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Author : American Medical Association
Publisher : Unknown
Page : 60 pages
File Size : 48,8 Mb
Release : 2013
Category : Health insurance
ISBN : 1603599444
Author : John E. Dicken
Publisher : DIANE Publishing
Page : 13 pages
File Size : 51,8 Mb
Release : 2010-06
Category : Business & Economics
ISBN : 9781437921496
Consolidation in the private health insurance (PHI) industry may be resulting in less competitive markets and contributing to rising health insurance rates paid by consumers and employers. However, measuring the extent of changes in market competition over time or the effects of changes is challenging. Researchers have used the data available to study competition in PHI markets, typically using one of two measures of competition: HMO market concentration; or the number of HMOs in a market. This report summarizes the findings of peer-reviewed research on concentration in PHI markets and the relationship between the level of competition and other variables, such as premium prices and provider reimbursement rates. Illustrations.
Author : A.C. Enthoven
Publisher : Elsevier
Page : 175 pages
File Size : 49,5 Mb
Release : 2014-04-23
Category : Medical
ISBN : 9781483292724
These lectures review the research and experience on the subject of health care economy. The author also sets down a moderately rigorous statement of the economic concepts underlying the kind of competition that he regards as the most promising way to achieve a reasonable degree of equity and efficiency in health care. The first lecture is on the public policy goals of health care financing and delivery and discusses efficiency in health care. The second presents an economic analysis of the systems for organizing and financing medical care systems in the United States. The third lecture is about ``managed competition'', and the fourth reviews American experience with efforts to convert from the traditional system to a competitive system. The book is addressed primarily to economists, health policy makers and health services researchers. It explains how market forces may be managed in pursuit of equity and efficiency in health care. It addresses systematically many of the causes of market failure and proposes a strategy (``managed competition'') for overcoming them. It should be of interest to policy makers in any country interested in incentives for more efficient health care delivery. It should also be very useful supplemental reading for courses in health care economics.
Author : Michael E. Porter,Elizabeth Olmsted Teisberg
Publisher : Harvard Business Press
Page : 540 pages
File Size : 48,8 Mb
Release : 2006-04-24
Category : Business & Economics
ISBN : 9781422133361
The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.
Author : Rudy C. Douven
Publisher : Unknown
Page : 56 pages
File Size : 48,9 Mb
Release : 2000
Category : Competition
ISBN : STANFORD:36105114663243
Author : Anonim
Publisher : Unknown
Page : 65 pages
File Size : 50,5 Mb
Release : 2017
Category : Health insurance
ISBN : 1622027493
Author : Center for Health Policy Research (American Medical Association)
Publisher : Unknown
Page : 41 pages
File Size : 51,6 Mb
Release : 2008
Category : Health insurance
ISBN : 1603591249
Author : Lenny Seigel
Publisher : DIANE Publishing
Page : 64 pages
File Size : 46,6 Mb
Release : 1993-05
Category : Electronic
ISBN : 1568064217
Examines the potential of the managed competition approach to reduce the level & rate of growth of national health expenditures, & the specific features of managed competition that could generate significant savings.
Author : Thomas G. McGuire,Richard C. Van Kleef
Publisher : Academic Press
Page : 648 pages
File Size : 55,9 Mb
Release : 2018-08-06
Category : Business & Economics
ISBN : 9780128113264
Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment. Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection Brings together international experience from many different countries that apply regulated competition in different ways Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness
Author : Anonim
Publisher : Unknown
Page : 103 pages
File Size : 54,6 Mb
Release : 2004
Category : Health insurance
ISBN : OCLC:57533332
Author : Anonim
Publisher : DIANE Publishing
Page : 120 pages
File Size : 41,9 Mb
Release : 1993-07
Category : Managed care plans (Medical care)
ISBN : 0788100262
Pamphlet from the vertical file.
Author : William Jack
Publisher : Unknown
Page : 46 pages
File Size : 47,8 Mb
Release : 1998
Category : Health insurance
ISBN : UCSD:31822025569989
Author : Michael F. Cannon,Michael Tanner
Publisher : Cato Institute
Page : 210 pages
File Size : 46,5 Mb
Release : 2007
Category : Business & Economics
ISBN : 9781933995106
Government control has driven health care costs sky-high at the same time that it has reduced the quality of care. As America's health care system cries out for reform, should policymakers embrace even more government planning, or should they fight for more individual freedom? In this updated edition of their 2005 book, the authors tackle proposals that would let government manage even more of America's health care sector. The continuing problem of ever-rising health care costs makes this book as timely as ever.
Author : Paolo Belli
Publisher : World Bank Publications
Page : 38 pages
File Size : 43,6 Mb
Release : 2001
Category : Adverse selection (Insurance)
ISBN : 8210379456XXX
There may be a price to pay (in terms of inefficient coverage) if competition among health insurers is encouraged as a way to give patients greater choice and to achieve better control over insurance providers.
Author : Center for Health Policy Research (American Medical Association)
Publisher : Unknown
Page : 46 pages
File Size : 50,8 Mb
Release : 2011
Category : Health insurance
ISBN : 160359633X