The Healthcare Collapse Where We ve Been and Where We Need to Go 1st Edition by Eldo Frezza ISBN 0429506929 9781138581104

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Product details:

ISBN 10: 0429506929 

ISBN 13: 9781138581104

Author: Eldo Frezza 

The evolution of the healthcare system in the U.S. has seen numerous changes in the last 30 years where fee-for-service was the mainstay of reimbursement models and hospitals were managed by physicians and patient care was key. The early 1990’s saw the emergence of HMOs and other managed care models with physicians handing over leadership roles to corporate entities whose main concern was the bottom line and profitability while patient care and satisfaction suffered

The Healthcare Collapse: Where We’ve been and Where We Need to Go explores the low morale of physicians in this corporate healthcare culture as well as the expansion of hospitals owned by corporations. The author focuses on recovering healthcare morals and return value to the individuals who provide active care and not just business. This book also examines the possible repercussions of Medicare and Medicaid while address the question of single payer healthcare.

This book looks at where healthcare has been, what has worked and what hasn’t, and recommends solutions to create a system that focuses on the patient and providing quality care in this age of reimbursement cuts, demands for better technology and providing a safer environment for both the patient and clinicians who work in hospitals. The author also advocates for a shift in management and recommends hospitals leaders engage physicians and other clinicians in process improvement and other initiatives which can result in a more efficient system – one where quality patient care dominant. The book also outlines programs which can be championed by hospitals such as patient engagement activities, community health and other outreach and education programs.

Table of contents:

Section 1: The Evolution of Healthcare

1. From the 70’s to HMOs and the Eight Stages of Healthcare
2. Accountability Care Organization (ACO) and Clinical Integration
3. Negotiating Managed Care Contract
4. Hospital Supply Chain and Cost Containment
5. Quality Crises
6. Ethics and Deontology

Section 2: Physician Struggles
7. The Economics of Becoming a Doctor in USA
8. The Fear: The Financial Report
9. Stark Laws – Impact on Physicians
10. Health Care Grade Web Pages Interferences
11. Health Care Impact on Physicians: Not Healthy!

Section 3: Broken System
12. Health Insurance: How to Play System for Maximum Reimbursement – At What Cost?
13. Health Care: Who Is in Charge? Impossible Victory
14. Health Care Exclusivity Services Charges and Reimbursement Ratio
15. Who Is Controlling the Health Care?
16. Healthcare Reform: The Never-Ending Story

Section 4: Corporate Healthcare
17. Corporation Interference and Compliance – When We Lost Health Care?
18. Corporation and Physician Dissociation
19. Moving Out from Health Care
20. Peer Review for Physicians: What About the Administrators?
21. Big Pharma

Section 5: Medicare and Medicaid
22. The Future of the Entitlement Programs
23. Medicaid Disproportionate Funding
24. Medicare and Medicaid Spending: Unify or Crushing? A Financial Nightmare
25. MACRA and the Merit-Based Incentive Payment System (MIPS)
26. Will Any Healthcare Plan Ever Work? Single Payer?

Section 6: Towards the Perfect System – What Needs to Be Done and Where We Need to Go
27. Patient Engagement: Education and Prevention Started on the Territory
28. Population Health Initiatives: The Teens Obesity Crisis
29. Clinicians Involvement in Improvement Initiatives
30. Physician Involvement in Management
31. The Perfect System

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