Download or read book Three Essays on the Impact of Cost Containment Policies on the Supply and Demand of Health Care Services and on Health Outcomes written by Brian Ken Chen and published by . This book was released on 2009 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Three Essays on Health Care Cost Containment written by Seidu Dauda and published by . This book was released on 2015 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation consists of three separate but closely related chapters, all focusing on health care cost containment. It primarily uses MarketScan data, a large data set on the U.S. privately insured population, from Truven Health Analytics. The first chapter briefly discusses the problem of rising health care costs and introduces the research questions that the remaining chapters seek to address. Recent consolidations among hospitals and health insurers have made U.S. health care markets less competitive, leading to some concerns. The second chapter uses inpatient claims data from 2005 to 2008 to examine the effects of hospital and insurer market concentration on actual transaction prices for inpatient hospital services. The findings indicate that hospital consolidation likely raised prices by about 2.6 percent (about $4.9 billion in annual hospital revenues from private payers) over the 2003-2008 period, while insurer consolidation likely depressed hospital prices by about 10.8 percent (about $20.7 billion in annual hospital revenues). The third chapter examines the impact of hospital market concentration on hospital care quality using panel analysis and inpatient claims data spanning the period 2003-2008. The results suggest that rising hospital concentration likely resulted in lower care quality for privately insured patients. Based on the observed increase in the average hospital concentration between 2003 and 2008, the estimate implies a 0.21 percentage point increase in the probability of AMI related deaths, which translates into about 6,175 life years lost and an economic cost of roughly $618 million in 2008 for the entire U.S. privately insured population. The idea that newer drugs are cost saving has been a debated topic in the health economics literature. The fourth chapter delves into the debate using new data and empirical methods. It uses the case of drug-taking patients diagnosed with hypertension over the 1999-2008 period to re-examine the question: Do newer drugs save more in nondrug spending than they cost? Overall, the obtained results show a lack of cost saving effect. While I find evidence that using newer monotherapy is associated with treatment substitution effect, the resulting expenditure reduction is generally not enough to "offset" the higher cost of newer drugs.
Download or read book Cost Containment and Efficiency in National Health Systems written by John Rapoport and published by John Wiley & Sons. This book was released on 2008-12-03 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by a local health economics expert, each of the eight chapters in this timely handbook and ready reference describes the national healthcare system of a different industrialized country. In each case, the 4-5 specific policies with the highest impact on that respective country over the past 20-30 years are identified. In addition, the economic characteristics of each policy are described and, where possible, its success evaluated, discussing the current policy agenda. A final chapter summarizes and synthesizes the major points of the analysis. While the main focus is on economics, this guide is written in non-technical language for an audience of health policy decision makers or students of health policy, making it an invaluable contribution to the current debate surrounding the control of rising healthcare-related costs in the developed world.
Download or read book For Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Download or read book Controlling the Cost of Health Care written by National Center for Health Services Research and published by . This book was released on 1977 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rising Health Care Costs written by and published by . This book was released on 1991 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cost Containment and Health Planning written by United States. Bureau of Health Planning and published by . This book was released on 1980 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Cost Containment written by Beverly J. Fike and published by . This book was released on 1983 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Cost Containment Policy written by Manas Chatterji and published by Springer. This book was released on 1983-05-31 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The U S Health Care Cost Conundrum written by Timothy P. Lesiewicz and published by . This book was released on 2011 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The signing of the Patient Protection and Afforadable Care Act (PPACA), on March 23, 2010, marked the beginning of a new chapter in U.S. health care policy. The landmark legislation became the most substantial piece of health reform since Medicare, mandating coverage for nearly all Americans, imposing new regulations on insurers to make insurance more affordable, and promising to reduce health care expenditures within the U.S. health care system. Although there are a myriad number of variables that contribute to the escalation of health care costs, my research focuses on the reform's cost-containment measures, and examines whether the measures will actually reduce health care expenditures. I identify three major cost-containment initiatives in the reform act: comparative effectiveness research, health information technology, and preventive measures. I then examine the efficacy of these measures by, first, analyzing the projected reduction in health care spending data as researched and calculated by the Congressional Budget Office, Urban Institute, and Robert Wood Foundation and, second, by comparing the breadth of each initiative to the impact of similar cost containment programs in other countries. Based on this two-fold analysis, I argue that while the PPACA's three cost containment initiatives have proven effective in other countries, their effectiveness in the U.S. is less likely, due largely to the initiatives not being as robust as their foreign counterparts"--Abstract.
Download or read book Effect of Health Care Costs on the Economy written by United States. Congress. Senate. Committee on Finance. Subcommittee on Health for Families and the Uninsured and published by . This book was released on 1992 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Changing Economics of Medical Technology written by Institute of Medicine and published by National Academies Press. This book was released on 1991-02-01 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans praise medical technology for saving lives and improving health. Yet, new technology is often cited as a key factor in skyrocketing medical costs. This volume, second in the Medical Innovation at the Crossroads series, examines how economic incentives for innovation are changing and what that means for the future of health care. Up-to-date with a wide variety of examples and case studies, this book explores how payment, patent, and regulatory policiesâ€"as well as the involvement of numerous government agenciesâ€"affect the introduction and use of new pharmaceuticals, medical devices, and surgical procedures. The volume also includes detailed comparisons of policies and patterns of technological innovation in Western Europe and Japan. This fact-filled and practical book will be of interest to economists, policymakers, health administrators, health care practitioners, and the concerned public.
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Download or read book The Healthcare Imperative written by Institute of Medicine and published by National Academies Press. This book was released on 2011-01-17 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
Download or read book Cost Containment and New Directions in Health Policy in the United States written by Mark V. Pauly and published by . This book was released on 1985 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Cost Containment written by and published by . This book was released on 1980 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt:
