Health Care Financing and Insurance

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Release : 2010-10-28
Genre : Medical
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Book Rating : 94X/5 ( reviews)

Health Care Financing and Insurance - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Health Care Financing and Insurance write by Francesco Paolucci. This book was released on 2010-10-28. Health Care Financing and Insurance available in PDF, EPUB and Kindle. As a contribution to the search for suitable and sustainable solutions to finance rising medical care expenditures, the book proposes a typology of healthcare financing and insurance schemes, based on the dimensions of basic vs. supplementary services and mandatory vs. voluntary coverage, to analyse the design and the complex interactions between various financing and insurance arrangements in several OECD countries. This study provides a better understanding of the strengths and weaknesses of the financial and organisational structures of different countries’ healthcare financing and insurance schemes. Its main contributions are the development of a novel and rigorous theoretical framework analysing the economic rationales for the optimal design of healthcare financing and insurance schemes, and an empirical and institutional analysis investigating the consequences for efficiency and affordability of the complex interactions between basic and supplementary sources of financing.

Health Care Finance and the Mechanics of Insurance and Reimbursement

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Release : 2019-10-01
Genre : Medical
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Book Rating : 030/5 ( reviews)

Health Care Finance and the Mechanics of Insurance and Reimbursement - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Health Care Finance and the Mechanics of Insurance and Reimbursement write by Michael K. Harrington. This book was released on 2019-10-01. Health Care Finance and the Mechanics of Insurance and Reimbursement available in PDF, EPUB and Kindle. Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.

Coverage Matters

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Release : 2001-10-27
Genre : Medical
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Book Rating : 099/5 ( reviews)

Coverage Matters - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Coverage Matters write by Institute of Medicine. This book was released on 2001-10-27. Coverage Matters available in PDF, EPUB and Kindle. Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.

Serious and Unstable Condition

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Release : 2010-12-01
Genre : Business & Economics
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Book Rating : 147/5 ( reviews)

Serious and Unstable Condition - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Serious and Unstable Condition write by Henry Aaron. This book was released on 2010-12-01. Serious and Unstable Condition available in PDF, EPUB and Kindle. The United States spends more on health care than any other nation in the world, yet millions of Americans cannot afford basic care for acute illnesses, few are insured against the costs of long-term care, and many frequently used medical procedures have never been fully evaluated. The goals of controlling spiraling health care costs and extending insurance coverage or even maintaining current insurance coverage seem to be in conflict. But progress can be made on both goals if they are tacked together. Henry Aaron evaluates these critical issues and explores how adequate care can be provided without fueling inflation. Because the current arrangements for financing America's health care cannot endure, Aaron contends that a major national debate on the restructuring of the U.S. system of financing health care is inescapable, and major legislation is likely. Serious and Unstable Condition offers a guide that is crucial to understanding the reform debate. It explains the important economic issues of health care as a background for evaluating both the current system and proposals for change. Aaron compares the U.S. system of health care financing with certain foreign systems and reviews major options for reform. He cautions that unless the health insurance system is radically changed, the number of uninsured will continue to increase and costs will continue to escalate. He then offers his own comprehensive plan to address these problems.

Care Without Coverage

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Release : 2002-06-20
Genre : Medical
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Book Rating : 435/5 ( reviews)

Care Without Coverage - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Care Without Coverage write by Institute of Medicine. This book was released on 2002-06-20. Care Without Coverage available in PDF, EPUB and Kindle. Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.