Kooperativer Bibliotheksverbund

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Format: XII, 299 S. , Ill., Kt. , 24 cm

ISBN: 9780814770313 , 9780814724910

Content: In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an HMO and records what it's really like to manage care. Set at a health insurance company dubbed Acme, this book chronicles how the privatization of the health care system in Puerto Rico transformed the experience of accessing and providing care on the island. Through interviews and participant observation, the book explores the everyday contexts in which market reforms were enacted. It follows privatization into the compliance department of a managed care organization, through the visits of federal auditors to a health plan, and into the homes of health plan members who recount their experiences navigating the new managed care system.In the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the island's public health facilities and enrolled the poor, elderly and disabled into for-profit managed care plans. These reforms were supposed to promote efficiency, cost-effectiveness, and high quality care. Despite the optimistic promises of market-based reforms, the system became more expensive, not more efficient; patients rarely behaved as the expected health-maximizing information processing consumers; and care became more chaotic and difficult to access. Citizens continued to look to the state to provide health services for the poor, disabled, and elderly. This book argues that pro-market reforms failed to deliver on many of their promises.The health care system in Puerto Rico was dramatically transformed, just not according to plan.

Content: "In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an HMO and records what it's really like to manage care. Set at a health insurance company dubbed Acme, this book chronicles how the privatization of the health care system in Puerto Rico transformed the experience of accessing and providing care on the island. Through interviews and participant observation, the book explores the everyday contexts in which market reforms were enacted. It follows privatization into the compliance department of a managed care organization, through the visits of federal auditors to a health plan, and into the homes of health plan members who recount their experiences navigating the new managed care system.In the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the island's public health facilities and enrolled the poor, elderly and disabled into for-profit managed care plans. These reforms were supposed to promote efficiency, cost-effectiveness, and high quality care. Despite the optimistic promises of market-based reforms, the system became more expensive, not more efficient; patients rarely behaved as the expected health-maximizing information processing consumers; and care became more chaotic and difficult to access. Citizens continued to look to the state to provide health services for the poor, disabled, and elderly. This book argues that pro-market reforms failed to deliver on many of their promises.The health care system in Puerto Rico was dramatically transformed, just not according to plan"--

Note: Includes bibliographical references (pages 277-294) and index

Additional Edition: ISBN 9780814764992

Additional Edition: ISBN 9780814770702

Language: English

URL: Inhaltsverzeichnis

URL: Cover

URL: Cover

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Format: XXX, 495 Seiten , graph. Darst.

ISBN: 1592730000

Note: Text engl.

Language: English

Keywords: Online-Spiel

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Format: xi, 304 Seiten : , Illustrationen, 1 Karte.

ISBN: 978-1-4798-4873-7

Series Statement: Anthropologies of American medicine: culture, power, and practice

Note: Includes bibliographical references and index

Language: English

Subjects: Medicine

Keywords: Gesundheitswesen ; Reform ; Patient Protection and Affordable Care Act

URL: http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029747886&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA

URL: http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029747886&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA

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Format: 1 online resource (312 p.)

ISBN: 0-8147-6499-1

Content: In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at anHMO and records what it’s really like to manage care. Set at a health insurancecompany dubbed Acme, this book chronicles how the privatization of the healthcare system in Puerto Rico transformed the experience of accessing andproviding care on the island. Through interviews and participant observation,the book explores the everyday contexts in which market reforms were enacted.It follows privatization into the compliance department of a managed careorganization, through the visits of federal auditors to a health plan, and intothe homes of health plan members who recount their experiences navigating thenew managed care system.Inthe 1990s and early 2000s, policymakers in Puerto Rico sold off most of theisland’s public health facilities and enrolled the poor, elderly and disabledinto for-profit managed care plans. These reforms were supposed to promoteefficiency, cost-effectiveness, and high quality care. Despite the optimisticpromises of market-based reforms, the system became more expensive, not moreefficient; patients rarely behaved as the expected health-maximizing informationprocessing consumers; and care became more chaotic and difficult to access.Citizens continued to look to the state to provide health services for thepoor, disabled, and elderly. This book argues that pro-market reforms failed todeliver on many of their promises.Thehealth care system in Puerto Rico was dramatically transformed, just notaccording to plan.

