Download or read book Pricing health services Transaction cost approach written by Monika Raulinajtys-Grzybek and published by Anchor Academic Publishing (aap_verlag). This book was released on 2015-03-04 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: The study is the result of the research on the transaction costs of the pricing of health services. Due to the fact that the regulations in terms of pricing include activities that lead to price-setting of a good (health service), costs associated with these activities should be treated as transaction costs. According to the assumptions of classical economics, the price should be set at the intersection of the supply and demand curve under the assumption of full information and rationality of market participants. The primary objective of the study is to identify the transaction costs occurring during the pricing of health services (and relate these cost to the institutional environment and the organization of pricing transaction) and characterize the factors that affect the level of transaction costs – to present the force and direction of the relationship between each of the factors and the level of transaction costs. An additional objective of this study is to link the conclusions about the level of transaction costs to the conclusions regarding the accuracy of the cost-based pricing in health care. The accuracy of the pricing system is related to the degree to which the price structure reflects the actual cost structure of the health services. The institutional approach will add up to the existing research on the importance of cost information for the pricing of health services. The empirical part of the work was carried out based on the analysis of primary and secondary sources. Its aim was to present how pricing is organized in seventeen countries selected.

Download or read book Components of the Costs of Controlling Quality written by Renée A. Stiles and published by . This book was released on 1997 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Care Development written by M. Hajli and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emergence of Web 2.0 technologies has already been influential in many industries, and Web 2.0 applications are now beginning to have an impact on health care. These new technologies offer a promising approach for shaping the future of modern health care, with the potential for opening up new opportunities for the health care industry as it struggles to deal with challenges including the need to cut costs, the increasing demand for health services and the increasing cost of medical technology. Social media such as social networking sites are attracting more individuals to online health communities, contributing to an increase in the productivity of modern health care and reducing transaction costs. This study therefore examines the potential effect of social technologies, particularly social media, on health care development by adopting a social support/transaction cost perspective. Viewed through the lens of Information Systems, social support and transaction cost theories indicate that social media, particularly online health communities, positively support health care development. The results show that individuals join online health communities to share and receive social support, and these social interactions provide both informational and emotional support.

Download or read book The Transaction Cost Economics Project written by Oliver E. Williamson and published by Edward Elgar Publishing. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transaction cost economics has and continues to be a fruitful area of research. There is still much to be done in the field with past research being used in conjunction with the vast number of contractual phenomena that have yet to be investigated in transaction cost economics terms. New challenges are posed by the need to move beyond the design of new contractual instruments (such as financial derivatives) to include an examination of the lurking hazards that attend contract implementation.

Download or read book Understanding Value Based Healthcare written by Vineet Arora and published by McGraw Hill Professional. This book was released on 2015-04-03 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provide outstanding healthcare while keeping within budget with this comprehensive, engagingly written guide Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on cost- and value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today. Understanding Value-Based Healthcare is divided into three sections: Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more. Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care. Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives. The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis. .

Download or read book Applying Cost Analysis to Public Health Programs written by and published by . This book was released on 200? with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Organizational Form of Disease Management Programs written by Nahush Chandaver and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Patient care programs such as wellness, preventive care and specifically disease management programs, which target the chronically ill population, are designed to reduce healthcare costs and improve health, while promoting the efficient use of healthcare resources, and increasing productivity. The organizational form adopted by the health plan for these programs, i.e. in-sourced vs. outsourced is an important factor in the success of these programs and the extent to which the core objectives listed above are fulfilled. Transaction cost economics aims to explain the working arrangement for an organization and to explain why sourcing decisions were made by considering alternate organizational arrangements and comparing the costs of transacting under each. This research aims to understand the nature and sources of transaction costs, how they affect the sourcing decision of disease management and other programs, and its effect on the organization, using current industry data. Predictive models are used to obtain empirical results of the influence of each factor, and also to provide cost estimates for each organizational form available, irrespective of the form currently adopted. The analysis of the primary data obtained by the means of a web-based survey supports and confirms the effect of transaction cost factors on these programs. This implies that in order to reap financial rewards and serve patients better, health plans must aim to minimize transaction costs and select the organizational form that best accomplishes this objective.

