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Health policy issues : an economic perspective

Author: Paul J Feldstein
Publisher: Chicago, Illinois : Health Administration Press (HAP) ; Arlington, Virginia : Association of University Programs in Health Administration (AUPHA), [2015]
Edition/Format:   Print book : English : Sixth editionView all editions and formats
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Document Type: Book
All Authors / Contributors: Paul J Feldstein
ISBN: 9781567936964 1567936962
OCLC Number: 891427836
Description: xxxv, 651 pages : illustrations ; 26 cm
Contents: Machine generated contents note: Before Medicare and Medicaid --
Greater Role of Government in Healthcare --
Changing Patient and Provider Incentives --
Government Response to Rising Costs --
Affordable Care Act --
Summary --
Discussion Questions --
Notes --
References --
Consumer Sovereignty --
Economic Efficiency --
Government and Employer Concerns over Rising Medical Expenditures --
Approaches to Limiting Increases in Medical Expenditures --
Summary --
Discussion Questions --
References --
Medical Services Versus Health --
Health Production Function --
Improving Health Status Cost-Effectively --
Relationship of Medical Care to Health Over Time --
Summary --
Discussion Questions --
Notes --
References --
Perfect Agent --
Supplier-Induced Demand or the Imperfect Agent --
Increase in Physician Supply --
Insurers' Response to Demand Inducement --
HMO Incentives by Imperfect Agents --
Informed Purchasers --
Summary --
Discussion Questions --
Note --
Additional Reading --
References --
Government Rationing --
Rationing by Ability to Pay the Market-Determined Price --
Decision Making by Consumers of Medical Services --
Marginal Benefit Curve --
Price Sensitivity --
Moral Hazard --
Summary --
Discussion Questions --
References --
Definitions of Insurance Terms --
Insurance-Purchase Decision Making --
Tax-Free, Employer-Paid Health Insurance --
Summary --
Discussion Questions --
Notes --
References --
Different Private Health Insurance Markets --
Determinants of Private Health Insurance Premiums --
How Health Insurance Markets Work --
ACA's Changes to the Individual Health Insurance Market --
Effect of the ACA's Rules on Premiums in the Individual Market --
Summary --
Discussion Questions --
Notes --
Additional Readings --
References --
Current State of Medicare --
Part A (HI) --
Part B (SMI) --
Part C: Medicare Advantage Plans --
Part D: Prescription Drug Coverage --
Medigap Supplementary Insurance --
ACA's Changes to Medicare --
Concerns About the Current Medicare System --
Proposals for Medicare Reform --
Politics of Medicare Reform --
Summary --
Discussion Questions --
Notes --
References --
Illustration of Medicaid Eligibility --
State Children's Health Insurance Program (SCHIP) --
Medicaid Beneficiaries and Medicaid Expenditures --
ACA's Changes to Medicaid Eligibility --
Medicaid Problems --
Medicaid Reforms --
Summary --
Discussion Questions --
Notes --
References --
Previous Medicare Physician Payment System --
Reasons for Adopting the New Payment System --
Components of the New Payment System --
Effects of Medicare's Payment System --
Summary --
Discussion Questions --
Notes --
References --
Definitions of a Physician Shortage or Surplus --
Consequences of an Imbalance in the Physician Supply and Demand --
Economic Evidence on Trends in Physician Demand and Supply --
Long-Term Outlook for the Physician Shortage --
Summary --
Discussion Questions --
Notes --
References --
Types of Medical Groups --
Changes in the Size and Type of Medical Groups --
Reversal of Fortunes of Large Multispecialty Groups --
Outlook for Medical Practice --
Summary --
Discussion Questions --
Note --
Additional Readings --
References --
Explanations for the Rise in Malpractice Premiums --
Objectives of the Malpractice System --
Proposed Changes to the Malpractice System --
Enterprise Liability --
Disclosure, Apology, and Offer Programs --
Effects of Various Tort Reforms --
Summary --
Discussion Questions --
Notes --
References --
Why Are Hospitals Predominantly Nonprofit? --
Performance of Nonprofit and For-Profit Hospitals --
Question of Tax-Exempt Status --
Summary --
Discussion Questions --
Notes --
References --
Origins of Nonprice Competition --
Transition to Price Competition --
Price Competition in Theory --
Price Competition in Practice --
Summary --
Discussion Questions --
Notes --
References --
From Medicare to the Present --
Hospital Costs: The Public and Private Sectors --
Hospital Revenues --
Current Hospital Outlook --
Hospital Strategies --
Summary --
Discussion Questions --
Notes --
References --
Setting Prices to Maximize Profits --
Origins of Claims of Cost Shifting --
Price Discrimination --
Conditions Under Which Cost Shifting Can Occur --
Direction of Causality --
Summary --
