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Health Care Finance: Economic Incentives and Productivity Enhancement

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Overview

This book is a thorough, balanced, and insightful study of what is happening and what should be happening in health care financing. Americans want unlimited access to the best care at affordable prices. Fiscal pressures in American health care point in all different directions, like a pile of jackstraws. This important book analyzes how new payment incentives stimulate planned competition or reregulation; and the far-reaching impact these changes have on hospitals, physicians, long-term care facilities, HMOs, public health clinics, and multihospital systems. Tools for survival include better financial planning, productivity improvement, better scheduling systems, and total quality management.

Steven R. Eastaugh begins his book with a general overview of cost management, accounting, product-line selection, and new payment incentives. Part II provides an in-depth survey of fiscal trends in long-term care, managed care, HMOs, and PPOs. Part III analyzes five basic strategies that a provider may consider; with special focus on market analysis, diversification, and pricing. The next part reviews physician payment options, the new Medicare 1992 payment systems for hospitals and physicians, and cost analysis of hospital patient care, research, and education. Part V considers productivity enhancement methods, incentives to assist productivity programs, and the Deming method of total quality management. Part VI focuses on investment, financing, and capital structure decisions in health care institutions and also in large multifacility systems. The last part summarizes major strategies for success in the 1990s, future policy alternatives, and suggests a number of alternative roads to universal entitlement and national health care reform. As Eastaugh suggests in this book, Our health system faces . . . immense opportunity and danger in a reformation on four fronts: access, efficiency, effectiveness, and quality of life. The challenge for providers and managers during this period of unparalleled opportunity is to win a clear victory on all four fronts, and not erode either access or quality in the name of efficiency. The range of coverage in Health Care Finance is extremely wide and detailed--making it essential and useful reading for health care professionals and students alike.

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Product Details

  • ISBN-13: 9780865690448
  • Publisher: ABC-CLIO, Incorporated
  • Publication date: 6/30/1992
  • Pages: 560
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.38 (d)

Meet the Author

STEVEN R. EASTAUGH is Professor of Health Economics and Finance at George Washington University.

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Table of Contents

Figures and Tables
Preface
Pt. 1 Managerial Concerns for Payers and Providers 1
1 Payment Incentives, Provider Behavior, and the Need for Better Cost Management 3
2 Hospital Accounting, Purchasing, and Product Specialization 37
Pt. 2 Access to Long-Term Care and Prepaid Managed Care 77
3 HMOs, PPOs, and Competition Health Plans 79
4 Long-Term Care: Issues and Options 117
Pt. 3 Strategy Selection, Market Analysis, Diversification, and Pricing 157
5 Diversification for the Single Hospital 159
6 Meeting, Pricing, and Specialization 191
Pt. 4 Managing Physicians, Medical Schools, and Teaching Hospitals 233
7 Paying the Doctor 235
8 Graduate Medical Education and the Teaching Hospital 263
Pt. 5 Quality Assurance and Productivity Control 311
9 Hospital Productivity: Managing Cost Reductions without Harm to Quality or Access 313
10 Incentives for Productivity Improvement 347
11 Quality Measurement, Value Shopping, and the Deming Method 367
Pt. 6 Investment, Financing, and Capital-Structure Decisions 401
12 Tax-exempt and For-Profit Multihospital Systems 403
13 Evaluation of Financing Alternatives 433
14 Access to Capital and Debt Financing 463
Pt. 7 The Bumpy Road Ahead 489
15 Future Policy Options: What Form Could Universal Entitlement Take? 491
Author Index 521
Subject Index 537
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