American health care blues: Blue Cross, HMOs and pragmatic reform since 1960
Scholars have been writing about the health care industry's social transition to managed care for over twenty-five years. American Health Care Blues is the first book to examine the special role of Blue Cross in this transformation. It tells the story of how national trade association leaders o...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New Brunswick [u.a.]
Transaction Publ.
1996
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | Scholars have been writing about the health care industry's social transition to managed care for over twenty-five years. American Health Care Blues is the first book to examine the special role of Blue Cross in this transformation. It tells the story of how national trade association leaders of America's loose confederation of independent Blue Cross plans, the world's largest private health insurer, got their membership to diversify - despite local plan reluctance and national organized medicine resistance - into HMOs over a thirty-five-year period. This radical shift, amidst rapid erosion of the non-profit ethos in our society in the 1980s, seemingly reconstructed the conservative "Blues" into a more viable enterprise. It also dangerously eclipsed their guiding principle: "community service." Making novel use of the sociology of organizations and pragmatic philosophy, Irwin Miller sheds new light on the nature and evolution of both the Blues and American health care voluntarism and reform. He shows how Walter McNerney, one of the primary health policy shapers over the past forty years, used ideological and utopian rhetoric to help move Blue Cross into HMO development. This case study of institutional and leadership behavior uses firsthand interviews, archival documents, oral histories, and other materials to present an unusually concrete and readable narrative account as to how health care leaders engage in creative institution building, or health care reform |
| Beschreibung: | 148 S. |
| ISBN: | 1560002654 |
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| 520 | 3 | |a Scholars have been writing about the health care industry's social transition to managed care for over twenty-five years. American Health Care Blues is the first book to examine the special role of Blue Cross in this transformation. It tells the story of how national trade association leaders of America's loose confederation of independent Blue Cross plans, the world's largest private health insurer, got their membership to diversify - despite local plan reluctance and national organized medicine resistance - into HMOs over a thirty-five-year period. This radical shift, amidst rapid erosion of the non-profit ethos in our society in the 1980s, seemingly reconstructed the conservative "Blues" into a more viable enterprise. It also dangerously eclipsed their guiding principle: "community service." | |
| 520 | |a Making novel use of the sociology of organizations and pragmatic philosophy, Irwin Miller sheds new light on the nature and evolution of both the Blues and American health care voluntarism and reform. He shows how Walter McNerney, one of the primary health policy shapers over the past forty years, used ideological and utopian rhetoric to help move Blue Cross into HMO development. This case study of institutional and leadership behavior uses firsthand interviews, archival documents, oral histories, and other materials to present an unusually concrete and readable narrative account as to how health care leaders engage in creative institution building, or health care reform | ||
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
1. Introduction: Taking Home the Meaning of the Past 1
2. Exhortation About a Radical Idea (1960s) 3 3
3. Action: Experimentation and Critical Decision (1970s) 63
4. Consequences: Establishment and Organizational
Character (1980s 1995) 101
5. Reconstruction: Turning to the Future 123
References 133
Index 145
|
| any_adam_object | 1 |
| author | Miller, Irwin |
| author_facet | Miller, Irwin |
| author_role | aut |
| author_sort | Miller, Irwin |
| author_variant | i m im |
| building | Verbundindex |
| bvnumber | BV011308020 |
| callnumber-first | H - Social Science |
| callnumber-label | HG9396 |
| callnumber-raw | HG9396 |
| callnumber-search | HG9396 |
| callnumber-sort | HG 49396 |
| callnumber-subject | HG - Finance |
| ctrlnum | (OCoLC)34633391 (DE-599)BVBBV011308020 |
| dewey-full | 368.3/82/00973 |
| dewey-hundreds | 300 - Social sciences |
| dewey-ones | 368 - Insurance |
| dewey-raw | 368.3/82/00973 |
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| dewey-tens | 360 - Social problems and services; associations |
| discipline | Wirtschaftswissenschaften |
| era | Geschichte 1960-1995 gnd |
| era_facet | Geschichte 1960-1995 |
| format | Book |
