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Strategic Health Management: A Guide for Employers, Employees, and Policymakers

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As it stands now, and in any likely reform scenario, employers will continue to bear a major share of this nation's health care costs. Yet despite the central role they have played in health care funding, employers across the country have had little to say about the organization, cost, delivery or form of the health care services they are purchasing. In this book, Harris shows that unless this situation changes, employers will continue to be victims of a system whose costs are out of control and wages, ...
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1994 Hard Cover First Edition NEW Copy. NEW DJ NEW copy in NEW DJ. No remainder marks. Not ex-library.

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Overview

As it stands now, and in any likely reform scenario, employers will continue to bear a major share of this nation's health care costs. Yet despite the central role they have played in health care funding, employers across the country have had little to say about the organization, cost, delivery or form of the health care services they are purchasing. In this book, Harris shows that unless this situation changes, employers will continue to be victims of a system whose costs are out of control and wages, profitability, and competitiveness will continue to suffer as a result. In Strategic Health Management, Jeffrey S. Harris draws on his extensive experience in both business and medicine to provide invaluable guidance to employers and employees that can help them take a more proactive role in health care. He details how employers can start strategically managing what it is they are purchasing and how much they pay, and offers guidance for helping employees make wise decisions about the use of medical care, selecting managed care plans, actively managing their own care, and instituting preventive care techniques. He outlines how employers can negotiate with financing organizations, claims payers, and providers of care to exert influence over the price, volume, technical intensity, quality, and value of care. He describes the various segments of the medical industry and reveals how purchasers can better understand the business dynamics of health care, pointing out areas where employers and payers can best utilize their bargaining strengths. In addition, Harris gives health care providers valuable insight and information about the buying and demand patterns of both employers and employees.

Harris provides a high-level overview of managing employee health, allocating scarce resources, and designing and utilizing plans that really work. He presents a rationale and outlines for employee training in self-care and the wise use of the medical system. Approx.

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Editorial Reviews

Booknews
Harris (health strategies, Alexander & Alexander Consulting Group) provides guidance to employers and employees that can help them take a more proactive role in health care. He outlines how employers can negotiate with financing organizations and care providers to exert influence over the price, volume, technical intensity and value of care. Describing the various segments of the medical industry, he reveals areas where employers and payers can best utilize their bargaining strengths, and offers information about the buying and demand patterns of employers and employees. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9781555426552
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 5/28/1994
  • Series: Health Management Series
  • Edition description: 1st ed
  • Edition number: 1
  • Pages: 416
  • Product dimensions: 6.29 (w) x 9.26 (h) x 1.35 (d)

Table of Contents

Figures and Tables
Preface
The Author
1 The Evolution of the Health Care Crisis 3
2 Square Pegs and Round Holes: Matching Health Care Needs with Realities of the System 30
3 Buying Health Care: Quality and Value in Medical Care 50
4 Supplying Health Care: The Dynamics of the Medical Care Industry 76
5 The Framework of Strategic Management 118
6 A Political Solution: Changing Public Policies 145
7 Revisiting Conventional Benefits Plans: Where They Succeed and Fail 168
8 Increasing Employee Involvement in Decision Making 186
9 Encouraging Health Promotion and Disease Prevention 208
10 Total Compensation: Megaflex 241
11 Alliances with Managed Care 251
12 Direct Contracting for Medical Care 281
13 Managing Health Through Internal Organizations 302
14 Opportunities and Barriers to Strategic Health Management 313
Appendix: International Benchmarks and Competitive Challenges 323
References 333
Name Index 367
Subject Index 373
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