Managed Care and Monopoly Power

Managed Care and Monopoly Power PDF Author: Deborah HAAS-WILSON
Publisher: Harvard University Press
ISBN: 0674038118
Category : Business & Economics
Languages : en
Pages : 251

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Book Description
As millions of Americans are aware, health care costs continue to increase rapidly. Much of this increase in health care costs is due to the development of new life-sustaining drugs and procedures, but part of it is due to the increased monopoly power of physicians, insurance companies, and hospitals, as the health care sector undergoes reorganization and consolidation. There are two tools to limit the growth of monopoly power: government regulation and antitrust policy. In this timely book, Deborah Haas-Wilson argues that enforcement of the antitrust laws is the tool of choice in most cases. Focusing on the economic concepts necessary to the enforcement of the antitrust laws in health care markets, Haas-Wilson provides a useful roadmap for guiding the future of these markets.

Managed Care and Monopoly Power

Managed Care and Monopoly Power PDF Author: Deborah HAAS-WILSON
Publisher: Harvard University Press
ISBN: 0674038118
Category : Business & Economics
Languages : en
Pages : 251

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Book Description
As millions of Americans are aware, health care costs continue to increase rapidly. Much of this increase in health care costs is due to the development of new life-sustaining drugs and procedures, but part of it is due to the increased monopoly power of physicians, insurance companies, and hospitals, as the health care sector undergoes reorganization and consolidation. There are two tools to limit the growth of monopoly power: government regulation and antitrust policy. In this timely book, Deborah Haas-Wilson argues that enforcement of the antitrust laws is the tool of choice in most cases. Focusing on the economic concepts necessary to the enforcement of the antitrust laws in health care markets, Haas-Wilson provides a useful roadmap for guiding the future of these markets.

Collaboration Among Competing Managed Care Organizations for Quality Improvement

Collaboration Among Competing Managed Care Organizations for Quality Improvement PDF Author: The National Roundtable on Health Care Quality
Publisher: National Academies Press
ISBN: 0309592917
Category : Medical
Languages : en
Pages : 62

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Book Description
In November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans. Competition has existed at the provider level in the pre-managed care era and continues among physicians, physician groups and hospitals today. What is new is the extent of competition at the managed care organization level in individual regional markets. As large numbers of individuals are enrolled in health plans, the potential for new forms of cooperation for improving quality of care becomes possible. Along with these new possibilities, however, come questions about whether they bring the potential for antitrust violation.

The Challenge of Regulating Managed Care

The Challenge of Regulating Managed Care PDF Author: John Eugene Billi
Publisher: University of Michigan Press
ISBN: 0472023721
Category : Medical
Languages : en
Pages : 307

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Book Description
Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room. Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources. The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care. John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan. Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.

Health Care Networks and Managed Care

Health Care Networks and Managed Care PDF Author: Phillip A. Proger
Publisher: BNA Books (Bureau of National Affairs)
ISBN: 9781558713314
Category : Antitrust law
Languages : en
Pages :

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Managed Care and Antitrust

Managed Care and Antitrust PDF Author:
Publisher:
ISBN:
Category : Law
Languages : en
Pages : 148

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Book Description


Managed Care Answer Book

Managed Care Answer Book PDF Author: Sheryl Tatar Dacso
Publisher:
ISBN: 9781567063578
Category : Business & Economics
Languages : en
Pages : 838

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Strangers in the Night

Strangers in the Night PDF Author: Peter D. Jacobson
Publisher: Oxford University Press
ISBN: 0190288299
Category : Law
Languages : en
Pages : 497

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Book Description
More than ever before, the legal system plays a vital role in virtually every aspect of the current health care system. From the congressional debate over patients' rights legislation to judicial rulings on the denial of health care services, the legal system is integrally involved in the organization, financing, and delivery of health care. This book explains how the legal system helps shape health care delivery and policy, explores new ways of looking at the relationship between law and medicine, and reflects on why it all matters. The story focuses on the judicial response to the advent of managed care, especially challenges to cost containment initiatives, and shows how the legal system has facilitated managed care's dominance over the health care system. An equally important part of the story is the evolution of the relationship between physicians and attorneys and how their mutual antagonism affects patient care. In the end, the stories come together around a strategy for reconciling the difficult health policy choices the country faces and for restoring the physician-patient relationship to the center of health care delivery.

Improving health care a dose of competition

Improving health care a dose of competition PDF Author:
Publisher: DIANE Publishing
ISBN: 1428958010
Category :
Languages : en
Pages : 361

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Managed Care and Changing Health Care Markets

Managed Care and Changing Health Care Markets PDF Author: Michael A. Morrisey
Publisher: A E I Press
ISBN: 9780844740393
Category : Health insurance
Languages : en
Pages : 0

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Book Description
This volume analyzes the use of managed care by employers, the effects of managed care on providers, and antitrust implications of the changing market structure. It offers some observations on the changing American health-care market and the implications of these changes on health policy issues.

Antitrust Issues in the Health Care Industry

Antitrust Issues in the Health Care Industry PDF Author: United States. Congress. Senate. Committee on Finance. Subcommittee on Medicare and Long-Term Care
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 248

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Book Description