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Controlling costs and changing patient care? [[electronic resource] ] : the role of utilization management / / Committee on Utilization Management by Third Parties, Division of Health Care Services, Institute of Medicine ; Bradford H. Gray and Marilyn J. Field, editors
| Controlling costs and changing patient care? [[electronic resource] ] : the role of utilization management / / Committee on Utilization Management by Third Parties, Division of Health Care Services, Institute of Medicine ; Bradford H. Gray and Marilyn J. Field, editors |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1989 |
| Descrizione fisica | 1 online resource (320 p.) |
| Disciplina | 338.4/33621/0973 |
| Altri autori (Persone) |
GrayBradford H. <1942->
FieldMarilyn J (Marilyn Jane) |
| Soggetto topico |
Cost control
Health services administration - United States |
| Soggetto genere / forma | Electronic books. |
| ISBN |
1-280-21445-7
9786610214457 0-309-54309-6 0-585-14457-5 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910455908903321 |
| Washington, D.C., : National Academy Press, 1989 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Controlling costs and changing patient care? : the role of utilization management / / Committee on Utilization Management by Third Parties, Division of Health Care Services, Institute of Medicine ; Bradford H. Gray and Marilyn J. Field, editors
| Controlling costs and changing patient care? : the role of utilization management / / Committee on Utilization Management by Third Parties, Division of Health Care Services, Institute of Medicine ; Bradford H. Gray and Marilyn J. Field, editors |
| Pubbl/distr/stampa | Washington, D.C. : , : National Academy Press, , 1989 |
| Descrizione fisica | 1 online resource (viii, 312 pages) : illustrations |
| Disciplina | 338.4/33621/0973 |
| Altri autori (Persone) |
GrayBradford H. <1942->
FieldMarilyn J (Marilyn Jane) |
| Soggetto topico |
Cost control
Health services administration - United States |
| ISBN |
1-280-21445-7
9786610214457 0-309-54309-6 0-585-14457-5 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910778790003321 |
| Washington, D.C. : , : National Academy Press, , 1989 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Controlling costs and changing patient care? : the role of utilization management / / Committee on Utilization Management by Third Parties, Division of Health Care Services, Institute of Medicine ; Bradford H. Gray and Marilyn J. Field, editors
| Controlling costs and changing patient care? : the role of utilization management / / Committee on Utilization Management by Third Parties, Division of Health Care Services, Institute of Medicine ; Bradford H. Gray and Marilyn J. Field, editors |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1989 |
| Descrizione fisica | 1 online resource (viii, 312 pages) : illustrations |
| Disciplina | 338.4/33621/0973 |
| Altri autori (Persone) |
GrayBradford H. <1942->
FieldMarilyn J (Marilyn Jane) |
| Soggetto topico |
Cost control
Health services administration - United States |
| ISBN |
1-280-21445-7
9786610214457 0-309-54309-6 0-585-14457-5 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Controlling Costs and Changing Patient Care? -- Copyright -- Contents -- Preface -- Executive Summary -- CURRENT STATUS OF UTILIZATION MANAGEMENT -- HOW UTILIZATION MANAGEMENT IS EVOLVING -- ISSUES FOR THE FUTURE -- RECOMMENDATIONS FOR THE NEAR TERM -- Responsibilities of Employers and Purchasers -- Responsibilities of Utilization Management Organizations -- Responsibilities of Practitioners and Institutions -- Responsibilities of Patients -- LONGER-TERM RECOMMENDATIONS AND QUESTIONS -- Research On Effectiveness -- Practice Guidelines and Review Criteria -- Oversight of Utilization Management -- 1 Utilization Management: Introduction and Definitions -- WHAT IS UTILIZATION MANAGEMENT? -- Prior Review -- High-Cost Case Management -- Retrospective Utilization Review -- Other Cost-Containment Methods -- TWO NOTES OF CAUTION -- Obstacles To Evaluation -- Intrinsic Conceptual and Methodological Problems -- Common Behavioral Biases Against Evaluation -- Competition and Evaluation -- Forces Behind Rising Health Care Costs -- REFERENCES -- 2 Origins of Utilization Management -- THE GROWTH OF THIRD-PARTY FINANCING OF HEALTH CARE -- EARLY COST-MANAGEMENT EFFORTS BY THIRD PARTIES -- Management of the Risk Pool -- Design of the Benefit Plan -- Controls On Payments To Providers -- Constraints On Supply -- Utilization Review -- GOVERNMENT AND EMPLOYER INVOLVEMENT -- Federal Government Initiatives -- Private Purchasers Become an Force -- OTHER FACTORS GIVING RISE TO UTILIZATION MANAGEMENT -- Inappropriate Utilization as an Cost-Containment Target -- Variations in Utilization -- Inappropriate Utilization -- Linking Cost and Quality -- Improving the Tools and Structures for Utilization Management -- Information Resources -- Assessment and Education Strategies -- New Organizations -- CONCLUSION -- REFERENCES.