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| spelling | Miller, Irwin Verfasser aut American health care blues Blue Cross, HMOs and pragmatic reform since 1960 Irwin Miller New Brunswick [u.a.] Transaction Publ. 1996 148 S. txt rdacontent n rdamedia nc rdacarrier Scholars have been writing about the health care industry's social transition to managed care for over twenty-five years. American Health Care Blues is the first book to examine the special role of Blue Cross in this transformation. It tells the story of how national trade association leaders of America's loose confederation of independent Blue Cross plans, the world's largest private health insurer, got their membership to diversify - despite local plan reluctance and national organized medicine resistance - into HMOs over a thirty-five-year period. This radical shift, amidst rapid erosion of the non-profit ethos in our society in the 1980s, seemingly reconstructed the conservative "Blues" into a more viable enterprise. It also dangerously eclipsed their guiding principle: "community service." Making novel use of the sociology of organizations and pragmatic philosophy, Irwin Miller sheds new light on the nature and evolution of both the Blues and American health care voluntarism and reform. He shows how Walter McNerney, one of the primary health policy shapers over the past forty years, used ideological and utopian rhetoric to help move Blue Cross into HMO development. This case study of institutional and leadership behavior uses firsthand interviews, archival documents, oral histories, and other materials to present an unusually concrete and readable narrative account as to how health care leaders engage in creative institution building, or health care reform Blue Cross Association - Histoire Blue Cross Association Blue Cross Association History Blue Cross Association (DE-588)4461479-2 gnd rswk-swf Geschichte 1960-1995 gnd rswk-swf Assurance-hospitalisation - États-Unis Assurance-maladie - États-Unis Assurance-maladie à prépaiement - États-Unis Politique sanitaire - États-Unis Geschichte Health Maintenance Organizations United States Health insurance United States Health maintenance organizations United States Hospitalization insurance United States Insurance, Hospitalization history United States Insurance, Hospitalization United States Medical policy United States Organizational Innovation United States Health Maintenance Organization (DE-588)4202208-3 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Gesundheitswesen (DE-588)4020775-4 s Blue Cross Association (DE-588)4461479-2 b Geschichte 1960-1995 z DE-604 Health Maintenance Organization (DE-588)4202208-3 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007595596&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Miller, Irwin American health care blues Blue Cross, HMOs and pragmatic reform since 1960 Blue Cross Association - Histoire Blue Cross Association Blue Cross Association History Blue Cross Association (DE-588)4461479-2 gnd Assurance-hospitalisation - États-Unis Assurance-maladie - États-Unis Assurance-maladie à prépaiement - États-Unis Politique sanitaire - États-Unis Geschichte Health Maintenance Organizations United States Health insurance United States Health maintenance organizations United States Hospitalization insurance United States Insurance, Hospitalization history United States Insurance, Hospitalization United States Medical policy United States Organizational Innovation United States Health Maintenance Organization (DE-588)4202208-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4461479-2 (DE-588)4202208-3 (DE-588)4020775-4 (DE-588)4078704-7 |
| title | American health care blues Blue Cross, HMOs and pragmatic reform since 1960 |
| title_auth | American health care blues Blue Cross, HMOs and pragmatic reform since 1960 |
| title_exact_search | American health care blues Blue Cross, HMOs and pragmatic reform since 1960 |
| title_full | American health care blues Blue Cross, HMOs and pragmatic reform since 1960 Irwin Miller |
| title_fullStr | American health care blues Blue Cross, HMOs and pragmatic reform since 1960 Irwin Miller |
| title_full_unstemmed | American health care blues Blue Cross, HMOs and pragmatic reform since 1960 Irwin Miller |
| title_short | American health care blues |
| title_sort | american health care blues blue cross hmos and pragmatic reform since 1960 |
| title_sub | Blue Cross, HMOs and pragmatic reform since 1960 |
| topic | Blue Cross Association - Histoire Blue Cross Association Blue Cross Association History Blue Cross Association (DE-588)4461479-2 gnd Assurance-hospitalisation - États-Unis Assurance-maladie - États-Unis Assurance-maladie à prépaiement - États-Unis Politique sanitaire - États-Unis Geschichte Health Maintenance Organizations United States Health insurance United States Health maintenance organizations United States Hospitalization insurance United States Insurance, Hospitalization history United States Insurance, Hospitalization United States Medical policy United States Organizational Innovation United States Health Maintenance Organization (DE-588)4202208-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Blue Cross Association - Histoire Blue Cross Association Blue Cross Association History Assurance-hospitalisation - États-Unis Assurance-maladie - États-Unis Assurance-maladie à prépaiement - États-Unis Politique sanitaire - États-Unis Geschichte Health Maintenance Organizations United States Health insurance United States Health maintenance organizations United States Hospitalization insurance United States Insurance, Hospitalization history United States Insurance, Hospitalization United States Medical policy United States Organizational Innovation United States Health Maintenance Organization Gesundheitswesen USA |
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