[PDF] The Economics Of Us Health Care Policy The Role Of Market Forces eBook

Author : Frank W. Musgrave
Publisher : Routledge
Page : 201 pages
File Size : 44,65 MB
Release : 2015-02-24
Category : Business & Economics
ISBN : 1317457250

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Designed as a primary text for courses in health care economics and policy analysis, this comprehensive work places the issues and economic analysis of the health care industry in the context of market forces driving the industry, including negotiated markets, managed care, and the growing influence of oligopolies. Written in accessible prose, without the aid of technical jargon and mathematical formulations, the content is rich with applicable, understandable economic concepts and analysis, and examples of market failure and government involvement. Some of the major policy issues covered are drug pricing, Medicare and Medicaid reform, the medically uninsured, for-profit hospital monopoly price power, managed care competitive pricing, and new negotiated markets. The relevant economic concepts employed in the text include price elasticity of demand/supply, market structure from competitive to oligopolistic markets, monopoly pricing power, measures of health care inflation and the biases of the CPI, demand and supply factors, inverse relationship of present health care expenditures as a percentage of GDP, measures/concepts of efficiency, and the role of government in a market era.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 580 pages
File Size : 41,48 MB
Release : 1986-01-01
Category : Medical
ISBN : 0309036437

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"[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.

Author :
Publisher : Stigler Center
Page : 244 pages
File Size : 18,44 MB
Release : 2023-05-01
Category : Business & Economics
ISBN :

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This eBook was born out of a general diagnosis that the US healthcare sector is not only one of the most studied industries in economics but also one of the areas where the field can make the most progress. Indeed, the American healthcare industry has many features that are particularly attractive to economists. It is one of (if not the) largest sectors of the US economy, accounting for almost 20% of the national Gross Domestic Product and employing tens of millions of workers. Firms range from large conglomerates to small providers, and there is strong government-private sector interaction, with federal, state, and local governments shaping policy. The industry also has many failures, is undergoing tremendous change, and produces a wealth of data (even if not always perfectly formatted). The field, however, is far from saturated. Healthcare is such a complex and intricate sector, one where details matter so much that it is almost its own subfield of economics. These high barriers to entry prevent scholars from researching healthcare topics and weaken the cross-pollination of ideas, an increasing hallmark of many other areas. This is problematic, not the least, because any major advances in healthcare economics literally save lives (and billions of dollars). This project aimed to help lower these barriers and kick-start broader collaborations.

Author : Elisabeth Rosenthal
Publisher : Penguin
Page : 434 pages
File Size : 30,76 MB
Release : 2017-04-11
Category : Medical
ISBN : 0698407180

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A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

Author : Ms. Li Lin
Publisher : International Monetary Fund
Page : 51 pages
File Size : 35,91 MB
Release : 2021-07-06
Category : Business & Economics
ISBN : 1513585452

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Healthcare in the United States is the most expensive in the world, with real per capita spending growth averaging 4 percent since 1980. This paper examines the role of market power of U.S. healthcare providers and pharmaceutical companies. It finds that markups (the ability to charge prices above marginal costs) for publicly listed firms in the U.S. healthcare sector have almost doubled since the early 1980s and that they explain up to a quarter of average annual real per capita healthcare spending growth. The paper also finds evidence that the Affordable Care Act and Medicaid expansion were successful in raising coverage and expanding care, but may have had the undesirable side-effect of leading to labor cost increases: Hourly wages for healthcare practitioners are estimated to have increased by 2 to 3 percent more in Medicaid expansion states over a five-year period, which could be an indication that the supply of medical services is relatively inelastic, even over a long time horizon, to the boost to demand created by the Medicaid expansion. These findings suggest that promoting more competition in healthcare markets and reducing barriers to entry can help contain healthcare costs.

Author : Sherman Folland
Publisher : Routledge
Page : 858 pages
File Size : 15,37 MB
Release : 2016-05-23
Category : Business & Economics
ISBN : 1315510715

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For courses in Health Economics, U.S. Health Policy/Systems, or Public Health, taken by health services students or practitioners, the text makes economic concepts the backbone of its health care coverage. Folland, Goodman and Stano's book is the bestselling Health Care Economics text that teaches through core economic themes, rather than concepts unique to the health care economy. This edition contains revised and updated data tables, where applicable. The advent of the Patient Protection and Affordable Care Act (PPACA) in 2010 has also led to changes in many chapters , most notably in the organization and focus of Chapter 16.

