Big med: megaproviders and the high cost of health care in America
"When it comes to healthcare, bigger isn't always better. The early-1990s rise of "megaproviders"-large, hospital-based healthcare systems that have become the norm in American medicine-brought promises of accessibility, cost savings, and excellence to the American healthcare exp...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Chicago ; London
The University of Chicago Press
2021
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| Schlagworte: | |
| Zusammenfassung: | "When it comes to healthcare, bigger isn't always better. The early-1990s rise of "megaproviders"-large, hospital-based healthcare systems that have become the norm in American medicine-brought promises of accessibility, cost savings, and excellence to the American healthcare experience. Today's megaproviders, following three decades of growth and consolidation, receive as much as two-thirds of healthcare spending in the United States. Big Med examines the rise of these megaproviders and their formative role in reducing American healthcare to its current shambles. As healthcare organizations have consolidated, they've increased their market power, and in doing so created a system in which the network sets the prices, insurance and pharmaceutical companies take the blame, and Americans suffer the costs. Drawing on seven decades of combined research in economics and sociology, Dranove and Burns consider the effects of this noncompetitive system on patients, doctors, and society more broadly. Physicians are forced to provide less attentive care to a larger number of patients; patients in turn pay more for lesser care. This leaves both parties alienated and disenchanted, and any motivations to improve the flawed system are stalled. Amid screeching public debate around the prospects and perils of Medicare-for-all, Big Med is a provocative, narrative-shifting account of who's really calling the shots-and causing harm-in American healthcare today"-- |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | viii, 335 Seiten 23 cm |
| ISBN: | 9780226668079 |
Internformat
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| 100 | 1 | |a Dranove, David |d 1956- |e Verfasser |0 (DE-588)124951147 |4 aut | |
| 245 | 1 | 0 | |a Big med |b megaproviders and the high cost of health care in America |c David Dranove and Lawton R. Burns |
| 246 | 1 | 0 | |a Megaproviders and the high cost of health care in America |
| 264 | 1 | |a Chicago ; London |b The University of Chicago Press |c 2021 | |
| 300 | |a viii, 335 Seiten |c 23 cm | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Includes bibliographical references and index | ||
| 505 | 8 | |a Introduction -- The evolution of the modern hospital -- From hospital to health system -- Why integration failed -- The fall and rise of the antitrust agencies -- History repeating : the second wave of integration -- Integration is still failing -- New antitrust challenges -- Countervailing power -- Will disruptors save the health economy? -- Recommendations for competition policy -- Recommendations for management policy | |
| 520 | 3 | |a "When it comes to healthcare, bigger isn't always better. The early-1990s rise of "megaproviders"-large, hospital-based healthcare systems that have become the norm in American medicine-brought promises of accessibility, cost savings, and excellence to the American healthcare experience. Today's megaproviders, following three decades of growth and consolidation, receive as much as two-thirds of healthcare spending in the United States. Big Med examines the rise of these megaproviders and their formative role in reducing American healthcare to its current shambles. As healthcare organizations have consolidated, they've increased their market power, and in doing so created a system in which the network sets the prices, insurance and pharmaceutical companies take the blame, and Americans suffer the costs. Drawing on seven decades of combined research in economics and sociology, Dranove and Burns consider the effects of this noncompetitive system on patients, doctors, and society more broadly. Physicians are forced to provide less attentive care to a larger number of patients; patients in turn pay more for lesser care. This leaves both parties alienated and disenchanted, and any motivations to improve the flawed system are stalled. Amid screeching public debate around the prospects and perils of Medicare-for-all, Big Med is a provocative, narrative-shifting account of who's really calling the shots-and causing harm-in American healthcare today"-- | |
| 653 | 0 | |a Health facilities / United States / Business management | |
| 653 | 0 | |a Medical economics / United States | |
| 653 | 0 | |a Health Facilities / economics | |
| 653 | 2 | |a United States | |
| 653 | 0 | |a MEDICAL / Public Health | |
| 653 | 0 | |a Health facilities / Business management | |
| 653 | 0 | |a Medical economics | |
| 653 | 2 | |a United States | |
| 700 | 1 | |a Burns, Lawton R. |d 1951- |e Verfasser |0 (DE-588)130453234 |4 aut | |
| 776 | 0 | 8 | |i Erscheint auch als |n Online-Ausgabe |z 978-0-226-75684-4 |
| 999 | |a oai:aleph.bib-bvb.de:BVB01-032742400 | ||
Datensatz im Suchindex
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| author | Dranove, David 1956- Burns, Lawton R. 1951- |
| author_GND | (DE-588)124951147 (DE-588)130453234 |
| author_facet | Dranove, David 1956- Burns, Lawton R. 1951- |
