Health care finance and economics:
Saved in:
| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Sudbury, Mass. [u.a.]
Jones and Bartlett
2004
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| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Includes bibliographical references and index |
| Physical Description: | XII, 285 S. graph. Darst. |
| ISBN: | 0763731463 |
Staff View
MARC
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| 100 | 1 | |a Eastaugh, Steven R. |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Health care finance and economics |c Steven R. Eastaugh |
| 264 | 1 | |a Sudbury, Mass. [u.a.] |b Jones and Bartlett |c 2004 | |
| 300 | |a XII, 285 S. |b graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Includes bibliographical references and index | ||
| 650 | 4 | |a Medical economics | |
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| 650 | 0 | 7 | |a Gesundheitswesen |0 (DE-588)4020775-4 |2 gnd |9 rswk-swf |
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Record in the Search Index
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|---|---|
| adam_text | I Contents Preface xi
/ Economic Incentives and Fund Flows 1
Emergency Medicine as a Public Good 4
Coverage Reform and Charity Care 6
Integrated Systems 7
Are HMOs Growing in Market Power? 8
Scale Economies 10
Taste for Managed Care 12
Rate Setting 14
Will HMOs Evolve or Wither? 15
Consumer Demand and Technology 16
Net Present Value Analysis: Discounting 18
Defining Types of Efficiency 20
Paperwork Cost Management 21
References 23
% Product Line Specialization and Standard 25
Costing: Selection, Risk, and Return
Product Line Selection 27
Managing Risk 28
Rising Specialization 30
Do Not Trim, Do Not Think 32
Market Dynamics 33
Specialize Carefully 38
Reporting Conventions 41
Standard Costing 42
Level of Analysis 45
Variance Analysis and Flexible Budgets 46
Collaborate and Take Action 49
Financial Accounting 50
Mergers and Diversification 53
Diversification: The Upside 54
vi Health Care Finance and Economics
The GME Quandiy: Who Should Pay and 56
How Much?
References 59
j The Physician Marketplace 61
Physicians: Director of the Ship 62
Recent Trends in Physician Supply 64
Principal Methods for Paying the Doctor 66
Wanted: Some Effective Controls on 68
Quantity and Quality
Controlling the Volume of Services 70
Improving the System 71
Join Together or Suffer Alone 74
A New Era of Federal Price Setting 75
Physicians Supply Curves 76
Hospital Practice Privileges 78
Retail Managed Care 79
References 84
4 Productivity Enhancement and 87
Incentive Compensation
Aren t Our Present Productivity Measures 89
Good Enough?
What Must Be Done to Improve Productivity? 90
Move Rapidly 90
Start Big 90
Ask the Right Questions 91
Stage I: Operational Assessment 91
Focus on Basic Problems 92
Reorganize and Retrain for Improved Productivity 92
Define Necessary Staff Qualifications 93
Use an Adequate Reporting System 93
Stage II: Who Can Be Scheduling Better? 93
Forecast Actual Workloads 95
Preserve Employee Morale 95
Contents vii
Use an Automated Scheduling System, 95
Schedule Physicians Better 96
Develop an Accurate System of Productivity 98
Measurement and Workload Driven
Staff Scheduling Systems
Trim Bureaucracy 98
Stage III: When Can Incentives Be Provided? 99
Put Incentives in Context 99
Communicate the Benefits of Cost Reduction 99
Help Employees Work Smarter 100
Use Incentives to Improve Quality Care 100
The Dos and Don ts of Structuring an 100
Incentive Plan
Fairness and Efficiency 102
Incentive Compensation Plans 105
Final Points 106
References 108
j Production Functions 111
Introduction 112
Background 113
Data and Methods 114
Empirical Results 117
Discussion and Conclusions 120
References 123
Q Technology Assessment and Cost Effectiveness 125
Quality Adjusted Life Years (QALY) 126
Methods of Analysis 128
Net Present Value Analysis: Discounting 130
Applications of Cost Effectiveness Analysis 131
The Tunnel of Technology and Costly 134
Marginal Information Gains
Measures of Health Status 137
References 138
viii Health Care Finance and Economics
/ Cost Benefit Analysis: The Value of 141
Life and Limb
The Merits of More Medicine 144
Measurement of Intangible Benefits 145
Opinions on Risk Are Not Mathematical 147
Measurement of Willingness to Pay 149
Hypothetical WTP Survey Techniques 151
