Description
Efnisyfirlit
- Cover
- Title Page
- Copyright
- Dedication
- Preface
- Acknowledgments
- About the Authors
- Foreword
- 1 Choices: Money, Medicine, and Health
- 1.1 What Is Economics?
- 1.2 The Flow of Funds
- 1.3 Economic Principles as Conceptual Tools
- 1.4 Health Disparities
- 1.5 Whose Choices: Personal, Group, or Public?
- 1.6 Social Science and Rational Choice Theory
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 2 Demand and Supply
- 2.1 The Demand Curve
- 2.2 The Supply Curve
- 2.3 Price Sensitivity
- 2.4 Is Money the Only Price?
- 2.5 Inputs and Production Functions
- 2.6 Markets: The Intersection of Demand and Supply
- 2.7 Need versus Demand
- 2.8 Social Determinants of Health (SDoH)
- 2.9 Efficiency
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 3 Cost‐Benefit and Cost‐Effectiveness Analysis
- 3.1 Cost‐Benefit Analysis Is about Making Choices
- 3.2 Maximization: Finding the Optimum
- 3.3 The Value of Life
- 3.4 Quality‐Adjusted Life Years (QALYs)
- 3.5 CBA and Public Policy Decision Making
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 4 Financing Medical Care: Health Insurance Contracts: Managed Care
- 4.1 Methods for Covering Risks
- 4.2 Insurance Definitions
- 4.3 Insurance: Third‐Party Payment
- 4.4 Sources of Insurance
- 4.5 Contracting and Payments
- 4.6 Managed Care
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 5 Physicians
- 5.1 Financing Physician Services: Revenues
- 5.2 Physician Incomes
- 5.3 Physician Financing: Expenses
- 5.4 The Medical Transaction
- 5.5 Uncertainty
- 5.6 Licensure: Quality or Profits?
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 6 Medical Education, Organization, and Business Practices
- 6.1 Medical Education
- 6.2 Licensure and Healthcare Provider Supply
- 6.3 Group Practice: How Organization and Technology Affect Transactions
- 6.4 Kickbacks, Self‐Dealing, and Side Payments
- 6.5 Price Discrimination
- 6.6 Practice Variations
- 6.7 Choices by and for Physicians
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 7 Hospitals
- 7.1 From Charitable Institutions to Corporate Chains: Development of the Modern Hospital
- 7.2 Hospital Financing: Revenues
- 7.3 Hospital Financing: Expenses
- 7.4 Financial Management and Cost Shifting
- 7.5 How Do Hospitals Compete?
- 7.6 Organization: Who Controls the Hospital and for What Ends?
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 8 Management and Regulation of Hospital Costs
- 8.1 Why Do Some Hospitals Cost More than Others?
- 8.2 How Management Controls Costs
- 8.3 Conflict between Economic Theory and Accounting Measures of per Unit Cost
- 8.4 Economies of Scale
- 8.5 Hospital Charges, Costs, and Prices: Confusion and Chaos
- 8.6 Controlling Hospital Costs through Regulation
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 9 Long‐Term Care
- 9.1 Development of the Long‐Term Care Market
- 9.2 Age and Health Care Spending
- 9.3 Defining LTC: Types of Care
- 9.4 Medicaid: Nursing Homes as a Two‐Part Market
- 9.5 Cost Control by Substitution
- 9.6 Case‐Mix Reimbursement
- 9.7 LTC Insurance
- 9.8 Retirement, Assisted Living, and the Wealth Elderly
- 9.9 Financial Reimbursement Cycles
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 10 Pharmaceuticals
- 10.1 Pharmaceutical Revenues: Sources of Financing
- 10.2 Uses of Funds
- 10.3 Research and Development
- 10.4 Pharmacoeconomics and Technology Assessment
- 10.5 Value, Cost, and Marketing
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 11 Financing and Ownership of Health Care Providers
- 11.1 What Is Financing?
- 11.2 Value and Rate of Return
- 11.3 Ownership and Agency
- 11.4 Capital Financing: Hospitals
- 11.5 HMO Ownership and Capital Markets: Success and Failure
- 11.6 Entrepreneurship and Profits
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 12 History, Demography, and the Growth of Modern Medicine
- 12.1 Economic Growth Has Determined the Shape of Health Care
- 12.2 Birth Rates, Death Rates, and Population Growth
- 12.3 The Stone Age
- 12.4 The Agricultural Age
- 12.5 The Industrial Age
- 12.6 The Information Age
- 12.7 The Rise of Modern Medicine
- 12.8 The Growth of Medical Expenditures and National Health Systems
- 12.9 Income and Health
- 12.10 Reducing Uncertainty: The Value of Life and Economic Security
- 12.11 Did Better Medical Care Increase Life Expectancy?
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 13 Macroeconomics of Medical Care
- 13.1 What Is Macro?
- 13.2 The Consumption Function
- 13.3 Adjusting to Change: Dynamics
- 13.4 Forecasting Future Health Expenditures
- 13.5 Cost Controls: Spending Gaps and the Push to Regulate
- 13.6 Workforce Dynamics: “Spending” Is Mostly Labor
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 14 The Role of Government and Public Goods
- 14.1 The Roles of Government
- 14.2 Government Health Financing
- 14.3 Law and Order
- 14.4 Public Goods and Externalities
- 14.5 Monopoly and Market Failure
- 14.6 Information
- 14.7 Drugs, Sex, and War: Public Health in Action
- 14.8 Politics, Regulation and Competition
- 14.9 Trust, Care, and Distribution
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 15 International Comparisons of Health and Health Expenditures
- 15.1 Wide Differences among Nations
- 15.2 Micro versus Macro Allocation: Health as a National Luxury Good
- 15.3 Causality: Does More Spending Improve Health?
- 15.4 Low‐Income Countries
- 15.5 Middle‐Income Countries
- 15.6 High‐Income Countries
- 15.7 The Expensive Exception: The United States
- 15.8 International Trade in Health Care
- Suggestions for Further Reading
- Summary
- Problems
- Endnotes
- 16 Value for Money in the Future of Health Care
- 16.1 Who Gets Healthy and Who Gets Paid?
- 16.2 What Needs to Be Fixed?
- 16.3 Distribution, Distribution, Distribution
- 16.4 Spending Money or Producing Health?
- 16.5 The Path Toward Full Coverage
- 16.6 The Future: Population Health and the Reorganization of Medicine
- 16.7 The Long Run: 2050 and Beyond
- Suggestions for Further Reading
- Problems
- Endnotes
- Glossary
- Index
- End User License Agreement




