Health care in the next curve : transforming a dysfunctional industry /
Healthcare in the U.S. is at a critical juncture. We face a continued upward spiral in the number of people with chronic diseases and disabilities. As demands on our current health system grow, so will costs. But as a society we are approaching the upper limit of how much we are willing (or able) to...
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Full text (MCPHS users only) |
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| Format: | Electronic eBook |
| Language: | English |
| Published: |
New York, NY :
Routledge, Taylor & Francis Group,
2018
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| Subjects: |
MARC
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| 100 | 1 | |a Abendshien, John, |e author. |0 n 88110745 | |
| 245 | 1 | 0 | |a Health care in the next curve : |b transforming a dysfunctional industry / |c John Abendshien. |
| 264 | 1 | |a New York, NY : |b Routledge, Taylor & Francis Group, |c 2018. | |
| 264 | 4 | |c ©2018 | |
| 300 | |a 1 online resource (xx, 251 pages ) : |b illustrations. | ||
| 336 | |a text |b txt |2 rdacontent | ||
| 337 | |a computer |b c |2 rdamedia | ||
| 338 | |a online resource |b cr |2 rdacarrier | ||
| 504 | |a Includes bibliographical references and index. | ||
| 505 | 0 | |a It's not the future we used to have -- Health care's perfect storm -- What happened to health insurance? -- Follow the money : a broken payment model -- Silos, everywhere -- The real costs of regulation -- Where's the competition? -- Why government health care isn't the answer? -- Market disruptors and transformers -- Destinations of the next curve -- First, the safety nets -- Insurance and choice, once again -- From production to value -- No more silos : patient-centered care in the next curve -- Less regulation, better health care -- Positioning strategies for the new future. | |
| 505 | 0 | |a Cover; Half Title; Title Page; Copyright Page; Table of Contents; Foreword; Preface; Author; SECTION I: INDUSTRY DYSFUNCTION: ITS ROOT CAUSES AND EFFECTS; 1: It's Not the Future We Used to Have; The Old Future; The Curves of Health Care; The Root Causes of Industry Dysfunction; The Economic Human and the Next Curve; Fast Forward: A New Future; This Book: A Look Ahead; References; 2: Health Care's Perfect Storm; The Gathering Forces; What's Wrong with This Picture?; Costs on an Upward Trajectory; Heading toward a Spending Ceiling; Is Rationing the Default Scenario?; References | |
| 505 | 8 | |a 3: What Happened to Health Insurance?A Perfectly Dysfunctional Model; Affordable Access: Still No Fix; Mandates Mean Fewer Products, Higher Prices; Employer Health Plans: Not What They're Cracked Up to Be; Medicare Trouble Ahead; Medicaid Also Facing an Uncertain Future; One Size Doesn't Fit All; References; 4: Follow the Money: A Broken Payment Model; Why Not "Food Insurance?"; Fee-for-Service an Incentive for Utilization; Impact on Care Coordination; A Recipe for Waste, Fraud, and Abuse; Moving toward Value; Problems Measuring Value; References; 5: Silos, Everywhere | |
| 505 | 8 | |a Automobiles Get Pretty Good Health CareWhere's the "System" in Health Care?; The Problems of Service Fragmentation; Information Silos: Part of the Problem; Geographic Silos, Too; Population Health: More Teamwork Needed; Silo Culture Part of the Industry's DNA; References; 6: The Real Costs of Regulation; The Perils of Regulatory Overreach; The Computer Will See You Now; The Price of Regulating Prices; Certificate of Need a CON Job; More Regulation, Less Innovation; Frozen in Time; Tort Reform, a Critical Need; The Real Costs of Regulation; References; 7: Where's the Competition? | |
| 505 | 8 | |a Competition and ValueMore Government, Less Competition; Independent Physicians: An Endangered Species; Eroding Competition in the Insurance Market; Conflicting Market Signals; Narrow Networks, Narrower Choices; Consumers Caught in the Middle; References; 8: Why Government Health Care Isn't the Answer; "It's the Government: They Know Best...."; Medicare for None?; Single Payer Means Higher Costs; Rationing Is an Inevitable Outcome; Impacts on Education, Research, and Innovation; Administrative Costs Aren't Necessarily Lower; Single Payer Very Popular-Until People Understand What It Is | |
| 505 | 8 | |a Americans Don't Do Socialism Very WellReferences; 9: Market Disruptors and Transformers; Big Data and a New World of Precision Medicine; The Patient Is in; A Fusion of Segments; Employers/Health Care; Big Pharma/Insurance/Health Care; Providers/Health Plans; Providers/Suppliers; Is the Community Hospital Becoming Obsolete?; Collective Consciousness and an Empowered Market; References; SECTION II: HEALTH CARE IN THE NEXT CURVE: A ROADMAP TO INDUSTRY TRANSFORMATION; 10: Destinations of the Next Curve; Access, Choice, and Value; Access; Choice; Value; A Roadmap to Industry Transformation | |
| 520 | |a Healthcare in the U.S. is at a critical juncture. We face a continued upward spiral in the number of people with chronic diseases and disabilities. As demands on our current health system grow, so will costs. But as a society we are approaching the upper limit of how much we are willing (or able) to spend on health care. Health care industry leaders and policy makers know this. That is why they have embraced the so-called Second Curve focus on population health and value-based care. But these initiatives will not achieve the desired results. They are being implemented within an overall industry that is structurally dysfunctional. We are not addressing the root causes of this dyfunction. We are asking a system to do things that it was simply not designed to do. | ||
| 588 | |a Description based on print version record. | ||
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| 650 | 0 | |a Medical economics. |0 sh 85082915 | |
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| 650 | 1 | 2 | |a Economics, Medical. |0 D004470 |
| 650 | 2 | 2 | |a Health Care Sector |x trends. |0 D019981Q000639 |
| 650 | 2 | 2 | |a Insurance, Health |x economics. |0 D007348Q000191 |
| 650 | 2 | 2 | |a Delivery of Health Care |x economics. |0 D003695Q000191 |
| 650 | 7 | |a Medical care. |2 homoit |0 homoit0001004 | |
| 651 | 2 | |a United States. |0 D014481 | |
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