellow colleagues to beleaguered patients, who offer their insights and share their personal stories to illustrate the inherent shortcomings in the U.S. healthcare industry as well as proposed solutions.
Download or read book Obama Unmasked written by Floyd Brown and published by . This book was released on 2008 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meet Obama's Biggest Nightmare. The book that rips the mask off the man that hides behind sound bites and Hollywood spin. If you want to get to know the real Obama read this book.
Download or read book Health Insurance and Managed Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2016 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cystitis unmasked written by James Malone-Lee and published by tfm Publishing Limited. This book was released on 2021-02-01 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modern science has shown that the widely held beliefs of clinicians about urinary tract infection (UTI) are wrong. A large body of meticulous, rigorous data, from different centres around the world makes this point. How can it be that doctors continue to practise in contradiction of what we now know? A few clinicians are now changing their approach with gratifying results so it is timely to encourage others to do likewise. Clinical guidelines have achieved such influence that most doctors feel compelled to follow them and may face censure if they do not. Regrettably the guidelines are mistaken and contradict the known science. The inertia of bureaucracy and the fear of antimicrobial resistance (AMR) do not help to encourage reflection. However, things are changing and the future should see new and better informed advice. It is a tragedy that these circumstances are leading to widespread suffering amongst many women, some men and children who experience untreated or inadequately treated infection that may plague them for years. This situation has to change. This book sets out the truth about this neglected field and explains the many errors that haunt the topic. The style makes the message accessible to all clinicians. The story is convincing, because the clinical stories that illustrate the text will be so familiar to practising clinicians, who have been baffled by their experiences. Above all, this book will help you and your patients by detailing an accessible, practical approach to resolving this difficult clinical problem in common practice. The scope of the book will cover: the history of the medicine of urinary tract infection (UTI); the urinary microbiome and what the microbes are really up to; the battles between the pathogens and the innate immune system; the truth about the tests and the criteria used to define UTI; antimicrobial resistance and the importance of Darwinian evolution; the science and ground-breaking research on UTIs; the use of antibiotics; successful treatment; supportive and other related treatments; ethics; the future; and, above all, the experiences of the patients.
Download or read book Taman Health Plan written by Maged A. Taman and published by Trafford Publishing. This book was released on 2004 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Taman Health Plan book gives an in depth look at the problems that Health Care is facing now, the problems patients, doctors and institutions are facing, mainly caused by either the legal system (and some corrupt lawyers!), the HMOs, and the pharmaceutical companies. Medical Insurance premiums are so out of control that more and more Americans are without insurance. Some patients are not getting the tests and medications they need, because the HMOs refuse to pay. Doctors and nurses are leaving the practice. Hospitals and Nursing homes are faced with defecits and to stay open they are forcing doctors and nurses to work long hours to the point of exhaustion. The second part of the book is dedicated to solving this problem. The book extensively lays out the plan that would save not only the Medicare System but would make healthcare available to every American. All the ills can be cured with a simple health credit card to be used like a debit/credit card, giving patients full control of their accounts. With this plan no more paperwork, no more co-pays, no more HMOs.
Download or read book Get a Good Deal on Your Health Insurance Without Getting Ripped Off written by Jonathan Pletzke and published by Aji Publishing. This book was released on 2007-09 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Whether you currently have health insurance, are looking to purchase it, or believe it is simply something you cannot afford to buy, Get a Good Deal on Your Health Insurance Without Getting Ripped-Off offers every consumer a complete and concise guide to getting the most from individual, small business, Medicare, Medigap, and employer health insurance. This book and the accompanying website www.BestHealthInsuranceBook.com features: * Advice from health insurance agents and financial advisors. * A step-by-step process that guides you through buying health insurance * Plenty of sidebars and illustrations to keep a dry topic interesting * A method to compare your health insurance options, dollar-to-dollar, to get the best deal * Ways to avoid pitfalls, scams, and rip-offs using real world tips and examples * Tips to avoid losing health insurance when you leave a job, retire, retire early, or get laid off *Listings in the book and online that direct you to the right government, association, and business resources *A way to get your best deal whether you are young, old, healthy, or have a medical condition. Get a Good Deal on Your Health Insurance Without Getting Ripped-Off is concise, saving you time by not including any fluff or filler that you have to wade through, just useful information that is easy to understand and apply. Truly a hands-on cookbook for buying health insurance. Get a Good Deal on Your Health Insurance Without Getting Ripped-Off contains everything you need to know to make an educated decision about your health insurance and to be in control of this complex purchase.
Download or read book The New Health Insurance Solution written by Paul Zane Pilzer and published by John Wiley & Sons. This book was released on 2010-12-14 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: You no longer need a traditional employer plan to get good, affordable health insurance. The New Health Insurance Solution can help you cut your health insurance costs in half if: You're self-employed, an independent contractor, or your employer doesn't provide health insurance (you can probably get coverage on your own for about $94/month—a fraction of what an employer would have to pay for the same coverage) You are employed and pay extra to cover your spouse or children under your employer-sponsored plan—you may save 50% by taking them off your employer plan You own a small business and are getting killed by double-digit premium increases—you can now give employees tax-free money to buy their own plans and get your company out of the health insurance business The book also explains in detail the best solutions for you if: You can't find affordable health insurance because you or a child have an expensive preexisting medical problem (your state has a program to provide you with guaranteed coverage ) You're currently putting money into an IRA or a 401(k)—because you don't realize that an HSA is always a better option You're unsure how you or your parents will be able to afford health insurance during retirement, or how to maximize benefits from Medicare—including the new Part D prescription drug plan The New Health Insurance Solution is the definitive guide to the new ways every American can now get affordable health care—without an employer. PAUL ZANE PILZER is a world-renowned economist, a former advisor in two White House administrations, an entrepreneur/employer, an award-winning adjunct professor at NYU, and a New York Times bestselling author.