3 The Utilization Management Industry: Structure and Process -- INDUSTRY OVERVIEW -- THE REALITIES OF PRIOR REVIEW: HOW IS IT ACTUALLY DONE? -- How Prior Review Is Integrated with Other Administrative Functions -- How Basic Logistical Matters Are Handled -- Initiating Review -- Handling Telephone Calls -- Computerization -- How Nurse Reviewers Work -- What Role Do Physician Advisers Play? -- What Style Is Used with Attending Physicians? -- What Criteria Are Used to Assess Care? -- Lists of Procedures -- Exceptions Criteria -- Hospitalization Criteria -- Length-Of-Stay Norms -- Necessity of a Procedure -- How Criteria Are Adopted and Modified -- How Organizations Use Criteria -- Appeals Processes -- Reporting and Feedback Mechanisms -- SECOND-OPINION REQUIREMENTS -- LEGAL ISSUES -- CONCLUSION -- REFERENCES -- 4 Impact of Prior Review Programs -- DIRECTION OF AVAILABLE EVIDENCE: IMPACT ON UTILIZATION AND COST -- Before-and-After Studies -- Comparative Studies -- Multivariate Studies -- Impact of Second-Opinion Programs -- WEAKNESSES IN THE EVIDENCE ON EFFECTS OF PRIOR REVIEW -- EFFECTS OF PRIOR REVIEW ON SPECIFIC PARTIES -- Effects on Enrollees and Patients -- Quality of Care -- Navigating Health Care and Health Benefits -- Patient Costs, Comfort, and Convenience -- Effects on Health Care Practitioners and Institutions -- Physician-Patient Relationship -- Physician-Hospital Relations -- Provider-Purchaser Relations -- Effects of Prior Review on Purchasers -- CONCLUSION -- APPENDIX SOME METHODOLOGICAL ISSUES IN ASSESSING THE EFFECTS OF UTILIZATION MANAGEMENT PROGRAMS -- Claims Data -- Group Data -- Program Data -- Savings Calculations -- Other Interventions -- Medical Care Prices -- Noneconomic effects -- REFERENCES -- 5 High-Cost Case Management -- FOCUS OF HIGH-COST CASE MANAGEMENT -- ROLE OF THE PURCHASER -- HOW HIGH-COST CASE MANAGEMENT WORKS. Operational Variations -- How Cases Are Identified and Screened -- Who Serves as Case Manager? -- How Case Managers Relate to Patients and Providers -- How Much Case Management Costs -- IMPACT OF HIGH-COST CASE MANAGEMENT -- EFFECTS OF HIGH-COST CASE MANAGEMENT ON SPECIFIC PARTIES -- Effects on Enrollees -- Effects on Health Care Providers -- Effects on Purchasers -- QUESTIONS ABOUT AVAILABLE EVIDENCE -- LEARNING CURVE IN HIGH-COST CASE MANAGEMENT -- POTENTIAL LEGAL ISSUES -- CONCLUSION -- REFERENCES -- 6 Conclusions and Recommendations -- CURRENT STATUS OF UTILIZATION MANAGEMENT -- HOW UTILIZATION MANAGEMENT IS EVOLVING -- Scope of Review -- Operational Efficiency -- Rationing -- ISSUES FOR THE FUTURE -- RECOMMENDATIONS FOR THE NEAR TERM -- Responsibilities of Employers and Purchasers -- Responsibilities of Utilization Management Organizations -- Responsibilities of Health Care Practitioners and Institutions -- Responsibilities of Patients -- RECOMMENDATIONS AND QUESTIONS FOR THE LONGER TERM -- Research on Effectiveness -- Practice Guidelines and Review Criteria -- Oversight of Utilization Management -- CONCLUSION -- Acknowledgments -- Appendixes -- Appendix A Legal Implications of Utilization Review -- Introduction -- The Types of Utilization Review -- The Sarchett Decision -- The Wickline Decision -- The Elusive Concept of Medical Necessity -- Liability of the Review Organization -- Negligence -- Existence of an Duty of Care -- The Standard of Care -- Causation -- Breach of Contract -- Insurance Bad Faith -- Infliction of Emotional Distress -- Warranty Theories -- Products Liability -- Defamation and Interference with Contractual Advantage -- Antitrust -- Liability of Consultants and Employees -- State Regulation -- Erisa Preemption -- Liability of the Employer or Payer -- Direct Liability -- Vicarious Liability -- Indemnity. Liability of the Treating Physician -- Legal Issues For the Patient -- The Need For Expedited Review -- Payment For Unnecessary Medical Services -- Conclusion -- References -- Appendix B Utilization Management and Quality Assurance in Health Maintenance Organizations: an Operational Assessment -- Methodology -- Hmo Organizational Structure -- Market, Structural, and Operational Factors Affecting Hmo Performance -- The Health Care Marketplace -- Hmo Structure -- Hmo Operations -- Approaches to Utilization Management and Quality Assurance -- Underwriting Benefits -- Delivery of Health Services -- Quality Assurance -- Operational Problems Impairing Utilization Management and Quality Assurance Programs -- Utilization Management Programs -- Quality Assurance -- Design and Use of Physician Incentives -- Background -- Current Surveys Concerning Physician Incentives -- Administering Physician Incentives -- Policy and Research Issues -- Case Studies Introduction -- Case Study 1: Hospital-Sponsored Ipa -- Background -- Control Type -- Financial Incentives -- Design of Mis System -- Utilization Management -- Medical Director and Utilization Management Support Staff -- Case Study 2: Group-Model Hmo -- Background -- Control Type -- Financial Incentives -- Design of Mis System -- Utilization Management -- Medical Director and Utilization Management Support Staff -- Case Study 3: Carrier-Sponsored Hmo -- Background -- Control Type -- Financial Incentives -- Design of Mis System -- Utilization Management -- Medical Director and Utilization Management Support Staff -- Case Study 4: Carrier-Sponsored Hmo -- Background -- Control Type -- Financial Incentives -- Design of Mis System -- Utilization Management and Support Staff -- Medical Director and Utilization Management Support Staff -- Case Study 5: Physician-Sponsored Ipa -- Background -- Control Type. Financial Incentives -- Design of Mis System -- Utilization Management -- Ipa Management -- Notes and References -- Appendix C Utilization Management in Peer Review Organizations -- References -- Appendix D Summary of Public Hearings -- Appendix E Summaries of Committee Site Visits To Utilization Management Organizations -- Organization 1 -- Organization 2 -- Organization 3 -- Organization 4 -- Organization 5 -- Organization 6 -- Organization 7 -- Organization 8 -- Organization 9 -- Organization 10 -- Organization 11 -- Organization 12 -- Appendix F Analysis of Agreements Between Utilization Management Organizations and Their Clients -- Contractual Descriptions of Prior Review Services -- Sources of Clinical Criteria and Standards -- Distinction Between the Review Determination and Purchaser's Decision To Pay For Services -- Indemnification and Liability Insurance Coverage -- Staffing and Performance Criteria -- Proprietary Information and Competition -- Appendix G Glossary and Acronyms -- Glossary -- Acronyms -- Appendix H Biographies of Committee Members -- Index. |
| Record Nr. | UNINA-9910828354403321 |
| Washington, D.C., : National Academy Press, 1989 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Extending medicare reimbursement in clinical trials [[electronic resource] /] / Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries ; Henry J. Aaron and Hellen Gelband, editors
| Extending medicare reimbursement in clinical trials [[electronic resource] /] / Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries ; Henry J. Aaron and Hellen Gelband, editors |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, c2000 |
| Descrizione fisica | 1 online resource (86 p.) |
| Disciplina | 338.4/33621/0973 |
| Altri autori (Persone) |
AaronHenry J
GelbandHellen |
| Soggetto topico |
Medicare