Discussion Questions --
Notes --
Additional Reading --
References --
Effect of Price Controls in Theory --
Effect of Price Controls in Practice --
Global Budgets --
Summary --
Discussion Questions --
Notes --
References --
Why Managed Care Came About --
What Is Managed Care? --
What Are the Types of Managed Care Plans --
How Has Managed Care Performed? --
How Has Managed Care Evolved? --
What Recent Developments Managed Care Has Undergone --
How the Affordable Care Act Affects Managed Care --
Summary --
Discussion Questions --
Note --
Additional Reading --
References --
Criteria for Judging Performance of a Country's Medical Sector --
How Medical Markets Differ from Competitive Markets --
Demand-Side Market Failures --
Supply-Side Market Failures --
How Can Medical Markets Be More Competitive? --
Are the Poor Disadvantaged in a Competitive Market? --
Patient Incentives Drive Price Competition in Government and Private Markets --
What Might Competitive Medical Markets Look Like? --
Summary --
Discussion Questions --
Notes --
References --
CER and the Role of Government --
Concerns Over How CER Will Be Used --
Cost-Effectiveness Analysis --
Quality-Adjusted Life Years --
National Institute for Health and Clinical Excellence --
Summary --
Discussion Questions --
Note --
Additional Reading --
References --
Who Pays for Higher Employee Medical Costs? --
Who Pays for Retiree Medical Costs? --
Possible Adverse Effects of Rising Medical Costs on the US Economy --
Summary --
Discussion Questions --
Notes --
References --
Market for Medical Education in Theory --
Market for Medical Education in Practice --
Accreditation for Medical Schools --
Recommended Changes --
Summary --
Discussion Questions --
Notes --
References --
Measuring Nursing Shortages --
Nursing Shortages in Theory --
Nursing Shortages in Practice --
Outlook for Registered Nurses --
Summary --
Discussion Questions --
Notes --
References --
Reasons for the Increase in Pharmaceutical Expenditures --
Pricing Practices of US Pharmaceutical Companies --
Summary --
Discussion Questions --
Notes --
References --
History of Regulation of Prescription Drugs --
FDA's Stringent Guidelines for Safety and Efficacy --
Summary --
Discussion Questions --
Notes --
References --
Accuracy of Studies on International Variations in Drug Prices --
Why Prescription Drugs Are Expected to Be Priced Lower Overseas --
Public Policy Issues --
Summary --
Discussion Questions --
Notes --
Additional Readings --
References --
Public Policy Dilemma --
Structure of the Pharmaceutical Industry --
Development of New Drugs by the US Pharmaceutical Industry --
Political Attractiveness of Price Controls on Prescription Drugs --
Consequences of Price Controls on Prescription Drugs --
Summary --
Discussion Questions --
References --
Sources of Organs for Transplant --
Donor Compensation Proposals --
Opposition to Using Financial Incentives --
Additional Considerations --
Summary --
Discussion Questions --
Notes --
Additional Readings --
References --
Public-Interest Theory of Government --
Economic Theory of Regulation --
Summary --
Discussion Questions --
Note --
References --
External Costs and Benefits --
Government Policies When Externalities Exist --
Divergence Between Theoretical and Actual Government Policy --
Summary --
Discussion Questions --
Notes --
Additional Readings --
References --
Comparing the Canadian System with the US System --
Controlling Healthcare Costs in Canada --
Consequences of Strict Limits on Per Capita Costs --
Is Canada Abandoning Its Single-Payer System? --
Should the United States Adopt the Canadian System? --
Summary --
Discussion Questions --
Notes --
References --
Uninsured --
Why the Uninsured Do Not Have Health Insurance --
Consequences of Employer-Mandated Health Insurance --
State Health Insurance Exchanges --
Political Consequences of Employer-Mandated Health Insurance --
Summary --
Discussion Questions --
Notes --
Additional Reading --
References --
Criteria for National Health Insurance --
National Health Insurance Proposals --
Fundamental Differences in Perspectives Regarding Government's Health Policy Role --
Summary --
Discussion Questions --
Notes --
Additional Readings --
References --
Nature of Long-Term Care --
Current State of Long-Term Care Financing --
Why Do So Few Aged Buy Private LTC Insurance? --
Approaches to Financing Long-Term Care --
Summary --
Discussion Questions --
Notes --
References --
Differing Goals of Healthcare Reform --
Need for Visible Benefits to the Middle Class and Aged --
Groups with a Concentrated Interest in Healthcare Reform --
Legislative Process --
Obama Administration's Objective for Healthcare Reform: A Hypothesis --
Implementation of the ACA --
Years Ahead --
Discussion Questions --
Notes --
References.
Responsibility: Paul J. Feldstein.

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