Note: Description based upon print version of record. , Frontmatter -- , Contents -- , Acknowledgments -- , Introduction. Learning to manage -- , 1. A history of reform: colonialism, public health, and privatized care -- , 2. Regulating a runaway train: everyone is replaceable -- , 3. New consumer citizens: life histories -- , 4. Quality: managing by numbers -- , 5. Complaints: the wrong glucometer . . . again! -- , 6. Market values: partnering and choice -- , Conclusion. Ungovernability as market rule -- , Appendix 1. A methodological appendix -- , Appendix 2. Interview descriptions -- , Notes -- , Works cited -- , Index -- , About the author , English

Additional Edition: ISBN 0-8147-7031-2

Additional Edition: ISBN 0-8147-2491-4

Language: English

Keywords: Electronic books. ; Electronic books.

DOI: 10.18574/9780814764992

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Format: 1 online resource

ISBN: 9780814764992

Content: In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at anHMO and records what it’s really like to manage care. Set at a health insurancecompany dubbed Acme, this book chronicles how the privatization of the healthcare system in Puerto Rico transformed the experience of accessing andproviding care on the island. Through interviews and participant observation,the book explores the everyday contexts in which market reforms were enacted.It follows privatization into the compliance department of a managed careorganization, through the visits of federal auditors to a health plan, and intothe homes of health plan members who recount their experiences navigating thenew managed care system.Inthe 1990s and early 2000s, policymakers in Puerto Rico sold off most of theisland’s public health facilities and enrolled the poor, elderly and disabledinto for-profit managed care plans. These reforms were supposed to promoteefficiency, cost-effectiveness, and high quality care. Despite the optimisticpromises of market-based reforms, the system became more expensive, not moreefficient; patients rarely behaved as the expected health-maximizing informationprocessing consumers; and care became more chaotic and difficult to access.Citizens continued to look to the state to provide health services for thepoor, disabled, and elderly. This book argues that pro-market reforms failed todeliver on many of their promises.Thehealth care system in Puerto Rico was dramatically transformed, just notaccording to plan.

Note: Frontmatter -- , Contents -- , Acknowledgments -- , Introduction. Learning to manage -- , 1. A history of reform: colonialism, public health, and privatized care -- , 2. Regulating a runaway train: everyone is replaceable -- , 3. New consumer citizens: life histories -- , 4. Quality: managing by numbers -- , 5. Complaints: the wrong glucometer . . . again! -- , 6. Market values: partnering and choice -- , Conclusion. Ungovernability as market rule -- , Appendix 1. A methodological appendix -- , Appendix 2. Interview descriptions -- , Notes -- , Works cited -- , Index -- , About the author , In English.

Language: English

DOI: 10.18574/9780814764992

URL: https://www.degruyter.com/isbn/9780814764992

URL: https://www.degruyter.com/isbn/9780814764992

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Format: 1 online resource : , 13 black and white illustrations

ISBN: 9781479871735

Series Statement: Anthropologies of American Medicine: Culture, Power, and Practice ; 2