Clinical trials - United States Medical care, Cost of - United States |
| Soggetto genere / forma | Electronic books. |
| ISBN |
0-309-55814-X
0-309-52854-2 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | ""Front Matter""; ""Acknowledgments""; ""Contents""; ""Executive Summary""; ""1 Clinical Trials in the United States""; ""2 Paying for Patient Care in Clinical Trials""; ""3 Recommendations for Medicare Clinical Trial Reimbursement""; ""References""; ""APPENDIX A Glossary, Acronyms, and Abbreviations""; ""APPENDIX B Committee Biographies"" |
| Record Nr. | UNINA-9910456072803321 |
| Washington, D.C., : National Academy Press, c2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Extending Medicare reimbursement in clinical trials [[electronic resource] /] / Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries ; Henry J. Aaron and Hellen Gelband, editors
| Extending Medicare reimbursement in clinical trials [[electronic resource] /] / Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries ; Henry J. Aaron and Hellen Gelband, editors |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, c2000 |
| Descrizione fisica | 1 online resource (86 p.) |
| Disciplina | 338.4/33621/0973 |
| Altri autori (Persone) |
AaronHenry J
GelbandHellen |
| Soggetto topico |
Medicare
Clinical trials - United States Medical care, Cost of - United States |
| ISBN |
0-309-18388-X
0-309-55814-X 0-309-52854-2 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | ""Front Matter""; ""Acknowledgments""; ""Contents""; ""Executive Summary""; ""1 Clinical Trials in the United States""; ""2 Paying for Patient Care in Clinical Trials""; ""3 Recommendations for Medicare Clinical Trial Reimbursement""; ""References""; ""APPENDIX A Glossary, Acronyms, and Abbreviations""; ""APPENDIX B Committee Biographies"" |
| Record Nr. | UNINA-9910778634803321 |
| Washington, D.C., : National Academy Press, c2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Extending medicare reimbursement in clinical trials / / Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries ; Henry J. Aaron and Hellen Gelband, editors
| Extending medicare reimbursement in clinical trials / / Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries ; Henry J. Aaron and Hellen Gelband, editors |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, c2000 |
| Descrizione fisica | 1 online resource (86 p.) |
| Disciplina | 338.4/33621/0973 |
| Altri autori (Persone) |
AaronHenry J
GelbandHellen |
| Soggetto topico |
Medicare
Clinical trials - United States Medical care, Cost of - United States |
| ISBN |
0-309-18388-X
0-309-55814-X 0-309-52854-2 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | ""Front Matter""; ""Acknowledgments""; ""Contents""; ""Executive Summary""; ""1 Clinical Trials in the United States""; ""2 Paying for Patient Care in Clinical Trials""; ""3 Recommendations for Medicare Clinical Trial Reimbursement""; ""References""; ""APPENDIX A Glossary, Acronyms, and Abbreviations""; ""APPENDIX B Committee Biographies"" |
| Record Nr. | UNINA-9910826834103321 |
| Washington, D.C., : National Academy Press, c2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
A guide to competitive vouchers in health
| A guide to competitive vouchers in health |
| Pubbl/distr/stampa | Washington, DC : , : World Bank, , [2005] |
| Descrizione fisica | xi, 112 pages : illustrations ; ; 23 cm |
| Disciplina | 338.4/33621/0973 |
| Soggetto topico |
Medical care, Cost of - United States
Medical care - Finance - United States |
| ISBN |
1-280-08532-0
9786610085323 1-4175-5469-X |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