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| author_sort | Dranove, David 1956- |
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| bvnumber | BV047339983 |
| contents | Introduction -- The evolution of the modern hospital -- From hospital to health system -- Why integration failed -- The fall and rise of the antitrust agencies -- History repeating : the second wave of integration -- Integration is still failing -- New antitrust challenges -- Countervailing power -- Will disruptors save the health economy? -- Recommendations for competition policy -- Recommendations for management policy |
| ctrlnum | (OCoLC)1226615773 (DE-599)BVBBV047339983 |
| format | Book |
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| id | DE-604.BV047339983 |
| illustrated | Not Illustrated |
| index_date | 2024-07-03T17:34:09Z |
| indexdate | 2024-07-10T09:09:25Z |
| institution | BVB |
| isbn | 9780226668079 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-032742400 |
| oclc_num | 1226615773 |
| open_access_boolean | |
| owner | DE-188 |
| owner_facet | DE-188 |
| physical | viii, 335 Seiten 23 cm |
| publishDate | 2021 |
| publishDateSearch | 2021 |
| publishDateSort | 2021 |
| publisher | The University of Chicago Press |
| record_format | marc |
| spelling | Dranove, David 1956- Verfasser (DE-588)124951147 aut Big med megaproviders and the high cost of health care in America David Dranove and Lawton R. Burns Megaproviders and the high cost of health care in America Chicago ; London The University of Chicago Press 2021 viii, 335 Seiten 23 cm txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Introduction -- The evolution of the modern hospital -- From hospital to health system -- Why integration failed -- The fall and rise of the antitrust agencies -- History repeating : the second wave of integration -- Integration is still failing -- New antitrust challenges -- Countervailing power -- Will disruptors save the health economy? -- Recommendations for competition policy -- Recommendations for management policy "When it comes to healthcare, bigger isn't always better. The early-1990s rise of "megaproviders"-large, hospital-based healthcare systems that have become the norm in American medicine-brought promises of accessibility, cost savings, and excellence to the American healthcare experience. Today's megaproviders, following three decades of growth and consolidation, receive as much as two-thirds of healthcare spending in the United States. Big Med examines the rise of these megaproviders and their formative role in reducing American healthcare to its current shambles. As healthcare organizations have consolidated, they've increased their market power, and in doing so created a system in which the network sets the prices, insurance and pharmaceutical companies take the blame, and Americans suffer the costs. Drawing on seven decades of combined research in economics and sociology, Dranove and Burns consider the effects of this noncompetitive system on patients, doctors, and society more broadly. Physicians are forced to provide less attentive care to a larger number of patients; patients in turn pay more for lesser care. This leaves both parties alienated and disenchanted, and any motivations to improve the flawed system are stalled. Amid screeching public debate around the prospects and perils of Medicare-for-all, Big Med is a provocative, narrative-shifting account of who's really calling the shots-and causing harm-in American healthcare today"-- Health facilities / United States / Business management Medical economics / United States Health Facilities / economics United States MEDICAL / Public Health Health facilities / Business management Medical economics Burns, Lawton R. 1951- Verfasser (DE-588)130453234 aut Erscheint auch als Online-Ausgabe 978-0-226-75684-4 |
| spellingShingle | Dranove, David 1956- Burns, Lawton R. 1951- Big med megaproviders and the high cost of health care in America Introduction -- The evolution of the modern hospital -- From hospital to health system -- Why integration failed -- The fall and rise of the antitrust agencies -- History repeating : the second wave of integration -- Integration is still failing -- New antitrust challenges -- Countervailing power -- Will disruptors save the health economy? -- Recommendations for competition policy -- Recommendations for management policy |
| title | Big med megaproviders and the high cost of health care in America |
| title_alt | Megaproviders and the high cost of health care in America |
| title_auth | Big med megaproviders and the high cost of health care in America |
| title_exact_search | Big med megaproviders and the high cost of health care in America |
| title_exact_search_txtP | Big med megaproviders and the high cost of health care in America |
| title_full | Big med megaproviders and the high cost of health care in America David Dranove and Lawton R. Burns |
| title_fullStr | Big med megaproviders and the high cost of health care in America David Dranove and Lawton R. Burns |
| title_full_unstemmed | Big med megaproviders and the high cost of health care in America David Dranove and Lawton R. Burns |
| title_short | Big med |
| title_sort | big med megaproviders and the high cost of health care in america |
| title_sub | megaproviders and the high cost of health care in America |
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