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Healthcare beyond reform : doing it right for half the cost Cover Image Book Book

Healthcare beyond reform : doing it right for half the cost

Flower, Joe. (Author).

Summary: "Healthcare is the biggest sector of the U.S. economy and the most dysfunctional. In 2010 we spent $2.6 trillion on healthcare in the U.S. We will waste at least 30 percent of that, about $780 billion -- eight times what it would take to cover every American. In Healthcare Beyond Reform: Doing It Right for Half the Cost, Joe Flower, a well respected healthcare futurist and industry thought leader, lays out his compelling practical vision of how healthcare can work better, and how we can get there by utilizing the resources we already have. The author provides a comprehensive, positive, and intriguing vision of the future of healthcare for professionals, employers and investors. This book is much more than a book about healthcare reform; it's a book which specifically tells healthcare providers how they can reposition their organizations to thrive as healthcare changes, regardless of what the government does. It also outlines how employers can save money and help their employees at the same time by changing the way they provide healthcare to their employees"--Provided by publisher.

Record details

  • ISBN: 9781466511217 (hardback : alk. paper)
  • ISBN: 1466511214 (hardback : alk. paper)
  • 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.

Search for related items by subject

Subject: Health care reform United States
Health care reform Cost effectiveness
Medical care Cost shifting
Costs and Cost Analysis United States
Delivery of Health Care economics United States
Forecasting United States
Health Expenditures United States
Health Policy United States

Available copies

  • 1 of 1 copy available at Kirtland Community College.