TABLE OF CONTENTS; Foreword; Preface; PART I WHAT ARE HEALTH CARE VOUCHERS AND HOW DO THEY WORK?; Chapter 1 Delivering Public Subsidies in Health Care; Why Do Government Subsidies Do So Little to Help the Poor?; When Are Subsidies for Health Services Justified?; Demand-Side versus Supply-Side Subsidies; Other Factors Influencing the Effectiveness of Subsidies; Chapter 2 Benefits of Competitive Voucher Schemes for Health; How Does a Voucher Scheme Work?; What Are the Advantages of Health Vouchers?; PART II INTRODUCING A VOUCHER SCHEME; Chapter 3 Conducting Prefeasibility Studies
Identifying the Health Sector Problem and the Aims of the Voucher SchemeJustifying the Use of a Voucher Scheme; Funding the Scheme; Understanding the Context in Which Subsidies Will Be Introduced; Building Partnerships; Checklist for Prefeasibility Assessment; Chapter 4 Conducting a Feasibility Assessment; Identifying Potential Impediments; Identifying Potential Advantages; Determining Whether a Voucher Scheme Is Financially Feasible; Weighing the Potential Benefits and Obstacles of a Voucher System; Checklist for Feasibility Assessment; Chapter 5 Designing a Voucher Scheme Choosing a Voucher AgencyEstablishing Recipient Policies; Determining Benefit Policies; Determining Price Policies; Determining Provider Policies; Determining Reimbursement Value Policies; Designing the Vouchers and Other Materials; Transport and Communications; Distributing the Vouchers; Payment of Service Providers; Developing Information Systems; Checklist for Voucher Design; Chapter 6 Implementing a Voucher Scheme; Tendering for Service Providers; Negotiating Contracts; Contracting; Training; Piloting; Institutionalizing; Scaling Up; Chapter 7 Monitoring and Evaluating a Voucher Program Monitoring Service QualityMonitoring Competition among Providers; Monitoring to Detect Abuse of the Voucher Scheme; Monitoring the Characteristics of Voucher Recipients and Redeemers; Monitoring and Evaluating Health Outcomes; Monitoring and Evaluating the Impact on Equity and Poverty Reduction; Monitoring and Evaluating Cost-Effectiveness; References; Index; Boxes; Box 2-1 Varying the Service Package According to the Needs of the Patient in Nicaragua; Box 3-1 Prefeasibility Work on a Voucher Scheme for Cervical Cancer Screening Box 4-1 Political Impediments to Voucher Schemes in El Salvador and HondurasBox 4-2 Are Vouchers Stigmatizing?; Box 4-3 Assessing the Feasibility of a Tuberculosis Voucher Scheme for Private Practitioners; Box 5-1 Who Runs the Voucher Program?; Box 5-2 How Can Vouchers Be Made Nontransferable?; Box 5-3 Benefit Policies: The Importance of Stating the Limits; Box 5-4 Price Policies Used by Different Voucher Schemes; Box 5-5 Choosing Service Providers that Meet Program Needs; Box 5-6 Designing the Voucher; Box 5-7 Facing the Challenges of Transport and Communications Box 5-8 Using Village Leaders to Distribute Vouchers |
| Record Nr. | UNINA-9910783386803321 |
| Washington, DC : , : World Bank, , [2005] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
A guide to competitive vouchers in health [[electronic resource]]
| A guide to competitive vouchers in health [[electronic resource]] |
| Pubbl/distr/stampa | Washington, DC, : World Bank, 2004 |
| Descrizione fisica | 1 online resource (128 p.) |
| Disciplina | 338.4/33621/0973 |
| Soggetto topico |
Medical care, Cost of - United States
Medical care - Finance - United States |
| Soggetto genere / forma | Electronic books. |
| ISBN |
1-280-08532-0
9786610085323 1-4175-5469-X |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
