Excessive Medical Spending

Excessive Medical Spending
Author: Norman J. Temple
Publisher: CRC Press
Total Pages: 387
Release: 2018-04-19
Genre: Medical
ISBN: 1315358166

This work contains a Foreword by Merrill Goozner, Author and Director, Integrity in Science, Center for Science and the Public Interest, Washington DC. This book exposes why healthcare costs have been rapidly increasing and includes a close examination of over-priced drugs. It contains a detailed explanation of how the drug industry takes billions of dollars from society each year and proposes radical new ideas to reign in excessive spending on medicine. Based on the latest research, its unique approach takes into account the pharmaceutical industry, healthcare policy and society to offer a wide ranging account. It is invaluable for all healthcare professionals, especially managers and doctors and nurses with budgetary responsibilities. It will also be useful for researchers, policy makers and shapers, pharmaceutical company executives and general readers with an interest in medical expenditure. "While most discussions about the fiscal problems caused by aging societies have focused on pensions and income security, the more serious landmine in the road ahead is health-care finance, which will be in full-blown crisis sometime early in the next decade. That's why this book is timely. Until we learn to talk openly and honestly about what constitutes good health, good health care, and the best and most cost-effective way of achieving both, we'll never have an affordable health-care system." - Merrill Goozner, in the Foreword.

Medical Governance

Medical Governance
Author: David L. Weimer
Publisher: Georgetown University Press
Total Pages: 232
Release: 2010-02-17
Genre: Medical
ISBN: 1589016823

Governments throughout the industrialized world make decisions that fundamentally affect the quality and accessibility of medical care. In the United States, despite the absence of universal health insurance, these decisions have great influence on the practice of medicine. In Medical Governance, David Weimer explores an alternative regulatory approach to medical care based on the delegation of decisions about the allocation of scarce medical resources to private nonprofit organizations. He investigates the specific development of rules for the U.S. organ transplant system and details the conversion of a voluntary network of transplant centers to one private rulemaker: the Organ Procurement and Transplantation Network (OPTN). As the case unfolds, Weimer demonstrates that the OPTN is more efficient, nimble, and better at making evidence-based decisions than a public agency; and the OPTN also protects accountability and the public interest more than private for-profit organizations. Weimer addresses similar governance arrangements as they could apply to other areas of medicine, including medical records and the control of Medicare expenditures, making this timely and useful case study a valuable resource for debates over restructuring the U.S. health care system.

Health Policy Analysis

Health Policy Analysis
Author: Curtis P. McLaughlin
Publisher: Jones & Bartlett Learning
Total Pages: 276
Release: 2023-10-19
Genre: Education
ISBN: 1284279952

"Health Policy Analysis analyzes current U.S. health policy and proposes various alternatives for developing future health policy without pushing a single solution set-rather, it considers the viewpoints of economics, political science, management, communications, technology, and public health"--

Essential Health Benefits

Essential Health Benefits
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 256
Release: 2012-02-17
Genre: Medical
ISBN: 0309219140

In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.

Healthy Markets?

Healthy Markets?
Author: Mark A. Peterson
Publisher: Duke University Press
Total Pages: 452
Release: 1998
Genre: Business & Economics
ISBN: 9780822321385

Discusses the various implications of the new managed-care health care systems.

Evidence-Based Public Health

Evidence-Based Public Health
Author: Ross C. Brownson
Publisher: OUP USA
Total Pages: 312
Release: 2011-01-13
Genre: Medical
ISBN: 0195397894

The authors deal not only with finding and using scientific evidence, but also with implementation and evaluation of interventions that generate new evidence on effectiveness. Each chapter covers the basic issues and provides multiple examples to illustrate important concepts.