The Managed Healthcare Industry--A Market Failure
The Managed Healthcare Insurance Industry--A Market Failure is about America’s healthcare crisis. It is written for adults, college-age youth, educators, and healthcare professionals--both providers and executives--and for legislators, regulators and the public who have concerns about the health of the US healthcare system. The book exposes the reasons for the high cost of care, and the byzantine way commercial outsiders have managed it and created a market failure--costing society and patients in need more than it benefits them. Now, the Medicare and Medicaid program expenditures, too, are rising because government privatization of taxpayers’ healthcare coverage funnels their money directly to the for-profit healthcare insurance industry.
Most media pundits and economists approach such issues largely from within their own disciplines making the debate more confusing than clear. Consequently, by a fact-based analysis of historical and contemporary data, this revelatory and rigorously researched work explores multiple points of view and weaves them into a meaningful message. It brings together news media reports, state and federal governments’ approaches to the public’s healthcare, the evolution of relevant statutes, regulations and Supreme and appellate court decisions, and the political economics and day-to-day medical and social issues surrounding the doctor-patient relationship.
How did the optimism felt by every American regarding their healthcare hopes devolve into what is now the country’s highly compromised health condition? Why are the cost of healthcare in the United States and our infant mortality rate higher than 33 advanced nations? The book offers a comprehensive overview of the factors, fictions, laws, and policies leading up to our current managed healthcare insurance predicament. This indispensable resource by Professor Jack C. Schoenholtz offers readers page after eye-opening page information that explains the often overwhelming, ever-important issue of managed healthcare. From the derailed promises put forth by Presidents Franklin D. Roosevelt and Bill Clinton, to the Patient Protection and Affordable Care Act signed by President Barack Obama in 2010, Dr. Schoenholtz exposes the political sleights of hand that lobbyists and special interests have made into the commercial HMOs of today.
In clear, unflinching language, The Managed Healthcare Insurance Industry examines the legislative and economic changes of the past thirty years that have resulted in today’s increasing number of uninsured Americans. In Part I, the book highlights the onset of the healthcare “cost-containment” era, by way of the insurance-company friendly HMO Act to the advent of the managed-care industry. Parts II and III tackle the implications of federal antitrust law, particularly in terms of the power of federal “preemption” as birthed by the 1974 enactment of ERISA, the “Employee Retirement Income Security Act.” Part IV illuminates the contributing factors that lead to companies created to “manage” externally the delivery of healthcare, how most failed to survive or swallowed their rivals. This section addresses whether insurers were legitimately cutting costs or actually coercively lowering prices in a predatory manner, and assesses the healthcare “monopsony,” wherein patients have become reluctant participants in compromised offerings, and why this set up a paradigm of market failure—a deadweight loss for society.
Parts V and VI demystify the business of insurance companies, and when their former “insurance” policies became “noninsurance” that exploits employers and their employees’ benefit plans alike. Parts VII, VIII, and IX consider managed healthcare as a market failure that results in a waste of resources. After the Part X “Summary Judgment,” the book concludes by weighing the medical ethics of managing managed care.
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Most media pundits and economists approach such issues largely from within their own disciplines making the debate more confusing than clear. Consequently, by a fact-based analysis of historical and contemporary data, this revelatory and rigorously researched work explores multiple points of view and weaves them into a meaningful message. It brings together news media reports, state and federal governments’ approaches to the public’s healthcare, the evolution of relevant statutes, regulations and Supreme and appellate court decisions, and the political economics and day-to-day medical and social issues surrounding the doctor-patient relationship.
How did the optimism felt by every American regarding their healthcare hopes devolve into what is now the country’s highly compromised health condition? Why are the cost of healthcare in the United States and our infant mortality rate higher than 33 advanced nations? The book offers a comprehensive overview of the factors, fictions, laws, and policies leading up to our current managed healthcare insurance predicament. This indispensable resource by Professor Jack C. Schoenholtz offers readers page after eye-opening page information that explains the often overwhelming, ever-important issue of managed healthcare. From the derailed promises put forth by Presidents Franklin D. Roosevelt and Bill Clinton, to the Patient Protection and Affordable Care Act signed by President Barack Obama in 2010, Dr. Schoenholtz exposes the political sleights of hand that lobbyists and special interests have made into the commercial HMOs of today.
In clear, unflinching language, The Managed Healthcare Insurance Industry examines the legislative and economic changes of the past thirty years that have resulted in today’s increasing number of uninsured Americans. In Part I, the book highlights the onset of the healthcare “cost-containment” era, by way of the insurance-company friendly HMO Act to the advent of the managed-care industry. Parts II and III tackle the implications of federal antitrust law, particularly in terms of the power of federal “preemption” as birthed by the 1974 enactment of ERISA, the “Employee Retirement Income Security Act.” Part IV illuminates the contributing factors that lead to companies created to “manage” externally the delivery of healthcare, how most failed to survive or swallowed their rivals. This section addresses whether insurers were legitimately cutting costs or actually coercively lowering prices in a predatory manner, and assesses the healthcare “monopsony,” wherein patients have become reluctant participants in compromised offerings, and why this set up a paradigm of market failure—a deadweight loss for society.
Parts V and VI demystify the business of insurance companies, and when their former “insurance” policies became “noninsurance” that exploits employers and their employees’ benefit plans alike. Parts VII, VIII, and IX consider managed healthcare as a market failure that results in a waste of resources. After the Part X “Summary Judgment,” the book concludes by weighing the medical ethics of managing managed care.