TABLE OF CONTENTS; Foreword; Preface; PART I WHAT ARE HEALTH CARE VOUCHERS AND HOW DO THEY WORK?; Chapter 1 Delivering Public Subsidies in Health Care; Why Do Government Subsidies Do So Little to Help the Poor?; When Are Subsidies for Health Services Justified?; Demand-Side versus Supply-Side Subsidies; Other Factors Influencing the Effectiveness of Subsidies; Chapter 2 Benefits of Competitive Voucher Schemes for Health; How Does a Voucher Scheme Work?; What Are the Advantages of Health Vouchers?; PART II INTRODUCING A VOUCHER SCHEME; Chapter 3 Conducting Prefeasibility Studies
Identifying the Health Sector Problem and the Aims of the Voucher SchemeJustifying the Use of a Voucher Scheme; Funding the Scheme; Understanding the Context in Which Subsidies Will Be Introduced; Building Partnerships; Checklist for Prefeasibility Assessment; Chapter 4 Conducting a Feasibility Assessment; Identifying Potential Impediments; Identifying Potential Advantages; Determining Whether a Voucher Scheme Is Financially Feasible; Weighing the Potential Benefits and Obstacles of a Voucher System; Checklist for Feasibility Assessment; Chapter 5 Designing a Voucher Scheme Choosing a Voucher AgencyEstablishing Recipient Policies; Determining Benefit Policies; Determining Price Policies; Determining Provider Policies; Determining Reimbursement Value Policies; Designing the Vouchers and Other Materials; Transport and Communications; Distributing the Vouchers; Payment of Service Providers; Developing Information Systems; Checklist for Voucher Design; Chapter 6 Implementing a Voucher Scheme; Tendering for Service Providers; Negotiating Contracts; Contracting; Training; Piloting; Institutionalizing; Scaling Up; Chapter 7 Monitoring and Evaluating a Voucher Program Monitoring Service QualityMonitoring Competition among Providers; Monitoring to Detect Abuse of the Voucher Scheme; Monitoring the Characteristics of Voucher Recipients and Redeemers; Monitoring and Evaluating Health Outcomes; Monitoring and Evaluating the Impact on Equity and Poverty Reduction; Monitoring and Evaluating Cost-Effectiveness; References; Index; Boxes; Box 2-1 Varying the Service Package According to the Needs of the Patient in Nicaragua; Box 3-1 Prefeasibility Work on a Voucher Scheme for Cervical Cancer Screening Box 4-1 Political Impediments to Voucher Schemes in El Salvador and HondurasBox 4-2 Are Vouchers Stigmatizing?; Box 4-3 Assessing the Feasibility of a Tuberculosis Voucher Scheme for Private Practitioners; Box 5-1 Who Runs the Voucher Program?; Box 5-2 How Can Vouchers Be Made Nontransferable?; Box 5-3 Benefit Policies: The Importance of Stating the Limits; Box 5-4 Price Policies Used by Different Voucher Schemes; Box 5-5 Choosing Service Providers that Meet Program Needs; Box 5-6 Designing the Voucher; Box 5-7 Facing the Challenges of Transport and Communications Box 5-8 Using Village Leaders to Distribute Vouchers |
| Record Nr. | UNINA-9910450414903321 |
| Washington, DC, : World Bank, 2004 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
A guide to competitive vouchers in health
| A guide to competitive vouchers in health |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, DC, : World Bank, 2004 |
| Descrizione fisica | xi, 112 pages : illustrations ; ; 23 cm |
| Disciplina | 338.4/33621/0973 |
| Soggetto topico |
Medical care, Cost of - United States
Medical care - Finance - United States |
| ISBN |
1-280-08532-0
9786610085323 1-4175-5469-X |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
TABLE OF CONTENTS; Foreword; Preface; PART I WHAT ARE HEALTH CARE VOUCHERS AND HOW DO THEY WORK?; Chapter 1 Delivering Public Subsidies in Health Care; Why Do Government Subsidies Do So Little to Help the Poor?; When Are Subsidies for Health Services Justified?; Demand-Side versus Supply-Side Subsidies; Other Factors Influencing the Effectiveness of Subsidies; Chapter 2 Benefits of Competitive Voucher Schemes for Health; How Does a Voucher Scheme Work?; What Are the Advantages of Health Vouchers?; PART II INTRODUCING A VOUCHER SCHEME; Chapter 3 Conducting Prefeasibility Studies
