Health Care Reform Simplified Reviews

Author: Dave Parks
Edition: 2
Publisher: Apress
Binding: Paperback
ISBN: 1430248963
Price:
You Save: 46%

Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know

Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know describes the Patient Protection and Affordable Care Act of 2010.Health Care Reform Simplified review. Now that the U.S. Supreme Court has upheld the individual mandate and other key parts of the law—what must busy healthcare professionals, insurance industry professionals, business and HR managers, and policymakers do?

First, read this book. It translates the law’s complex language into terms that are easy to understand, explaining what the new law does, when its provisions take effect, and how to implement itRead full reviews of Health Care Reform Simplified: What Professionals In Medicine, Government, I.

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Store Search search Title, ISBN and Author Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know by Dave Parks Estimated delivery 3-12 business days Format Paperback Condition Brand New Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know describes the Patient Protection and Affordable Care Act of 2010. Now that the US Supreme Court has upheld the individual mandate and other k

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author david parks format paperback language english publication year 24 10 2012 subject medicine subject 2 medicine general title health care reform simplified what professionals in medicine government insurance and business need to know author parks dave publisher apress publication date sep 26 2012 pages 177 binding paperback edition 2 nd dimensions 6 00 wx 9 00 hx 0 50 d isbn 1430248963 subject business economics government business brand new paperback all orders get full access to our onl

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Health Care Reform Simplified

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Health Care Reform Simplified Reviews

Now that the U.S. Supreme Court has upheld the individual mandate and other key parts of the law—what must busy healthcare professionals, insurance industry professionals, business and HR managers, and policymakers do?

First, read this book. It translates the law’s complex language into terms that are easy to understand, explaining what the new law does, when its provisions take effect, and how to implement it. This brand-new second edition also updates all the provisions and explains the myriad ways the ACA is already being put into practice.

Health Care Reform Simplified, Second Edition, outlines the financial impact of the law and how it affects businesses, insurers, hospitals and doctors, and state and local governments. Most important, this book gives consumers and employers critical information for making informed choices about new options for private and public health insurance coverage. It also describes how the law interacts with Medicare and Medicaid. Finally, it looks at the potential roadblocks—political, judicial, and economic—that may yet derail some of the provisions. But with more than half of the Act's provisions in force already, and the Supreme Court's landmark decision upholding the law, there is no time to lose in understanding how the legislation affects you whether you are a consumer or deliverer of health care in the U.S. This book: 

• Explains health reform in easy-to-understand terms
• Shows how the law is playing out in the real world
• Explains the ways the law or parts of it yet may be repealed by the 2012 election and the implications for readers
• Provides HR professionals and managers options for covering employees while explaining costs and benefits
• Details the impact on medical professionals and insurers and steps they must take now to comply with the law
• Shows policymakers the way forward now that legal challenges have abated

This edition, completely updated to incorporate the newest regulations and the practices that have been put into place in various states, will prove an indispensable guide for those implementing the law, as well as those receiving health care, in the coming years.

What you’ll learn

• The provisions of the health care law, updated to take into account new regulatory guidelines, as well as models and processes developed at the state level.
• Options for families and individuals, and how to decide whether to keep existing insurance, switch to a different plan, or get new coverage at an exchange or co-op
• New government subsidies and tax breaks for health care, and who qualifies for them
• What government agencies, insurers, and healthcare providers must do to comply with the law
• Options for businesses, and how employers can decide whether to keep existing plans, purchase plans through exchanges, or provide vouchers to employees
• The impact of health care reform on hospitals, doctors, insurers, and patient care
• The potential for a new Congress with a new President to repeal provisions of the law 

Who this book is for

Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know is an excellent resource for managers who make decisions about insurance coverage for employees, healthcare professionals and those working in the insurance industry who must understand and comply with the law's provisions, and policymakers who must implement the law at the state and local level. Individuals wondering about such things as the "individual mandate" will also find the book a useful overview of the changes that have occurred and those yet to come.

Table of Contents

Introduction (4 pages)

A quick look at the American health care system, the most expensive medical system on earth, and what’s wrong with it.  