Content: The Affordable Care Act’s impact on coverage, access to care, and systematic exclusion in our health care system The Affordable Care Act set off an unprecedented wave of health insurance enrollment as the most sweeping overhaul of the U.S. health insurance system since 1965. In the years since its enactment, some 20 million uninsured Americans gained access to coverage. And yet, the law remained unpopular and politically vulnerable. While the ACA extended social protections to some groups, its implementation was troubled and the act itself created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. Unequal Coverage documents the everyday experiences of individuals and families across the U.S. as they attempted to access coverage and care in the five years following the passage of the ACA.It argues that while the Affordable Care Act succeeded in expanding access to care, it did so unevenly, ultimately also generating inequality and stratification. The volume investigates the outcomes of the ACA in communities throughout the country and provides up-close, intimate portraits of individuals and groups trying to access and provide health care for both the newly insured and those who remain uncovered. The contributors use the ACA as a lens to examine more broadly how social welfare policies in a multiracial and multiethnic democracy purport to be inclusive while simultaneously embracing certain kinds of exclusions. Unequal Coverage concludes with an examination of the Affordable Care Act’s uncertain legacy under the new Presidential administration and considers what the future may hold for the American health care system. The book illustrates lessons learned and reveals how the law became a flashpoint for battles over inequality, fairness, and the role of government.More books on the health care debate

Note: Frontmatter -- , Contents -- , List of Illustrations -- , Acknowledgments -- , Introduction -- , 1. Stratification by Immigration Status -- , 2. Stratified Access -- , 3. Stratification and “Universality” -- , 4. Stratification through Medicaid -- , 5. Segmented Risks -- , 6. Uninsured in America -- , 7. “Texans Don’t Want Health Insurance” -- , 8. The Responsibility to Maintain Health -- , 9. Outsourcing Responsibility -- , 10. Increasing Access, Increasing Responsibility -- , Conclusion -- , About the Editors -- , About the Contributors -- , Index , In English.

Language: English

DOI: 10.18574/9781479871735

URL: https://www.degruyter.com/isbn/9781479871735

URL: https://www.degruyter.com/isbn/9781479871735

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Format: 1 online resource : , illustrations (black and white)

ISBN: 1-4798-3440-8 , 1-4798-7173-7

Series Statement: Anthropologies of American Medicine: Culture, Power, and Practice ; 2

Content: The Affordable Care Act’s impact on coverage, access to care, and systematic exclusion in our health care system The Affordable Care Act set off an unprecedented wave of health insurance enrollment as the most sweeping overhaul of the U.S. health insurance system since 1965. In the years since its enactment, some 20 million uninsured Americans gained access to coverage. And yet, the law remained unpopular and politically vulnerable. While the ACA extended social protections to some groups, its implementation was troubled and the act itself created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. Unequal Coverage documents the everyday experiences of individuals and families across the U.S. as they attempted to access coverage and care in the five years following the passage of the ACA. It argues that while the Affordable Care Act succeeded in expanding access to care, it did so unevenly, ultimately also generating inequality and stratification. The volume investigates the outcomes of the ACA in communities throughout the country and provides up-close, intimate portraits of individuals and groups trying to access and provide health care for both the newly insured and those who remain uncovered. The contributors use the ACA as a lens to examine more broadly how social welfare policies in a multiracial and multiethnic democracy purport to be inclusive while simultaneously embracing certain kinds of exclusions. Unequal Coverage concludes with an examination of the Affordable Care Act’s uncertain legacy under the new Presidential administration and considers what the future may hold for the American health care system. The book illustrates lessons learned and reveals how the law became a flashpoint for battles over inequality, fairness, and the role of government. More books on the health care debate

Note: Previously issued in print: 2017. , Front matter -- , Contents -- , List of Illustrations -- , Acknowledgments -- , Introduction -- , 1. Stratification by Immigration Status -- , 2. Stratified Access -- , 3. Stratification and “Universality” -- , 4. Stratification through Medicaid -- , 5. Segmented Risks -- , 6. Uninsured in America -- , 7. “Texans Don’t Want Health Insurance” -- , 8. The Responsibility to Maintain Health -- , 9. Outsourcing Responsibility -- , 10. Increasing Access, Increasing Responsibility -- , Conclusion -- , About the Editors -- , About the Contributors -- , Index , In English.

Additional Edition: ISBN 1-4798-9700-0

Language: English

DOI: 10.18574/9781479871735