Competition in Health Insurance
Author | : American Medical Association |
Publisher | : |
Total Pages | : 60 |
Release | : 2013 |
Genre | : Health insurance |
ISBN | : 9781603599443 |
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Author | : American Medical Association |
Publisher | : |
Total Pages | : 60 |
Release | : 2013 |
Genre | : Health insurance |
ISBN | : 9781603599443 |
Author | : John E. Dicken |
Publisher | : DIANE Publishing |
Total Pages | : 13 |
Release | : 2010-06 |
Genre | : Business & Economics |
ISBN | : 1437921493 |
Consolidation in the private health insurance (PHI) industry may be resulting in less competitive markets and contributing to rising health insurance rates paid by consumers and employers. However, measuring the extent of changes in market competition over time or the effects of changes is challenging. Researchers have used the data available to study competition in PHI markets, typically using one of two measures of competition: HMO market concentration; or the number of HMOs in a market. This report summarizes the findings of peer-reviewed research on concentration in PHI markets and the relationship between the level of competition and other variables, such as premium prices and provider reimbursement rates. Illustrations.
Author | : |
Publisher | : |
Total Pages | : 46 |
Release | : 2011 |
Genre | : Health insurance |
ISBN | : 9781603596336 |
Author | : Rudy C. Douven |
Publisher | : |
Total Pages | : 56 |
Release | : 2000 |
Genre | : Competition |
ISBN | : |
Author | : |
Publisher | : |
Total Pages | : 103 |
Release | : 2004 |
Genre | : Health insurance |
ISBN | : |
Author | : Michael E. Porter |
Publisher | : Harvard Business Press |
Total Pages | : 540 |
Release | : 2006-04-24 |
Genre | : Business & Economics |
ISBN | : 1422133362 |
The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.
Author | : Thomas G. McGuire |
Publisher | : Academic Press |
Total Pages | : 648 |
Release | : 2018-08-06 |
Genre | : Business & Economics |
ISBN | : 012811326X |
Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment. Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection Brings together international experience from many different countries that apply regulated competition in different ways Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness
Author | : |
Publisher | : |
Total Pages | : 176 |
Release | : 1982 |
Genre | : Competition |
ISBN | : |
Author | : Harry Edward Frech (III) |
Publisher | : A E I Press |
Total Pages | : 216 |
Release | : 1996 |
Genre | : Business & Economics |
ISBN | : |
Frech analyzes the changing nature of competition in this market, with a specific focus on competition among physicians, hospitals, and insurance companies.
Author | : Michael F. Cannon |
Publisher | : Cato Institute |
Total Pages | : 210 |
Release | : 2007 |
Genre | : Business & Economics |
ISBN | : 1933995106 |
Government control has driven health care costs sky-high at the same time that it has reduced the quality of care. As America's health care system cries out for reform, should policymakers embrace even more government planning, or should they fight for more individual freedom? In this updated edition of their 2005 book, the authors tackle proposals that would let government manage even more of America's health care sector. The continuing problem of ever-rising health care costs makes this book as timely as ever.