Competitive Managed Care: The Emerging Health Care System / Edition 1by John D. Wilkerson, Kelly J. Devers, Ruth S. Given
As the U.S. health care system continues to shift to an environment in which managed care organizations are intensely price competitive, what are the consequences for private and public purchasers, health care providers, and the consumer? In this timely book, a distinguished group of sixteen health care experts, including physicians, political scientists,… See more details below
As the U.S. health care system continues to shift to an environment in which managed care organizations are intensely price competitive, what are the consequences for private and public purchasers, health care providers, and the consumer? In this timely book, a distinguished group of sixteen health care experts, including physicians, political scientists, sociologists, and economists, identify and assess the challenges and opportunities raised by America's emerging competitive health care system. As the authors explain, health care markets have characteristics that do not conform to competitive conditions. Freely operating health care markets will not produce and allocate health care services efficiently, and they will not provide the distribution of services that Americans have historically favored.By offering thoughtful commentary on the major trAnds in health care, the book provides a much needed resource for health care providers, managers, and administrators as well as government policymakers. This compelling book
- Examines the evidence for greater efficiency of managed forms of care.
- Describes the role that employers and purchasing cooperatives are playing in promoting competition among health plans to lower premium costs.
- Assesses the implications of these changes for practitioners and educators in different health professions, including nursing, medicine, allied health, and public health.
- Investigates how increased price competition among managed care organizations is affecting the relationship between providers and their patients.
- Identifies the appropriate roles and responsibilities of governments in the emerging health care market.
Table of Contents
UNDERSTANDING COMPETITIVE MANAGED CARE.
The Emerging Competitive Managed Care Marketplace (J. Wilkerson, etal.).
Perspectives and Evidence on Efficiency in Managed CareOrganizations (H. Luft).
PRIVATE SECTOR INITIATIVES AND RESPONSES.
The Role of Purchasing Groups (L.Bergthold & L. Solomon).
Exercising Purchasing Power for Prevention (H. Schauffler & T.Rodriguez).
The Challenge of Measuring and Monitoring Quality (A.Bindman).
The Future of the Health Professions Under Managed Care (E. O'Neil& L. Finnocchio).
Inside the System: The Patient-Physician Relationship in the Era ofManaged Care (H. Waitzkin & J. Fishman).
PUBLIC SECTOR INITIATIVES AND RESPONSES.
Ensuring Competition in the Market for HMO Services (R.Given).
State-Sponsored Health Insurance Purchasing Cooperatives:California's "HIPC" (T. Buchmueller).
Managing the Managed Care Revolution: States and the New Medicaid(M. Sparer).
The Challenges of Implementing Market-Based Reform for PublicClients (K. Devers).
Messing with Medicare: Markets and Politics in the 104th Congress(J. Wilkerson).
Lessons for the United States: Britain's Experience with ManagedCompetition (D. Light).
Conclusion: The Potential and Limits of Competitive Managed Care.
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