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Navigating the U.S. Health Care System

Navigating the U.S. Health Care System
Author: Niles
Publisher: Jones & Bartlett Learning
Total Pages: 270
Release: 2017-02-15
Genre: Business & Economics
ISBN: 1284108163

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Navigating the U.S. Health System gives students a solid understanding of the important aspects of the U.S. health system and the role a health navigator plays in the system. Unlike other introductory U.S. Health Care Systems and Delivery texts, Navigating the U.S. Health Care System will include specific strategies on how to be a successful healthcare navigator as well as more detailed information on the delivery of both inpatient and outpatient health care services.


Navigating Health Insurance

Navigating Health Insurance
Author: Pozen
Publisher: Jones & Bartlett Learning
Total Pages: 216
Release: 2017-02-24
Genre: Business & Economics
ISBN: 1284113124

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Navigating Health Insurance examines health insurance from the perspective of the consumer. Students are introduced to basic health insurance principles and terminology as well as types of insurance such as Medicaid, Medicare, Medigap, Exchanges, and others.The impacts of the ACA on health insurance are explored as well as essential services and coverage decisions, long term care, workers compensation, administration/paper work, filing claims and more.Students will also be challenged to consider market and social justice philosophies, for example the impact on health insurance and access to health care services, international comparisons, and advantages and disadvantages of the U.S. system.


Basics of the U.S. Health Care System

Basics of the U.S. Health Care System
Author: Niles
Publisher: Jones & Bartlett Learning
Total Pages: 449
Release: 2016-12-14
Genre: Business & Economics
ISBN: 1284102882

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Basics of the U.S. Health Care System, Third Edition provides students with a broad, fundamental introduction to the workings of the healthcare industry. Engaging and activities-oriented, the text offers an especially accessible overview of the major concepts of healthcare operations, the role of government, public and private financing, as well as ethical and legal issues. Each chapter features review exercises and Web resources that make studying this complex industry both enjoyable and easy. Students of various disciplines—including healthcare administration, business, nursing, public health, and others—will discover a practical guide that prepares them for professional opportunities in this rapidly growing sector.


Essentials of the U.S. Health Care System

Essentials of the U.S. Health Care System
Author: Leiyu Shi
Publisher: Jones & Bartlett Learning
Total Pages: 366
Release: 2022-07-18
Genre: Medical
ISBN: 1284235106

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Essentials of the U.S. Health Care System, Sixth Edition is a clear and concise distillation of the major topics covered in the best-selling Delivering Health Care in America by the same authors. Written with the undergraduate in mind, Essentials of the U.S. Health Care System is a reader-friendly, well organized resource that covers the major characteristics, foundations, and future of the U.S. health care system. The text clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together. Key Features: - Updated new data for tables, charts, figures, and text based on the latest published data - Coverage of COVID-19 - The latest on the Affordable Care Act including its effects of insurance, access, and cost. - Navigate eBook access (included with each print text) provides online or offline access to the digital text from a computer, tablet, or mobile device.


Unraveling U.S. Health Care

Unraveling U.S. Health Care
Author: Roberta E. Winter
Publisher: Rowman & Littlefield Publishers
Total Pages: 303
Release: 2013-07-18
Genre: Health & Fitness
ISBN: 1442222980

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Unraveling U.S. Health Care is a guidebook to the health care system that provides a timely and thorough explanation of U.S. health care, written in readable laymen’s terms. Roberta Winter educates and informs general readers about useful information that will empower their health care decision making. She makes sense of important health care issues, which are often filtered with political and financial stakeholder bias, confusing the health care consumer. Useful tips, explanatory charts, and statewide scorecards are included throughout to assist readers in choosing the best care they can receive. More than ever, patients must act as consumers of health care, balancing informed decisions with available resources. Keeping this in mind, Winter also explores other options available to patients, including seeking health care outside the United States, and provides a roadmap for medical tourists to the U.S. In addition, she includes Medicare enrollment tips, and a summary of the 2010 health care reforms and implementation guidelines. Bringing all this data together, this book will serve as a resource and guide for anyone who seeks to receive better care for both everyday issues and major health concerns alike.


