Health Economics (with Economic Applications and Infotrac 2 Terms Printed Access Card): Theory, Insights, and Industry Studies

Description

Develop with a solid understanding of the costs and benefits associated with today's health care choices using the current, comprehensive coverage found only in HEALTH ECONOMICS: THEORY, INSIGHTS, AND INDUSTRY STUDIES, 6E. Readers develop a practical, powerful knowledge of today's health care systems as the text builds upon only the core foundation of economic theory. This new edition reflects the latest updates and contemporary developments in insurance and health care reform, including a thorough update of the Nyman Theory and a new appendix covering the Grossman Model. Using a lively, inviting writing style, the book presents all topics in an easy-to-understand format with numerous real-world applications that readers can readily apply to their own lives. Cover Title Page Copyright Statement Dedication Preface Contents Part 1: Basic Health Care Economic Tools and Institutions Ch 1: Introduction What Is Health Economics? The Four Basic Questions Taking the Pulse of the Health Economy A Note on the Relation between System Structure and Performance A Brief Note on the Patient Protection and Affordable Care Act of 2010 Summary Review Questions and Problems References Appendix 1: Economic Models and Empirical Testing Summary Review Questions and Problems References Ch 2: Health and Medical Care: An Economic Perspective Introduction What Is Health? Why Good Health? Utility Analysis What Is Medical Care? The Production of Good Health Empirical Evidence on the Production of Health in the United States Implications of the Patient Protection and Affordable Care Act (PPACA) of 2010 Summary Review Questions and Problems Online Resources References Appendix 2: Demand for Health Capital Summary Review Questions and Problems References Ch 3: Cost and Benefit Evaluation Methods Introduction Cost Identification Analysis Cost-Benefit Analysis Cost-Effectiveness Analysis Implications of the Patient Protection and Affordable Care Act (PPACA) of 2010 Regarding Cost and Benefit Evaluation Methods Summary Review Questions and Problems Online Resources References Ch 4: Health Care Systems and Institutions Introduction Elements of a Health Care System The Role and Financing Methods of Third-Party Payers Risk Management, Reimbursement, and Consumer Cost Sharing The Production of Medical Services The Four National Health Care Systems Summarized An Overview of the U.S. Health Care System Summary Review Questions and Problems Online Resources References Ch 5: The Demand for Medical Care Introduction The Demand for Medical Care and the Law of Demand Empirical Estimation Provisions of the Patient Protection and Affordable Care Act (PPACA) of 2010 Relating to the Demand for Health Care Summary Review Questions and Problems References Ch 6: The Demand for Medical Insurance: Traditional and Managed Care Coverage Introduction The Conventional Theory of the Demand for Private Health Insurance Nyman’s Access Theory of the Demand for Private Health Insurance The Health Insurance Product: Traditional versus Managed Care Insurance The Regulation of MCOs Provisions of the Patient Protection and Affordable Care Act of 2010 Relating to the Demand for Health Insurance Summary Review Questions and Problems Online Resources References Ch 7: Medical Care Production and Costs Introduction The Short-Run Production Function of the Representative Medical Firm Short-Run Cost Theory of the Representative Medical Firm The Cost-Minimizing Input Choice Long-Run Costs of Production Additional Production and Cost Concepts Neoclassical Cost Theory and the Production of Medical Services Integrated Delivery Systems Provisions of the Patient Protection and Affordable Care Act (PPACA) of 2010 Relating to Medical Care Production and Costs Summary Review Questions and Problems Online Resources References Ch 8: Structure, Conduct, Performance, and Market Analysis Introduction Structure, Conduct, and Performance Paradigm Is a Perfectly Competitive Market Relevant to Medical Care? A Model of Supply and Demand The Monopoly Model of Market Behavior and Performance Monopolistic Competition and Product Differentiation Oligopoly Defining the Relevant Market, Measuring Concentration, and Identifying Market Power Summary Review Questions and Problems Online Resources References Part 2: The Role of Government Ch 9: Government, Health, and Medical Care Introduction Economic Reasons for Government Intervention Types of Government Intervention Provisions of the Patient Protection and Affordable Care Act (PPACA) of 2010 Relating to Government, Health and Medical Care Summary Review Questions and Problems Online Resources References Ch 10: Government as Health Insurer Introduction Why Does the Government Produce Health Insurance? The Medicaid Program The Medicare Program Implications of the Patient Protection and Affordable Care Act (PPACA) of 2010 for Medicare, Medicaid and SCHIP Summary Review Questions and Problems Online Resources References Part 3: Industry Studies Ch 11: The Private Health Insurance Industry Introduction A Brief History of the Private Health Insurance Industry Barriers to Entry Consumer Information The Conduct of the Private Health Insurance Industry Do Health Insurers Possess Monopoly (or Market) Power? Managed Care Organizations and Insurance Premiums Do Health Insurers Possess Monopsony Power? Rating of Premiums, Adverse Selection, and Risk Selection Guaranteed Renewability in the Individual Health Insurance Market The Performance of the Private Health Insurance Industry Profitability in the Private Health Insurance Industry Provisions of the Patient Protection and Affordable Care Act (PPACA) of 2010 Relating to the Health Insurance Industry Summary Review Questions and Problems Online Resources References Ch 12: The Physician Services Industry Introduction The Structure of the Physician Services Industry The Conduct of the Physician Services Industry The Performance of the Physician Services Industry Provisions of the Patient Protection and Affordable Care Act (PPACA) of 2010 Relating to the Physician Services Market Summary Review Questions and Problems Online Resources References Ch 13: The Hospital Services Industry Introduction The Structure of the Hospital Services Industry The Conduct of the Hospital Services Industry The Performance of the Hospital Services Industry Provisions of the Patient Protection and Affordable Care Act (PPACA) of 2010 Relating to the Hospital Services Industry Summary Review Questions and Problems Online Resources References Ch 14: The Pharmaceutical Industry Introduction The Structure of the Pharmaceutical Industry The Conduct of the Pharmaceutical Industry The Performance of the Pharmaceutical Industry Provisions of the Patient Protection and Affordable Care Act (PPACA) of 2010 Relating to the Pharmaceutical Industry Summary Review Questions and Problems Online Resources References Ch 15: The Long-Term Care Industry Introduction The Structure of the Long-Term Care Services Industry The Conduct of the Long-Term Care Industry The Performance of the Long-Term Care Industry Implications of the Patient Protection and Affordable Care Act (PPACA) of 2010 Regarding the Long-Term Care Industry Summary Review Questions and Problems Online Resources References Part 4: Health Care System Reform Ch 16: Health Care System Reform Introduction The Overall Performance of the U.S. Health Care System: An International Comparison Why Is There So Much Disagreement Concerning How Health Care System Reform Should Be Designed? An Overview of Health Insurance Reform in the United States Models of Health Insurance Reform Attempts at State Health Care and Insurance Reform An Overview of the Patient Protection and Affordable Care Act (PPACA) of 2010 Summary Review Questions and Problems Online Resources References Glossary Name Index Subject Index