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ISBN10: 126426447X | ISBN13: 9781264264476
ISBN10: 126426447X
ISBN13: 9781264264476
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An Essential Guide to the Processes and Operational Complexities of the U.S. Healthcare System A Doody's Core Title for 2024 & 2023! The U.S. Healthcare Ecosystem serves as an expert navigator through the complicated and often confusing environment where healthcare payers, healthcare providers, and producers of healthcare technologies all interact. This thorough resource provides expert insight and analysis of employer-based health insurance, pharmacy benefits, the major professions, healthcare consolidation, drug discovery and development, biotechnology, and much more. Packed with timely examples and filled with illustrations, The U.S. Healthcare Ecosystem will inspire you to think more critically about the business of healthcare and make informed assessments. Features: Includes often neglected topics impacting healthcare delivery such as employer-based health insurance, pharmacy benefits, healthcare consolidation, and biotechnology Highly readable and single-authored by a Wharton Professor who has taught health care delivery and management for over 20 years Filled to the brim with helpful diagrams, charts and tables - nearly 350 figures complement the text Every chapter ends with a helpful Summary and Questions to Ponder
SECTION I - FOUNDATIONS OF THE ECOSYSTEM
CHAPTER 1: Introduction
CHAPTER 2: A Guide Through the Wilderness
CHAPTER 3: What Is a Healthcare System?
CHAPTER 4: Population Health
CHAPTER 5: Goals of Healthcare
CHAPTER 6: The 800-Pound Gorilla: Rising Healthcare Costs
CHAPTER 7: Managing Quality: Another 800-Pound Gorilla?
SECTION II – PROVIDER SECTORS IN THE ECOSYSTEM
CHAPTER 8: Healthcare Providers
CHAPTER 9: The Medical Profession
CHAPTER 10: Primary Care: Physicians, Nurses, and Pharmacists
CHAPTER 11: Hospitals
CHAPTER 12: Hospital Diversification, Restructuring, and Integration
CHAPTER 13: Organized Ambulatory Care
CHAPTER 14: Post-Acute Care
SECTION III – PAYER SECTORS IN THE ECOSYSTEM
CHAPTER 15: Employer-Based Health Insurance
CHAPTER 16: Contracting for Prescription Drug Benefits: Role of Employers, Insurers, and Pharmacy Benefit Managers
CHAPTER 17: Private Health Insurance and Managed Care Organizations
CHAPTER 18: Medicare
CHAPTER 19: Medicaid and the Patient Protection and Affordable Care Act
SECTION IV - TECHNOLOGY SECTORS IN THE ECOSYSTEM
CHAPTER 20: The Healthcare Technology Sectors
CHAPTER 21: The Pharmaceutical Sector
CHAPTER 22: The Biotechnology Sector
CHAPTER 23: The MedTech Sector
CHAPTER 24: Healthcare Information Technology
SECTION V – THE PUBLIC SECTOR OF THE ECOSYSTEM
CHAPTER 25: The Federal Bureaucracy, the US Congress, and Healthcare Policy
CHAPTER 26: The Public Health System
CHAPTER 1: Introduction
CHAPTER 2: A Guide Through the Wilderness
CHAPTER 3: What Is a Healthcare System?
CHAPTER 4: Population Health
CHAPTER 5: Goals of Healthcare
CHAPTER 6: The 800-Pound Gorilla: Rising Healthcare Costs
CHAPTER 7: Managing Quality: Another 800-Pound Gorilla?
SECTION II – PROVIDER SECTORS IN THE ECOSYSTEM
CHAPTER 8: Healthcare Providers
CHAPTER 9: The Medical Profession
CHAPTER 10: Primary Care: Physicians, Nurses, and Pharmacists
CHAPTER 11: Hospitals
CHAPTER 12: Hospital Diversification, Restructuring, and Integration
CHAPTER 13: Organized Ambulatory Care
CHAPTER 14: Post-Acute Care
SECTION III – PAYER SECTORS IN THE ECOSYSTEM
CHAPTER 15: Employer-Based Health Insurance
CHAPTER 16: Contracting for Prescription Drug Benefits: Role of Employers, Insurers, and Pharmacy Benefit Managers
CHAPTER 17: Private Health Insurance and Managed Care Organizations
CHAPTER 18: Medicare
CHAPTER 19: Medicaid and the Patient Protection and Affordable Care Act
SECTION IV - TECHNOLOGY SECTORS IN THE ECOSYSTEM
CHAPTER 20: The Healthcare Technology Sectors
CHAPTER 21: The Pharmaceutical Sector
CHAPTER 22: The Biotechnology Sector
CHAPTER 23: The MedTech Sector
CHAPTER 24: Healthcare Information Technology
SECTION V – THE PUBLIC SECTOR OF THE ECOSYSTEM
CHAPTER 25: The Federal Bureaucracy, the US Congress, and Healthcare Policy
CHAPTER 26: The Public Health System
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