The Managed Healthcare Industry--A Market Failure
The Managed Healthcare Insurance Industry--A Market Failure is about America’s healthcare crisis. It is written for adults, college-age youth, educators, and healthcare professionals--both providers and executives--and for legislators, regulators and the public who have concerns about the health of the US healthcare system. The book exposes the reasons for the high cost of care, and the byzantine way commercial outsiders have managed it and created a market failure--costing society and patients in need more than it benefits them. Now, the Medicare and Medicaid program expenditures, too, are rising because government privatization of taxpayers’ healthcare coverage funnels their money directly to the for-profit healthcare insurance industry.
Most media pundits and economists approach such issues largely from within their own disciplines making the debate more confusing than clear. Consequently, by a fact-based analysis of historical and contemporary data, this revelatory and rigorously researched work explores multiple points of view and weaves them into a meaningful message. It brings together news media reports, state and federal governments’ approaches to the public’s healthcare, the evolution of relevant statutes, regulations and Supreme and appellate court decisions, and the political economics and day-to-day medical and social issues surrounding the doctor-patient relationship.
How did the optimism felt by every American regarding their healthcare hopes devolve into what is now the country’s highly compromised health condition? Why are the cost of healthcare in the United States and our infant mortality rate higher than 33 advanced nations? The book offers a comprehensive overview of the factors, fictions, laws, and policies leading up to our current managed healthcare insurance predicament. This indispensable resource by Professor Jack C. Schoenholtz offers readers page after eye-opening page information that explains the often overwhelming, ever-important issue of managed healthcare. From the derailed promises put forth by Presidents Franklin D. Roosevelt and Bill Clinton, to the Patient Protection and Affordable Care Act signed by President Barack Obama in 2010, Dr. Schoenholtz exposes the political sleights of hand that lobbyists and special interests have made into the commercial HMOs of today.
In clear, unflinching language, The Managed Healthcare Insurance Industry examines the legislative and economic changes of the past thirty years that have resulted in today’s increasing number of uninsured Americans. In Part I, the book highlights the onset of the healthcare “cost-containment” era, by way of the insurance-company friendly HMO Act to the advent of the managed-care industry. Parts II and III tackle the implications of federal antitrust law, particularly in terms of the power of federal “preemption” as birthed by the 1974 enactment of ERISA, the “Employee Retirement Income Security Act.” Part IV illuminates the contributing factors that lead to companies created to “manage” externally the delivery of healthcare, how most failed to survive or swallowed their rivals. This section addresses whether insurers were legitimately cutting costs or actually coercively lowering prices in a predatory manner, and assesses the healthcare “monopsony,” wherein patients have become reluctant participants in compromised offerings, and why this set up a paradigm of market failure—a deadweight loss for society.
Parts V and VI demystify the business of insurance companies, and when their former “insurance” policies became “noninsurance” that exploits employers and their employees’ benefit plans alike. Parts VII, VIII, and IX consider managed healthcare as a market failure that results in a waste of resources. After the Part X “Summary Judgment,” the book concludes by weighing the medical ethics of managing managed care.
Most media pundits and economists approach such issues largely from within their own disciplines making the debate more confusing than clear. Consequently, by a fact-based analysis of historical and contemporary data, this revelatory and rigorously researched work explores multiple points of view and weaves them into a meaningful message. It brings together news media reports, state and federal governments’ approaches to the public’s healthcare, the evolution of relevant statutes, regulations and Supreme and appellate court decisions, and the political economics and day-to-day medical and social issues surrounding the doctor-patient relationship.
How did the optimism felt by every American regarding their healthcare hopes devolve into what is now the country’s highly compromised health condition? Why are the cost of healthcare in the United States and our infant mortality rate higher than 33 advanced nations? The book offers a comprehensive overview of the factors, fictions, laws, and policies leading up to our current managed healthcare insurance predicament. This indispensable resource by Professor Jack C. Schoenholtz offers readers page after eye-opening page information that explains the often overwhelming, ever-important issue of managed healthcare. From the derailed promises put forth by Presidents Franklin D. Roosevelt and Bill Clinton, to the Patient Protection and Affordable Care Act signed by President Barack Obama in 2010, Dr. Schoenholtz exposes the political sleights of hand that lobbyists and special interests have made into the commercial HMOs of today.
In clear, unflinching language, The Managed Healthcare Insurance Industry examines the legislative and economic changes of the past thirty years that have resulted in today’s increasing number of uninsured Americans. In Part I, the book highlights the onset of the healthcare “cost-containment” era, by way of the insurance-company friendly HMO Act to the advent of the managed-care industry. Parts II and III tackle the implications of federal antitrust law, particularly in terms of the power of federal “preemption” as birthed by the 1974 enactment of ERISA, the “Employee Retirement Income Security Act.” Part IV illuminates the contributing factors that lead to companies created to “manage” externally the delivery of healthcare, how most failed to survive or swallowed their rivals. This section addresses whether insurers were legitimately cutting costs or actually coercively lowering prices in a predatory manner, and assesses the healthcare “monopsony,” wherein patients have become reluctant participants in compromised offerings, and why this set up a paradigm of market failure—a deadweight loss for society.
Parts V and VI demystify the business of insurance companies, and when their former “insurance” policies became “noninsurance” that exploits employers and their employees’ benefit plans alike. Parts VII, VIII, and IX consider managed healthcare as a market failure that results in a waste of resources. After the Part X “Summary Judgment,” the book concludes by weighing the medical ethics of managing managed care.
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Product Details
| BN ID: | 2940013110564 |
|---|---|
| Publisher: | Create Space/Amazon |
| Publication date: | 08/07/2011 |
| Sold by: | Barnes & Noble |
| Format: | eBook |
| Pages: | 495 |
| File size: | 2 MB |
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