The health care industry in the U.S. is peculiar. We spend close to 18% of our GDP on health care, yet other countries get better results—and we don't know why. To date, we still lack widely accepted answers to simple questions, such as "Would requiring everyone to buy health insurance make us better off?" Drawing on behavioral economics as an alternative to the standard tools of health economics, author Douglas E. Hough seeks to more clearly diagnose the ills of health care today.
A behavioral perspective makes sense of key contradictions—from the seemingly irrational choices that we sometimes make as patients, to the incongruous behavior of physicians, to the morass of the long-lived debate surrounding reform. With the new health care law in effect, it is more important than ever that consumers, health care industry leaders, and the policymakers who are governing change reckon with the power and sources of our behavior when it comes to health.
Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare’s payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly.
Lazris offers straightforward solutions to ensure Medicare’s solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.
Описание: The history of health insurance.- Health economics, risk, and finance.- Demand for health insurance.- Supply of health insurance.- Features of health insurance.- Purchasing health insurance.- Health policy and health insurance.- Promoting value in health insurance.
Автор: Lieberthal Название: What Is Health Insurance (Good) For? ISBN: 331943795X ISBN-13(EAN): 9783319437958 Издательство: Springer Рейтинг: Цена: 16070.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This informative volume synthesizes the literatures on health economics, risk management, and health services into a concise guide to the financial and social basics of health insurance with an eye to its wide-scale upgrade. Its scope takes in concepts of health capital, strengths and limitations of insurance models, the effectiveness of coverage and services, and the roles of healthcare providers and government agencies in the equation. Coverage surveys the current state of group and public policies, most notably the effects of the Affordable Care Act on insurers and consumers and the current interest in universal coverage and single-payer plans. Throughout, the author provides systemic reasons to explain why today’s health insurance fails so many consumers, concluding with reality-based recommendations for making insurance more valuable to both today’s market and consumer well-being.Included among the topics: ·Defining health insurance and healthcare finance.·Consuming and investing in health.·The scope of health insurance and its constraints.·Matching health insurance supply and demand.·The role of government in health insurance.·Ongoing challenges and the future of health insurance.Bringing a needed degree of objectivity to often highly subjective material, What Is Health Insurance (Good) For? is a call to reform to be read by health insurance researchers (including risk management insurance and health services research), professionals, practitioners, and policymakers.
Описание: The Patient Protection and Affordable Care Act marked a watershed in U.S. health policy, but controversy over its passage rages on, and much uncertainty surrounds the law’s transformation from blueprint into operational program. How can the experience of other nations help us to reconcile the competing goals of universal coverage, cost control, and high quality care? Following an analysis of the 2010 statute, this book surveys developments in different parts of the globe to identify important lessons in health politics, policy design, and program implementation. A concluding chapter examines the issue of resistance to foreign remedies within the process of U.S. health reform.
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