UID:
almahu_9949865972502882
Format:
1 online resource (239 pages)
ISBN:
9780429015786
,
042901578X
,
9780429015779
,
0429015771
Content:
The evolution of the healthcare system in the U.S. has seen numerous changes in the last 30 years where fee-for-service was the mainstay of reimbursement models and hospitals were managed by physicians and patient care was key. The early 1990's saw the emergence of HMOs and other managed care models with physicians handing over leadership roles to corporate entities whose main concern was the bottom line and profitability while patient care and satisfaction suffered. The Healthcare Collapse: Where We've been and Where We Need to Go explores the low morale of physicians in this corporate healthcare culture as well as the expansion of hospitals owned by corporations. The author focuses on recovering healthcare morals and return value to the individuals who provide active care and not just business. This book also examines the possible repercussions of Medicare and Medicaid while address the question of single payer healthcare. This book looks at where healthcare has been, what has worked and what hasn't, and recommends solutions to create a system that focuses on the patient and providing quality care in this age of reimbursement cuts, demands for better technology and providing a safer environment for both the patient and clinicians who work in hospitals. The author also advocates for a shift in management and recommends hospitals leaders engage physicians and other clinicians in process improvement and other initiatives which can result in a more efficient system - one where quality patient care dominant. The book also outlines programs which can be championed by hospitals such as patient engagement activities, community health and other outreach and education programs.
Note:
What Are the Measures to Protect Against Lawsuits?
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Cover; Half Title; Title Page; Copyright Page; Dedication; Table of Contents; Synopsis; Author; Introduction: ReviewOur Mistakes andLook to the Future; Section I: The Evolution of Healthcare; 1: From HMO to ACA to Value: Transforming Healthcare; Healthcare Evolution; Reimbursement; First Insurance; Stage 1; Cost Reimbursement; Stage 2; First HMO; Stage 3; No HMO Restrictions; Stage 4; Stage 5; Stage 6; Quality Crisis in Medicine: The Change in Thinking; The Future? Transforming Healthcare; Stage 7; Value and Not Volume for the Future; Suggested Reading
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2: Accountability Care Organization and Clinical IntegrationWhat is an Accountability Care Organization?; Clinical Integration; ACO Financial Risk; Quality and Cost; ACO and Physicians; Suggested Reading; 3: Negotiating Managed Care Contracts; Negotiation; Locate the Reimbursement Rate; Independent Practice Association; Leverages; HMO; Note; Suggested Reading; 4: Hospital Supply Chain and Cost Containment; Quest for Excellence and Cost Containment; Goal of the Supply Chain; Physician Role; The Physician Struggle; Suggested Reading; 5: Quality Crisis; The Health System as an Industry
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Hospital Health PlansFocus on Quality; Quality Care; Patients' View of Quality is Different; Continuous Improvement; The Physician as a Manager; Notes; Suggested Reading; 6: Ethics and Deontology; What Are Ethics and Deontology?; Deontology, Not Religion; Moral Codes; Safety First; Solving Medical Ethics Issues; Ethics for All; Notes; Suggested Reading; Section II: Physician Struggles; 7: The Economics of Being a Doctor in the US; Cost of US Medical Schools vs Rest of the World; Medical School; How Much Money Do U.S. Doctors Earn Compared to the Hours They Work?
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Healthcare Is Not a Shift Job for PhysiciansReimbursement Issues for Physicians: The 33% Rule; Astronomical Malpractice Insurances; Suggested Reading; 8: The Fear: Financial Report; The Physician's Fear; What Does Cash Flow Mean?; The Financial Statement; Fee and Earnings; Inventory; How to Record Expenses; Cash Flow; Data Manipulation; Ratio: Is It Right?; Final Thought; Suggested Reading; 9: Stark Law and Its Impact on Physicians; Centers For Medicare & Medicaid Services (CMS) Definition; What Do You Need to Know about Stark Law?; Complexity is Overwhelming; Anti-Kickback
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Access to Law: The Legal EnvironmentReasonable Arrangements; Physician Incentive Plan Exception; Employee Physician; Fair Market Value; Group Practice; Notes; 10: Healthcare Grade Website Interferences on Clinical Practice; Uncontrolled Voices on the Web; Adverse Effects of the Web; Thousands of Self-Reporting Web Sites; My Research; Let's Look at Numbers; Let's Do the Statistics; Nobody Reads Comments; Protecting Us From the Web; Smack Eating; Note; Suggested Reading; 11: Healthcare Impact on Physicians: Not Healthy!; Burnout; Rewards; Moral Injury; Malpractice; Side Effects on Physicians
Additional Edition:
Print version: Frezza, Eldo. Healthcare Collapse : Where We've Been and Where We Need to Go. Milton : Productivity Press, ©2018 ISBN 9781138581104
Language:
English
DOI:
10.4324/9780429506925
URL:
https://www.taylorfrancis.com/books/9780429506925
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