Holds

  • 0 current holds with 1 total copy.
Show Only Available Copies
Location Call Number / Copy Notes Barcode Shelving Location Status Due Date
Kirtland Community College Library RA 395 .A3 F56 2012 30775305461783 General Collection Available -
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1001 . ‡aFlower, Joe.
24510. ‡aHealthcare beyond reform : ‡bdoing it right for half the cost / ‡cJoe Flower.
260 . ‡aBoca Raton, FL. : ‡bTaylor & Francis, ‡c2012.
300 . ‡axxxviii, 256 p. ; ‡c24 cm.
504 . ‡aIncludes bibliographical references and index.
520 . ‡a"Healthcare is the biggest sector of the U.S. economy and the most dysfunctional. In 2010 we spent $2.6 trillion on healthcare in the U.S. We will waste at least 30 percent of that, about $780 billion -- eight times what it would take to cover every American. In Healthcare Beyond Reform: Doing It Right for Half the Cost, Joe Flower, a well respected healthcare futurist and industry thought leader, lays out his compelling practical vision of how healthcare can work better, and how we can get there by utilizing the resources we already have. The author provides a comprehensive, positive, and intriguing vision of the future of healthcare for professionals, employers and investors. This book is much more than a book about healthcare reform; it's a book which specifically tells healthcare providers how they can reposition their organizations to thrive as healthcare changes, regardless of what the government does. It also outlines how employers can save money and help their employees at the same time by changing the way they provide healthcare to their employees"--Provided by publisher.
50500. ‡tAcknowledgments -- ‡tAbout the Author -- ‡tThe Facts -- ‡tFirst, a Story: Tom Johnson's Belly Encounters Healthcare as It Has Been -- ‡tIntroduction -- ‡gSection 1. ‡tHow We Got Here -- ‡g1. ‡tHalf Off? -- ‡tLooking at Normal Countries -- ‡tEconomists Behaving Badly with Smoke and Mirrors -- ‡tThe Fairness Factor -- ‡tThe American Ways of Healthcare -- ‡tPossible Savings: Getting to Half -- ‡g2. ‡tWaste -- ‡gLevel 1. ‡tDoing the Right Things the Wrong Way -- ‡gLevel 2. ‡tDoing the Right Things in the Wrong Place -- ‡gLevel 3. ‡tDoing the Wrong Things-and Not Doing the Right Things -- ‡tHow Much? -- ‡tWhere Are the Biggest Savings? -- ‡tInappropriate Therapies -- ‡tHow Big Is This Waste? -- ‡tHeroic End-of-Life Treatment -- ‡tInsurance Waste -- ‡tPharmaceutical Waste -- ‡tChronic Disease -- ‡g3. ‡tTrends: Opportunities -- ‡tThe Economy -- ‡tRampaging Geezers -- ‡tAging Clinical Workforce -- ‡tChronic Disease -- ‡tComputerization and Automation -- ‡tReform and Insurance -- ‡tBrute Force Cost Reductions -- ‡g4. ‡tHealthcare Economics 101 -- ‡tAhmed Buys a Rug -- ‡tThe Convoluted Economics of Healthcare -- ‡tCompeting Influences -- ‡tNo Cost Accounting -- ‡tSplit Buyers, Split Sellers -- ‡tWhy the Ever-Popular "Cost Controls" Do Not Control Costs -- ‡tHealth Systems: More Complex -- ‡tNo More Cost Decanting -- ‡tIt's About to Get Really Complicated -- ‡tInflexible Systems -- ‡tUnit Costs vs. System Costs -- ‡tThe Two Core Rules of Economics -- ‡gSection 2. ‡tWhat Must Be Done -- ‡g5. ‡tThe Five Strategies -- ‡g6. ‡t1. Explode the Business Model -- ‡tThe End of Fee-for-Service Healthcare? -- ‡tWhat Are We Buying? -- ‡tWhat's Wrong with Competition? -- ‡tEmerging Business Models -- ‡tThe Safeway Experience -- ‡tCIGNA's Choice Fund -- ‡tFormula One -- ‡tThe Boeing Experience -- ‡tOn-Site Clinics -- ‡tOn-Site Clinics without Employers? -- ‡tMedicaid-Based Business Models -- ‡tDisease Management Programs That Fail -- ‡tDisease Management Programs That Work -- ‡tDirect Primary Care -- ‡tDirect Primary Care-Online -- ‡tStructure Matters -- ‡tShare the Risk -- ‡tA Brief History of Risk in Healthcare -- ‡tPutting the Customer at Financial Risk -- ‡t"But Capitation Doesn't Work" -- ‡tPutting the Provider At Risk -- ‡tProviders At Risk Behave Differently -- ‡tPutting Providers Systemkally At Risk -- ‡tShopping -- ‡tVirtuous Deflationary Spiral -- ‡tRedesigning Markets -- ‡tExplode the Business Model -- ‡g7. ‡t2. Build on Smart Primary Care -- ‡tThe Medical Home -- ‡tHow a Medical Home Actually Works -- ‡tMaking More Money by Being a Better Doctor -- ‡tTaking on Risk -- ‡tIntegration: It's Not Just "Kumbaya" -- ‡tFrom Evidence-Based Medicine to Evidence-Based Health -- ‡tExplode the Business Model and Build on Smart Primary Care -- ‡g8. ‡t3. Put a Crew on It -- ‡tA Team Care Example: Diabetes -- ‡tTeamwork at All Levels -- ‡tGetting on the Same Team with the Docs -- ‡tAlaska Native Healthcare -- ‡tWhat Makes a Team? A Scoreboard -- ‡tExplode the Business Model, Build on Smart Primary Care, and Put a Crew on It -- ‡g9. ‡t4. Swarm the Customer -- ‡tThe Magic of Mr. Moon -- ‡tThe Pareto Principle in Healthcare -- ‡tHotspotting -- ‡tThe 5% That Does the 50% -- ‡tMore Help, Smarter, Earlier -- ‡g10. ‡t5. Rebuild Every Process -- ‡tThe Tough Business of Caring -- ‡tTime to Get Fierce -- ‡tPerfecting Clinical Processes -- ‡tEvidence or Intuition? -- ‡tMeasure It-and Get It Right -- ‡tCheck It Out, Dude! -- ‡tOther Industries: "Quality Is Job One" -- ‡tThe Institute for Healthcare Improvement -- ‡tComparative Effectiveness Research -- ‡tEvidence-Based Design -- ‡tThe Lean Medical Practice -- ‡tDoing It Cheaper -- ‡tRaise a Glass to Carlos -- ‡tBig Data -- ‡tAnalytics for the Country -- ‡tAnalytics for Systems -- ‡tAnalytics for You -- ‡tWith the Doctor -- ‡tTaking It Home -- ‡tApps -- ‡tExtending the Clinic into the Home -- ‡tIndia and China: Globalization Cuts Both Ways -- ‡tIndia -- ‡tChina -- ‡tCheap Biologicals and Biosimilars -- ‡tReverse Innovation -- ‡gSection 3. ‡tMaking It All Work -- ‡g11. ‡tBeyond Healthcare -- ‡tLen Duhl, the Father of Healthy Communities -- ‡tInvolve Everyone -- ‡g12. ‡tThe Evil Profit Motive and the Virtues of Competition -- ‡tArguments for a Single-Payer System -- ‡tInsurance Companies Are Evil -- ‡tExtra Transaction Costs -- ‡tExtra Fundamental Costs -- ‡tFor Profit? Or Not? -- ‡tIs Healthcare a Right? -- ‡tIt's Not That Simple -- ‡g13. ‡tThere Ought to Be a Law -- ‡tIntroduction -- ‡tScope of Practice -- ‡tCorporate Practice of Medicine -- ‡tCertificate of Need -- ‡tAnti-Kickback Legislation -- ‡tTransparency -- ‡tFraud -- ‡tInsurance Regulation -- ‡tERISA Immunity -- ‡tEnd Fraudulent Rescissions and Claim Denials -- ‡tSwiss Rule -- ‡tDirect Primary Care -- ‡tTransparency -- ‡tCompetition -- ‡tOperating across State Lines? -- ‡tMalpractice -- ‡tIt's Not Greedy Patients -- ‡tFixing Malpractice -- ‡tSystemic Effects -- ‡tFixing the Pharmaceutical Industry -- ‡tPharma Runs into a Wall -- ‡tBurying Germany in Jeeps -- ‡tWhy We Don't Get Legislation That Works -- ‡g14. ‡tThe X Questions -- ‡tA New Mind-Set -- ‡tThe X Questions -- ‡tConfronting Your Risk -- ‡g15. ‡tIt's the System -- ‡tWait. Half? -- ‡tOur Shaky Equilibrium -- ‡tBeyond the Tipping Point: Rapid System Change -- ‡tTrue Shoppers -- ‡tAutomatic Cost Reductions -- ‡g16. ‡tBeyond Reform-The Next Healthcare -- ‡tEmployers -- ‡tThe Poor -- ‡tMedicare -- ‡tStates -- ‡tHow Fast? -- ‡gAppendix A. ‡tStupid Computer Tricks: How Not to Digitize Healthcare -- ‡tIndex.
650 0. ‡aHealth care reform ‡zUnited States.
650 0. ‡aHealth care reform ‡xCost effectiveness.
650 0. ‡aMedical care ‡xCost shifting.
65022. ‡aCosts and Cost Analysis ‡zUnited States.
65022. ‡aDelivery of Health Care ‡xeconomics ‡zUnited States.
65022. ‡aForecasting ‡zUnited States.
65022. ‡aHealth Expenditures ‡zUnited States.
65022. ‡aHealth Policy ‡zUnited States.
938 . ‡aBaker and Taylor ‡bBTCP ‡nBK0010340729
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938 . ‡aBlackwell Book Service ‡bBBUS ‡n7253670
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