The financial professional's guide to healthcare reform [[electronic resource] /] / Mark O. Dietrich, Gregory D. Anderson |
Autore | Dietrich Mark O |
Edizione | [1st edition] |
Pubbl/distr/stampa | Hoboken, N.J., : John Wiley & Sons, Inc., c2012 |
Descrizione fisica | 1 online resource (434 p.) |
Disciplina | 368.38/200973 |
Altri autori (Persone) | AndersonGregory D. <1961-> |
Collana | Wiley finance |
Soggetto topico |
Medical care - Law and legislation - United States
Health care reform - United States |
Soggetto genere / forma | Electronic books. |
ISBN |
1-118-23684-X
1-280-58966-3 9786613619495 1-118-22331-4 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Nota di contenuto |
The Financial Professional's Guide to Healthcare Reform; Contents; Foreword; Preface; Acknowledgments; CHAPTER 1: Introduction; A Brief Recap of the History of Reform; Early Reform Efforts; Tax Deductibility of Health Insurance; The Great Society: Medicare and Medicaid; The 1970's: Medicare HMOs and ERISA; Regulation: The Anti-Kickback Statute; Prospective Payment Systems; The 1990's; Rise of Managed Care; The Stark Law: Anti-Referral Statute; Balanced Budget Act of 1997; Balanced Budget Revision Act and Benefits Improvement and Protection Act; Failure of Managed Care
Provider Integration and Consolidation Summary of the Healthcare Market in 2000; The New Century; One Size Fits All? Geographic Disparities in the U.S. Healthcare System; Profit and Nonprofit Hospitals and Health Insurers; History of Blue Plans; Medicare: The Other White Meat; Other Market-Based Studies; Geo-Clinical Differences; Summary; Notes; CHAPTER 2: Massachusetts; The Time Line of Massachusetts Reform; Early Reform Legislation in Massachusetts; Acts of 1996; Targeting the Small Group Market; Targeting the Trade Associations Offering Health Insurance to their Members The Intervening Years Components of the 2006 Massachusetts Legislation; Merging the Small Group and Individual Markets; Commonwealth Care Subsidies; Key Features of Massachusetts Reform; Recounting the Results of Reform in Massachusetts; Universal Coverage; Response of the Healthcare Provider Community; Differing Views of Massachusetts Reform; Special Commission on the Health Care Payment System; The Alternative Quality Contract; State Government Reports Tracking the Results of Reform; The Small Group and Individual Market versus Self-Insured Market; Massachusetts Quarterly Reports Massachusetts Attorney General's Report Similar Experience in Other Markets; Specific Comparisons; Take from the Poor and Give to the Rich?; Impact on Market Share of Financially Weaker Providers; Most Favored Nation Clauses; Tiered Pricing; Recent Legislative Changes through August 2010; Open Hearings in December 2009; August 2010 Changes in Massachusetts; Open Enrollment; Review of Premium Increases; Tiered Network Requirement; What Can We Learn from the Massachusetts Experience?; Notes; CHAPTER 3: Insurance Reforms; What is Insurance? Components of Health Insurance and Healthcare Entitlement Sources of Coverage; Medicare; Medicaid; Self-Insured Employers; Small Group (Small Business) Insureds; Individual Insureds; Large Group-Business Not Self-Insuring; Uninsured; Health Insurers; How Do Health Insurers Provide Health Insurance?; Understanding Actuarial Risk; How Does Self-Insurance Work?; Regional and Industry Factors in Health Insurance; The Reform of Health Insurance; Minimum Essential Coverage; Preventive Medicine Services; The Precious Metals of Health Insurance Policies; Defining Actuarial Value; Deductibles Glossary of Health Insurance and Medical Terms |
Record Nr. | UNINA-9910461593403321 |
Dietrich Mark O | ||
Hoboken, N.J., : John Wiley & Sons, Inc., c2012 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|
The financial professional's guide to healthcare reform [[electronic resource] /] / Mark O. Dietrich, Gregory D. Anderson |
Autore | Dietrich Mark O |
Edizione | [1st edition] |
Pubbl/distr/stampa | Hoboken, N.J., : John Wiley & Sons, Inc., c2012 |
Descrizione fisica | 1 online resource (434 p.) |
Disciplina | 368.38/200973 |
Altri autori (Persone) | AndersonGregory D. <1961-> |
Collana | Wiley finance |
Soggetto topico |
Medical care - Law and legislation - United States
Health care reform - United States |
ISBN |
1-118-23684-X
1-280-58966-3 9786613619495 1-118-22331-4 |
Classificazione | BUS001010 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Nota di contenuto |
The Financial Professional's Guide to Healthcare Reform; Contents; Foreword; Preface; Acknowledgments; CHAPTER 1: Introduction; A Brief Recap of the History of Reform; Early Reform Efforts; Tax Deductibility of Health Insurance; The Great Society: Medicare and Medicaid; The 1970's: Medicare HMOs and ERISA; Regulation: The Anti-Kickback Statute; Prospective Payment Systems; The 1990's; Rise of Managed Care; The Stark Law: Anti-Referral Statute; Balanced Budget Act of 1997; Balanced Budget Revision Act and Benefits Improvement and Protection Act; Failure of Managed Care
Provider Integration and Consolidation Summary of the Healthcare Market in 2000; The New Century; One Size Fits All? Geographic Disparities in the U.S. Healthcare System; Profit and Nonprofit Hospitals and Health Insurers; History of Blue Plans; Medicare: The Other White Meat; Other Market-Based Studies; Geo-Clinical Differences; Summary; Notes; CHAPTER 2: Massachusetts; The Time Line of Massachusetts Reform; Early Reform Legislation in Massachusetts; Acts of 1996; Targeting the Small Group Market; Targeting the Trade Associations Offering Health Insurance to their Members The Intervening Years Components of the 2006 Massachusetts Legislation; Merging the Small Group and Individual Markets; Commonwealth Care Subsidies; Key Features of Massachusetts Reform; Recounting the Results of Reform in Massachusetts; Universal Coverage; Response of the Healthcare Provider Community; Differing Views of Massachusetts Reform; Special Commission on the Health Care Payment System; The Alternative Quality Contract; State Government Reports Tracking the Results of Reform; The Small Group and Individual Market versus Self-Insured Market; Massachusetts Quarterly Reports Massachusetts Attorney General's Report Similar Experience in Other Markets; Specific Comparisons; Take from the Poor and Give to the Rich?; Impact on Market Share of Financially Weaker Providers; Most Favored Nation Clauses; Tiered Pricing; Recent Legislative Changes through August 2010; Open Hearings in December 2009; August 2010 Changes in Massachusetts; Open Enrollment; Review of Premium Increases; Tiered Network Requirement; What Can We Learn from the Massachusetts Experience?; Notes; CHAPTER 3: Insurance Reforms; What is Insurance? Components of Health Insurance and Healthcare Entitlement Sources of Coverage; Medicare; Medicaid; Self-Insured Employers; Small Group (Small Business) Insureds; Individual Insureds; Large Group-Business Not Self-Insuring; Uninsured; Health Insurers; How Do Health Insurers Provide Health Insurance?; Understanding Actuarial Risk; How Does Self-Insurance Work?; Regional and Industry Factors in Health Insurance; The Reform of Health Insurance; Minimum Essential Coverage; Preventive Medicine Services; The Precious Metals of Health Insurance Policies; Defining Actuarial Value; Deductibles Glossary of Health Insurance and Medical Terms |
Record Nr. | UNINA-9910789945803321 |
Dietrich Mark O | ||
Hoboken, N.J., : John Wiley & Sons, Inc., c2012 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|