Healthcare beyond reform : doing it right for half the cost
Record details
- ISBN: 9781466511217 (hardback : alk. paper)
- ISBN: 1466511214 (hardback : alk. paper)
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Physical Description:
print
xxxviii, 256 p. ; 24 cm. - Publisher: Boca Raton, FL. : Taylor & Francis, 2012.
Content descriptions
Bibliography, etc. Note: | Includes bibliographical references and index. |
Formatted Contents Note: | Acknowledgments -- About the Author -- The Facts -- First, a Story: Tom Johnson's Belly Encounters Healthcare as It Has Been -- Introduction -- Section 1. How We Got Here -- 1. Half Off? -- Looking at Normal Countries -- Economists Behaving Badly with Smoke and Mirrors -- The Fairness Factor -- The American Ways of Healthcare -- Possible Savings: Getting to Half -- 2. Waste -- Level 1. Doing the Right Things the Wrong Way -- Level 2. Doing the Right Things in the Wrong Place -- Level 3. Doing the Wrong Things-and Not Doing the Right Things -- How Much? -- Where Are the Biggest Savings? -- Inappropriate Therapies -- How Big Is This Waste? -- Heroic End-of-Life Treatment -- Insurance Waste -- Pharmaceutical Waste -- Chronic Disease -- 3. Trends: Opportunities -- The Economy -- Rampaging Geezers -- Aging Clinical Workforce -- Chronic Disease -- Computerization and Automation -- Reform and Insurance -- Brute Force Cost Reductions -- 4. Healthcare Economics 101 -- Ahmed Buys a Rug -- The Convoluted Economics of Healthcare -- Competing Influences -- No Cost Accounting -- Split Buyers, Split Sellers -- Why the Ever-Popular "Cost Controls" Do Not Control Costs -- Health Systems: More Complex -- No More Cost Decanting -- It's About to Get Really Complicated -- Inflexible Systems -- Unit Costs vs. System Costs -- The Two Core Rules of Economics -- Section 2. What Must Be Done -- 5. The Five Strategies -- 6. 1. Explode the Business Model -- The End of Fee-for-Service Healthcare? -- What Are We Buying? -- What's Wrong with Competition? -- Emerging Business Models -- The Safeway Experience -- CIGNA's Choice Fund -- Formula One -- The Boeing Experience -- On-Site Clinics -- On-Site Clinics without Employers? -- Medicaid-Based Business Models -- Disease Management Programs That Fail -- Disease Management Programs That Work -- Direct Primary Care -- Direct Primary Care-Online -- Structure Matters -- Share the Risk -- A Brief History of Risk in Healthcare -- Putting the Customer at Financial Risk -- "But Capitation Doesn't Work" -- Putting the Provider At Risk -- Providers At Risk Behave Differently -- Putting Providers Systemkally At Risk -- Shopping -- Virtuous Deflationary Spiral -- Redesigning Markets -- Explode the Business Model -- 7. 2. Build on Smart Primary Care -- The Medical Home -- How a Medical Home Actually Works -- Making More Money by Being a Better Doctor -- Taking on Risk -- Integration: It's Not Just "Kumbaya" -- From Evidence-Based Medicine to Evidence-Based Health -- Explode the Business Model and Build on Smart Primary Care -- 8. 3. Put a Crew on It -- A Team Care Example: Diabetes -- Teamwork at All Levels -- Getting on the Same Team with the Docs -- Alaska Native Healthcare -- What Makes a Team? A Scoreboard -- Explode the Business Model, Build on Smart Primary Care, and Put a Crew on It -- 9. 4. Swarm the Customer -- The Magic of Mr. Moon -- The Pareto Principle in Healthcare -- Hotspotting -- The 5% That Does the 50% -- More Help, Smarter, Earlier -- 10. 5. Rebuild Every Process -- The Tough Business of Caring -- Time to Get Fierce -- Perfecting Clinical Processes -- Evidence or Intuition? -- Measure It-and Get It Right -- Check It Out, Dude! -- Other Industries: "Quality Is Job One" -- The Institute for Healthcare Improvement -- Comparative Effectiveness Research -- Evidence-Based Design -- The Lean Medical Practice -- Doing It Cheaper -- Raise a Glass to Carlos -- Big Data -- Analytics for the Country -- Analytics for Systems -- Analytics for You -- With the Doctor -- Taking It Home -- Apps -- Extending the Clinic into the Home -- India and China: Globalization Cuts Both Ways -- India -- China -- Cheap Biologicals and Biosimilars -- Reverse Innovation -- Section 3. Making It All Work -- 11. Beyond Healthcare -- Len Duhl, the Father of Healthy Communities -- Involve Everyone -- 12. The Evil Profit Motive and the Virtues of Competition -- Arguments for a Single-Payer System -- Insurance Companies Are Evil -- Extra Transaction Costs -- Extra Fundamental Costs -- For Profit? Or Not? -- Is Healthcare a Right? -- It's Not That Simple -- 13. There Ought to Be a Law -- Introduction -- Scope of Practice -- Corporate Practice of Medicine -- Certificate of Need -- Anti-Kickback Legislation -- Transparency -- Fraud -- Insurance Regulation -- ERISA Immunity -- End Fraudulent Rescissions and Claim Denials -- Swiss Rule -- Direct Primary Care -- Transparency -- Competition -- Operating across State Lines? -- Malpractice -- It's Not Greedy Patients -- Fixing Malpractice -- Systemic Effects -- Fixing the Pharmaceutical Industry -- Pharma Runs into a Wall -- Burying Germany in Jeeps -- Why We Don't Get Legislation That Works -- 14. The X Questions -- A New Mind-Set -- The X Questions -- Confronting Your Risk -- 15. It's the System -- Wait. Half? -- Our Shaky Equilibrium -- Beyond the Tipping Point: Rapid System Change -- True Shoppers -- Automatic Cost Reductions -- 16. Beyond Reform-The Next Healthcare -- Employers -- The Poor -- Medicare -- States -- How Fast? -- Appendix A. Stupid Computer Tricks: How Not to Digitize Healthcare -- Index. |
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- 1 of 1 copy available at Kirtland Community College.
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Location | Call Number / Copy Notes | Barcode | Shelving Location | Status | Due Date |
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Kirtland Community College Library | RA 395 .A3 F56 2012 | 30775305461783 | General Collection | Available | - |