Attempting to Improve Applications of the 154
WTP Theory
Targets to Study 156
References 159
(y Pricing and Market Strategy Planning 161
Marketing and the Nonprofit Ethos 163
Strategic Analysis 165
Market Catchment Area: Stage 1 167
Physical Customer Market Survey: Stage 2 167
Identifying Consumer Preferences: Stage 3 167
Product Line Thinking: Stages 4 and 5 168
Integrated Market Planning and Promotion: Stage 6 169
Quality and Unit Cost by Service Product Line 170
Cost and Quality Scale Effects 172
Strategic Product Line Groupings (SPGs) 173
Specialization and Regionalization 175
Underspecialization and Overspecialization 177
Price Setting with a Purpose 179
Demand Creation and Advertising 185
Statistical Techniques in Marketing 188
References 190
Q Capital Finance 193
Accurate Self Assessment of Risk and Return 195
Designing a Capital Project 195
Contents ix
Investment Decisions 199
Financing Decisions 201
Living Within Limits 202
The Advantages of Leasing 202
Capital Leases and Operating Leases 204
Potential Changes in Reimbursement Incentives 205
The Financial Cost of Leasing 207
Payment to Nursing Homes: How Much 209
for Capital?
Background on Models Assessing Distress 211
or Closure
Prescriptive Action: Seeking a Turnaround 214
Innovation and Profits 215
Risk and Return 216
Conclusions 218
References 220
10 Debt Financing and Capital Structure 223
Capital Structure Decisions 224
An Alternative for For Profits 225
Short TermorLong TermDebt? 226
Internal Capital Planning: Long Run Plans and 227
Short Run Investments
Marketing the Debt 232
Financial Contraints on Hospitals Issuing Debt 233
How Financial Ratios Might Restrict 234
Hospital Growth
Debt to Plant Ratio 236
Debt Service Coverage 237
How Much Risk Can You Take? 241
Diversification and Structure 242
Cost Reports, Mergers, and Competition 243
Hybridization and Joint Ventures 244
References 247
x Health Care Finance and Economics
11 Future Issues and Alternatives 249
Wanted: Stable Financing 252
Innovation or Inequity 253
Reform: Forever Imminent 254
Lessons from Two Nations 254
National Spending Comparisons 256
Lessons for the United States 259
Equity and Quality 261
Try to Manage Change, or It Will Manage You 266
References 268
|
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| id | DE-604.BV017087636 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T19:13:36Z |
| institution | BVB |
| isbn | 0763731463 |
| language | English |
| lccn | 2003047494 |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-010306384 |
| oclc_num | 52031149 |
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| owner | DE-703 DE-19 DE-BY-UBM DE-521 |
| owner_facet | DE-703 DE-19 DE-BY-UBM DE-521 |
| physical | XII, 285 S. graph. Darst. |
| publishDate | 2004 |
| publishDateSearch | 2004 |
| publishDateSort | 2004 |
| publisher | Jones and Bartlett |
| record_format | marc |
| spelling | Eastaugh, Steven R. Verfasser aut Health care finance and economics Steven R. Eastaugh Sudbury, Mass. [u.a.] Jones and Bartlett 2004 XII, 285 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Medical economics Finanzierung (DE-588)4017182-6 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 s Finanzierung (DE-588)4017182-6 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010306384&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Eastaugh, Steven R. Health care finance and economics Medical economics Finanzierung (DE-588)4017182-6 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4017182-6 (DE-588)4020775-4 |
| title | Health care finance and economics |
| title_auth | Health care finance and economics |
| title_exact_search | Health care finance and economics |
| title_full | Health care finance and economics Steven R. Eastaugh |
| title_fullStr | Health care finance and economics Steven R. Eastaugh |
| title_full_unstemmed | Health care finance and economics Steven R. Eastaugh |
| title_short | Health care finance and economics |
| title_sort | health care finance and economics |
| topic | Medical economics Finanzierung (DE-588)4017182-6 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Medical economics Finanzierung Gesundheitswesen |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010306384&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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