Author : Charles E. Phelps
Publisher : Routledge
Page : 420 pages
File Size : 14,96 MB
Release : 2017-11-13
Category : Business & Economics
ISBN : 1351856340

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In this book, Phelps and Parente explore the US health care system and set out the case for its reform. They trace the foundations of today’s system, and show how distortions in the incentives facing participants in the health care market could be corrected in order to achieve lower costs, a higher quality of care, a higher level of patient safety, and a more efficient allocation of health care resources. Phelps and Parente propose novel yet economically robust changes to US tax law affecting health insurance coverage and related issues. They also discuss a series of specific improvements to Medicare and Medicaid, and assess potential innovations that affect all of health care, including chronic disease management, fraud and abuse detection, information technology, and other key issues. The Economics of US Health Care Policy will be illuminating reading for anyone with an interest in health policy, and will be a valuable supplementary text for courses in health economics and health policy, including for students without advanced training in economics.

Author : David Dranove
Publisher : Princeton University Press
Page : 220 pages
File Size : 41,90 MB
Release : 2009-01-10
Category : Medical
ISBN : 1400824680

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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.

Author : Lykourgos Liaropoulos
Publisher : Createspace Independent Publishing Platform
Page : 152 pages
File Size : 38,81 MB
Release : 2016-10-28
Category :
ISBN : 9781539416456

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HOW TO FINANCE AND DELIVER HEALTH CARE Health has been one of the most frequent issues arising in the Social Policy debate for the last 60 or more years. The answers given vary according to political ideology, economic expediency, and the moral standing of individuals and society. The sources of funding are essentially two: either the individual directly, or a larger group acting on his behalf. In the second case, we have two main categories. The individual is either covered by private for-profit insurance, or by a public insurance scheme financed by mandatory employment contributions and/or by taxes on income and/or wealth. The economic implications of each form of health insurance are immense-for individuals, employers, the government, and for the economy as a whole. The main differentiation is the position of health care in the value system of society. If health care is considered a right, its financing must be similar to that of other public goods or rights such as justice, national security, personal safety, basic education, etc. At the same time, the provision of all public goods is a public responsibility and government is judged by how well it measures up to this responsibility. If, on the other hand, health care is considered a good, bought and sold on the market, then it is up to individuals to provide for themselves. Obviously, this fundamental issue belongs to the sphere of politics and is up to society to judge, according to its code of ethics. The time to decide has come in America, somewhat belatedly, but in a way more acute than ever. The health of individuals, but also and mainly the economic health of the nation, depends on the decision. REVIEWS "Extend the discussion of medical profession into other non-physician professionals' role in addressing the healthcare issue, such as NPs & PAs." - Reviewer's Comment No. 1, Bentham Science, September 2016 "This seems a timely book. It is an important discussion in the western world as to how best finance the health care system. I expect there will be a wide audience for this book. I am attracted to the idea that there is not only a critique, but also attempts to point to the ways out. Because of my own expertise I am interested in the analysis between economy and morality that the book promises." - Reviewer's Comment No. 1, Bentham Science, September 2016

Author : Lynn Unruh, PhD
Publisher : Aupha/Hap Book
Page : 0 pages
File Size : 19,87 MB
Release : 2023-03-09
Category :
ISBN : 9781640553477

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The fifth edition of The Economics of Health Reconsidered continues to challenge the reliance on market forces to address health policy issues, and it argues instead for the value of government intervention. By critically examining economic theory as applied to the healthcare sector, the authors encourage readers to question the assumptions on which the perceived success of the competitive-healthcare-market model is based. This updated text focuses on how the unique characteristics of healthcare challenge the effectiveness of traditional economic remedies. Chapters explore demand and supply, equity, expenditures, and economic evaluations. This edition's updates include new chapters on: - Social determinants of health that explores the effects of education, income, gender, sexual- and gender-minority identities, early childhood experiences, neighborhood effects, and race/ethnicity on demand for health - Behavioral economics, including how decision making compares to the view assumed by the traditional economic framework The book illustrates how the government plays a crucial role in making the healthcare sector not only more equitable but also more efficient.