The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance
Author: Marc S Ryan
Publisher:
Total Pages: 528
Release: 2022-05-03
Genre:
ISBN: 9781645439936

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The Healthcare Labyrinth is not just a comprehensive guide to navigating health plans--it offers a blueprint for fixing our broken healthcare system. The American health insurance system is anything but simple to maneuver. Health plan enrollees become entangled in an intricate and opaque maze of confusion, often resulting in frustration, regret, and deep debt. In The Healthcare Labyrinth, health plan and healthcare technology veteran Marc S. Ryan seeks to demystify the U.S. healthcare system, helping Americans become wiser consumers and allowing them to navigate the maze with more confidence and certainty. Marc walks through how the current system operates, tracing the dysfunction, high costs, and lack of quality to three major issues: --a lack of affordable universal access; --little focus on wellness, prevention, and care management; and --outrageous pricing, especially compared to other developed nations. Using his decades of experience, Marc outlines a bipartisan blueprint to transform America's unique system without upending the employer-based system. He relies on leading academic, research, and mainstream media sources from across the political spectrum to examine the U.S. healthcare system and compare it to those of other developed nations.


The Healthcare Conversation

The Healthcare Conversation
Author: Linh Doan Vo
Publisher: New Degree Press
Total Pages: 224
Release: 2019-12-02
Genre:
ISBN: 9781641373906

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The Healthcare Conversation is an inspiring read about understanding how to navigate the health system in order to become a smarter, better-informed patient-consumer. The main goal of this book is to empower readers to take their physical and financial well-being into their own hands. This book strives to answer questions that have puzzled Americans for years: Why is obtaining care so expensive in the United States? What are the main issues plaguing our health industry? Who are the stakeholders that influence the quality of our care? How did healthcare become so complicated and how do we fix it? These, along with many other questions that a patient-consumer may possibly have, are explored through extensive research and discussions, raw interviews with healthcare professionals and patients, and real stories that speak to the heart and mind. Vo discloses information regarding the status and nature of our health industry in hopes of making healthcare more readily available to all Americans who wish to have a voice in the conversation.


Navigating Private and Public Healthcare

Navigating Private and Public Healthcare
Author: Fran Collyer
Publisher: Palgrave Macmillan
Total Pages: 0
Release: 2019-12-11
Genre: Social Science
ISBN: 9789813292079

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This edited collection focuses on the global growth of privatisation and private sector medicine in both developed and lesser developed countries, and the impact of this on patients, health workers, managers and policy-makers. Drawing upon sociological theories, concepts and insights, as well as experts from several countries with extensive experience in researching the field either nationally or internationally, the collection offers a unique perspective on healthcare services and healthcare systems: a view from those trying to access healthcare services, working inside health systems, or responsible for managing and organising services. Collectively, the chapters contribute an international perspective on the navigation of healthcare systems, and addresses the growing salience of ‘choice’ between public and private medicine in a variety of different national systems and contexts.


Never Pay the First Bill

Never Pay the First Bill
Author: Marshall Allen
Publisher: Penguin
Total Pages: 289
Release: 2021-06-22
Genre: Health & Fitness
ISBN: 0593190009

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From award-winning ProPublica reporter Marshall Allen, a primer for anyone who wants to fight the predatory health care system--and win. Every year, millions of Americans are overcharged and underserved while the health care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. At least, this is what the health care power players want you to think. Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair, and shows how you can, too. He reveals the industry's pressure points and how companies and individuals have fought overbilling, price gouging, insurance denials, and more to get the care they deserve. Laying out a practical plan for protecting yourself against the system's predatory practices, Allen offers the inspiration you need and tried-and-true strategies such as: Analyze and contest your medical bills, so you don't pay more than you should Obtain the billing codes for a procedure in advance Write in an appropriate treatment clause before signing financial documents Get your way by suing in small claims court Few politicians and CEOs have been willing to stand up to the medical industry. It is up to the American people to equip ourselves to fight back for the sake of our families--and everyone else.


Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 161
Release: 2018-04-02
Genre: Medical
ISBN: 030946921X

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.