Identifying the Health Sector Problem and the Aims of the Voucher SchemeJustifying the Use of a Voucher Scheme; Funding the Scheme; Understanding the Context in Which Subsidies Will Be Introduced; Building Partnerships; Checklist for Prefeasibility Assessment; Chapter 4 Conducting a Feasibility Assessment; Identifying Potential Impediments; Identifying Potential Advantages; Determining Whether a Voucher Scheme Is Financially Feasible; Weighing the Potential Benefits and Obstacles of a Voucher System; Checklist for Feasibility Assessment; Chapter 5 Designing a Voucher Scheme Choosing a Voucher AgencyEstablishing Recipient Policies; Determining Benefit Policies; Determining Price Policies; Determining Provider Policies; Determining Reimbursement Value Policies; Designing the Vouchers and Other Materials; Transport and Communications; Distributing the Vouchers; Payment of Service Providers; Developing Information Systems; Checklist for Voucher Design; Chapter 6 Implementing a Voucher Scheme; Tendering for Service Providers; Negotiating Contracts; Contracting; Training; Piloting; Institutionalizing; Scaling Up; Chapter 7 Monitoring and Evaluating a Voucher Program Monitoring Service QualityMonitoring Competition among Providers; Monitoring to Detect Abuse of the Voucher Scheme; Monitoring the Characteristics of Voucher Recipients and Redeemers; Monitoring and Evaluating Health Outcomes; Monitoring and Evaluating the Impact on Equity and Poverty Reduction; Monitoring and Evaluating Cost-Effectiveness; References; Index; Boxes; Box 2-1 Varying the Service Package According to the Needs of the Patient in Nicaragua; Box 3-1 Prefeasibility Work on a Voucher Scheme for Cervical Cancer Screening Box 4-1 Political Impediments to Voucher Schemes in El Salvador and HondurasBox 4-2 Are Vouchers Stigmatizing?; Box 4-3 Assessing the Feasibility of a Tuberculosis Voucher Scheme for Private Practitioners; Box 5-1 Who Runs the Voucher Program?; Box 5-2 How Can Vouchers Be Made Nontransferable?; Box 5-3 Benefit Policies: The Importance of Stating the Limits; Box 5-4 Price Policies Used by Different Voucher Schemes; Box 5-5 Choosing Service Providers that Meet Program Needs; Box 5-6 Designing the Voucher; Box 5-7 Facing the Challenges of Transport and Communications Box 5-8 Using Village Leaders to Distribute Vouchers |
| Record Nr. | UNINA-9910811208303321 |
| Washington, DC, : World Bank, 2004 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Health care financing review
| Health care financing review |
| Pubbl/distr/stampa | [Washington, D.C.], : [Dept. of Health, Education, and Welfare, Health Care Financing Administration, Office of Research, Demonstrations, and Statistics] |
| Descrizione fisica | 1 online resource |
| Disciplina | 338.4/33621/0973 |
| Soggetto topico |
Medical care - United States - Finance
Medical care, Cost of - United States Delivery of Health Care - economics Financing, Government Health Care Costs Research Support as Topic Medical care, Cost of Medical care - Finance Gezondheidszorg Financiering |
| Soggetto genere / forma |
Periodical
Periodicals. |
| Soggetto non controllato | Medicine - General |
| ISSN | 1554-9887 |
| Formato | Materiale a stampa |
| Livello bibliografico | Periodico |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | HCF review |
| Record Nr. | UNISA-996210669903316 |
| [Washington, D.C.], : [Dept. of Health, Education, and Welfare, Health Care Financing Administration, Office of Research, Demonstrations, and Statistics] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. di Salerno | ||
| ||
