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The U.S. Healthcare Ecosystem: Payers, Providers, Producers, Second Edition

Autor Lawton Robert Burns
en Limba Engleză Paperback – 28 feb 2025
An Essential Guide to the Processes and Operational Complexities of the U.S. Healthcare System 

The U.S. Healthcare Ecosystem, Second Edition serves as an expert navigator through the complicated and often confusing environment where healthcare payers, healthcare providers, and producers of healthcare technologies all interact. This thorough, updated resource delivers expert analysis of employer-based health insurance, pharmacy benefits, the major professions, healthcare consolidation, drug discovery and development, biotechnology, and much more.

The author, a seasoned professor of management at The Wharton School, provides insight into important themes, including how the goals of healthcare relate to the “the iron triangle” (cost, quality, and access) and “the triple aim” (per capita cost, population health, and patient experience). Chapters include brief but timely cases that inspire you to think more critically about the healthcare industry and make informed assessments.

The U.S. Healthcare Ecosystem, Second Edition features:

  • Coverage of often neglected topics impacting healthcare delivery such as employer-based health insurance, pharmacy benefits, healthcare consolidation, and biotechnology
  • The most current statistics and industry developments
  • Helpful diagrams, charts, and tables
  • Chapter ending summaries and Questions to Ponder
  • A 160-page Instructor Manual containing answers for the Questions to Ponder, talking points for the critical thinking exercises, as well as ready-to-use PowerPoints of all tables and figures within the text
  • Insights and feedback from 60+ professors



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Specificații

ISBN-13: 9781265941468
ISBN-10: 1265941467
Pagini: 608
Ediția:2nd edition
Editura: McGraw Hill Education
Colecția McGraw Hill / Medical
Locul publicării:United States

Cuprins

SECTION I - FOUNDATIONS OF THE ECOSYSTEM
CHAPTER 1: Introduction
CHAPTER 2: A Guide Through the Wilderness
CHAPTER 3: What Is a Healthcare System?
CHAPTER 4: Population Health
CHAPTER 5: Goals of Healthcare
CHAPTER 6: The 800-Pound Gorilla: Rising Healthcare Costs
CHAPTER 7: Managing Quality: Another 800-Pound Gorilla?
 
SECTION II – PROVIDER SECTORS IN THE ECOSYSTEM
CHAPTER 8: Healthcare Providers
CHAPTER 9: The Medical Profession
CHAPTER 10: Primary Care: Physicians, Nurses, and Pharmacists
CHAPTER 11: Hospitals
CHAPTER 12: Hospital Diversification, Restructuring, and Integration
CHAPTER 13: Organized Ambulatory Care
CHAPTER 14: Post-Acute Care
 
SECTION III – PAYER SECTORS IN THE ECOSYSTEM
CHAPTER 15: Employer-Based Health Insurance
CHAPTER 16: Contracting for Prescription Drug Benefits: Role of Employers, Insurers, and Pharmacy Benefit Managers
CHAPTER 17: Private Health Insurance and Managed Care Organizations
CHAPTER 18: Medicare
CHAPTER 19: Medicaid and the Patient Protection and Affordable Care Act
 
SECTION IV - TECHNOLOGY SECTORS IN THE ECOSYSTEM
CHAPTER 20: The Healthcare Technology Sectors
CHAPTER 21: The Pharmaceutical Sector
CHAPTER 22: The Biotechnology Sector
CHAPTER 23: The MedTech Sector
CHAPTER 24: Healthcare Information Technology
 
SECTION V – THE PUBLIC SECTOR OF THE ECOSYSTEM
CHAPTER 25: The Federal Bureaucracy, the US Congress, and Healthcare Policy
CHAPTER 26: The Public Health System