Download or read book Transaction Cost Theories and Health Policies written by Christine C. Huttin and published by . This book was released on 2024-01-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book includes essays on Transaction Cost theories for Health policies; it shows that such an approach is still useful for liberal economies. It is part of a larger research agenda to develop policy aiding decision tools and address inefficiencies of medical markets. The Transaction Cost Economics framework is applied for a project on re-engineering of California primary care; then an emerging theoretical framework called the "3Ps" develops further a Transaction Cost Political theory with a business approach; it combines Politics, Patients and Products from companies for market access, with 3P from the demand side: Physicians, Pharmacists and Patients. These actors choose individual cost reduction strategies for patients, this explicit information complements the implicit cost cues used in the cost sensitivity simulators (Huttin-Endepusresearch, 2017). Then, the author uses this "3P" framework in two case studies: France and Germany. Results identified that physicians were key players in Germany versus pharmacists in France, with their choices of individual cost reduction strategies. The Transaction Cost approach remains useful for Random Utility Models in health insurance.

Download or read book Accounting for Health and Health Care written by National Research Council and published by National Academies Press. This book was released on 2011-02-05 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: It has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as opposed to increased unit prices of existing services. And an even more fundamental question is the degree to which the increased spending actually has purchased improved health. Accounting for Health and Health Care addresses both these issues. The government agencies responsible for measuring unit prices for medical services have taken steps in recent years that have greatly improved the accuracy of those measures. Nonetheless, this book has several recommendations aimed at further improving the price indices.

Download or read book A Transaction Cost Analysis of Dutch Hospital Care written by Claudia Brandenburg and published by LAP Lambert Academic Publishing. This book was released on 2009-08 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study shows that transactions between hospitals and health insurance companies in a deregulated environment will develop towards more sophisticated coordination mechanisms. A transaction cost analysis shows that ultimately the classic hospital, with a full range of services and products, which contracts health insurance companies for all hospital products will disappear. Economic behaviour of hospitals and health insurance companies in a deregulated environment results in segmentation, specialisation and selective contracting. Health insurance companies with a limited number of transactions are recommended, from an economic point of view, to use a lean hybrid governance structure or even a classic contract. However, market governance has the disadvantage that instability in transactions is expected and eventually results in financial losses. Large health insurance companies can efficiently coordinate segments of hospital care in a hierarchy (vertical integration). All-in-one contracts and shared ownership are efficient alternatives in a hybrid governance structure.

Download or read book Transaction Costs Institutions and Economic Performance written by Douglass Cecil North and published by Ics Press. This book was released on 1992 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Price We Pay written by Marty Makary and published by Bloomsbury Publishing USA. This book was released on 2019-09-10 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: New York Times bestseller Business Book of the Year--Association of Business Journalists From the New York Times bestselling author comes an eye-opening, urgent look at America's broken health care system--and the people who are saving it--now with a new Afterword by the author. "A must-read for every American." --Steve Forbes, editor-in-chief, FORBES One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr. Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research, and his own experience, The Price We Pay paints a vivid picture of the business of medicine and its elusive money games in need of a serious shake-up. Dr. Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr. Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable. The Price We Pay offers a road map for everyday Americans and business leaders to get a better deal on their health care, and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well--a mission that can rebuild the public trust and save our country from the crushing cost of health care.

Download or read book The Economics of Transaction Costs written by Oliver E. Williamson and published by Edward Elgar Publishing. This book was released on 1999 with total page 572 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transaction cost economics began to take shape around 1970 and has since been established as an essential tool used to illuminate a wide range of problems in economics and other social sciences. This reader presents articles which together form the foundations of research in transaction cost economics.

Download or read book Cost Effectiveness in Health and Medicine written by Marthe R. Gold and published by Oxford University Press. This book was released on 1996-07-18 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: A unique, in-depth discussion of the uses and conduct of cost-effectiveness analyses (CEAs) as decision-making aids in the health and medical fields, this volume is the product of over two years of comprehensive research and deliberation by a multi-disciplinary panel of economists, ethicists, psychometricians, and clinicians. Exploring cost-effectiveness in the context of societal decision-making for resource allocation purposes, this volume proposes that analysts include a "reference-case" analysis in all CEAs designed to inform resource allocation and puts forth the most explicit set of guidelines (together with their rationale) ever defined on the conduct of CEAs. Important theoretical and practical issues encountered in measuring costs and effectiveness, evaluating outcomes, discounting, and dealing with uncertainty are examined in separate chapters. Additional chapters on framing and reporting of CEAs elucidate the purpose of the analysis and the effective communication of its findings. Cost-Effectiveness in Health and Medicine differs from the available literature in several key aspects. Most importantly, it represents a consensus on standard methods--a feature integral to a CEA, whose principal goal is to permit comparisons of the costs and health outcomes of alternative ways of improving health. The detailed level at which the discussion is offered is another major distinction of this book, since guidelines in journal literature and in CEA-related books tend to be rather general--to the extent that the analyst is left with little guidance on specific matters. The focused overview of the theoretical background underlying areas of controversy and of methodological alternatives, and, finally, the accessible writing style make this volume a top choice on the reading lists of analysts in medicine and public health who wish to improve practice and comparability of CEAs. The book will also appeal to decision-makers in government, managed care, and industry who wish to consider the uses and limitations of CEAs.

Download or read book Pricing Health Services for Purchasers written by Hugh Waters and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper reviews methodologies and international experience related to costing and pricing health services. Several factors affect the determination of the prices purchasers pay for health services. These include: the method of provider payment; the availability of information on costs, volumes, outcomes, and patient and provider characteristics; methods used to calculate providers' costs; and characteristics of purchasers and providers-including the regulatory environment, provider autonomy, negotiating power, and the degree of competition. The paper focuses on methods for setting levels of payment under different provider payment mechanisms. Line item and global budgets remain the most common reimbursement methods in developing countries. However, many of these countries are implementing mixed payment systems that have greater information demands. The principal payment types used in high-income countries-capitation, payments per case or diagnosis, and fee-for-service-are reviewed here, and implications for low- and middle-income countries discussed. To minimize incentives for under- or over-utilization, prices that purchasers pay for health care services should be related to the unit costs of services. However, establishing the true unit cost of health services is complicated, and detailed data needed to correctly allocate indirect costs to the units of services are not generally available in developing countries. The organizational characteristics of health care providers and their relationships with purchasers strongly influence the way prices for health services are determined. Pertinent characteristics include provider autonomy, provider negotiating power, and the degree of competition. The principal constraint on the development of provider payments systems in developing countries is the limited availability of information on costs, volumes, and patient characteristics. However, international experiences reveal a variety of options for setting prices for health care purchasers in developing countries that are reforming their payment systems.

Download or read book Hidden Costs Value Lost written by Institute of Medicine and published by National Academies Press. This book was released on 2003-06-19 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hidden Cost, Value Lost, the fifth of a series of six books on the consequences of uninsurance in the United States, illustrates some of the economic and social losses to the country of maintaining so many people without health insurance. The book explores the potential economic and societal benefits that could be realized if everyone had health insurance on a continuous basis, as people over age 65 currently do with Medicare. Hidden Costs, Value Lost concludes that the estimated benefits across society in health years of life gained by providing the uninsured with the kind and amount of health services that the insured use, are likely greater than the additional social costs of doing so. The potential economic value to be gained in better health outcomes from uninterrupted coverage for all Americans is estimated to be between $65 and $130 billion each year.

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.