Chapter 1. History of Health Care in the U.S. (20 pages)

·       A quick history of health care insurance.

·       America’s breathtaking rise of medical care costs.

·       Growth of Medicare and Medicaid.

·       Political primer on health care reform.

·      Passage of the Patient Protection and Affordable Care Act and continuing political and judicial threats (more in Chapter 11)

·       Supreme Court Decision on the ACA (more in Chapter 11)

·       Health care reform summary, schedule.



Chapter 2. Early Changes (16 pages)

·       Temporary exchanges.

·       New insurance guarantees for children.

·       Young adults get extension on parents’ policies.

·       Insurance rate reviews.

·       Bans on cutting and capping coverage.

·       Filling Medicare’s donut hole.

·       “Sin tax” on tanning services.

·       Tax breaks for small businesses.  



Chapter 3. New Personal Insurance Options (20 pages)

·       Grandfathered policies.

·       Insurance exchanges.

·       Individual mandate.

·       Pre-existing conditions.

·       Rights to appeal, choose doctor and preventive care.

·       Tax credits.  



Chapter 4. Insurance Options for Businesses (20 pages)

·       Early tax credits for small businesses.

·       Requirements for coverage and penalties.

·       Small business insurance exchanges.

·       Early retirees.  



Chapter 5. Changes in Insurance Market Rules, Regulations (18 pages)

·       Medical loss ratios.

·       Guaranteed coverage.

·       Limits on rate variations.

·       Minimum coverage, preventive care.

·       Insurance co-ops.

·       Accountable Care Organizations.  



Chapter 6. Changes to Medical Practices (18 pages)

·       Medical errors.

·       Hospital readmission rates.

·       Medical homes.

·       Accountable Care Organizations.

·       Doctor shortages.

·       Evidence based practice.

·       Safety net hospitals.

·       Financial disclosure rules for doctors.  



Chapter 7. Medicare Outlook (10 pages.)

·       Where Medicare stands and how it works.

·       Medicare savings estimates.

·       Quality controls

·       Cost cutting

·       Medicare Advantage plans.

·       Long-term projections for Medicare.

·       Medicare reform proposals.  



Chapter 8. Medicaid Outlook (10 pages)

·       Where Medicaid stands and how it works.

·       Supreme Court ruling.

·       Planned Medicaid expansion.

·       State-by-state impact.

·       Long term care.

·       Medicaid waivers for co-pays and other experiments.  



Chapter 9. Communicating Changes to the Public (10 pages)

·       Misconceptions.

·       Health literacy.

·       Provisions for bridging communication gaps.

·       New sources of information.

·       Nutrit...

The Limits of Institutional Reform in Development Reviews

Author: Matt Andrews
Edition:
Publisher: Cambridge University Press
Binding: Hardcover
ISBN: 1107016339
Price:
You Save: 15%

The Limits of Institutional Reform in Development

Institutional reforms are common across the globe.The Limits of Institutional Reform in Development review. Think of efforts to build new governments in Afghanistan and Iraq; or decades worth of interventions intended to improve fiscal management, reduce corruption or introduce efficient public sector service delivery in African countries.

These reforms often have limited results, however. They lead to new laws that are not properly implemented, and new organizations that have poor capacities and fail to function as needed. 

In this book, Matt Andrews explains why reform results are frequently limited and suggests ways to overcome these limitsRead full reviews of The Limits Of Institutional Reform In Development: Changing Rules For Realistic.

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author matt andrews format hardback language english publication year 11 02 2013 subject management business economics industry subject 2 economics professional general title the limits of institutional reform in development changing rules for realistic solutions author andrews matt publisher cambridge univ pr publication date feb 28 2013 pages 254 binding hardcover dimensions 6 00 wx 9 00 hx 0 75 d isbn 1107016339 subject business economics development economic development description this bo

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Developing countries commonly adopt reforms to improve their governments yet they usually fail to produce more functional and effective governments. Andrews argues that reforms often fail to make governments better because they are introduced as signals to gain short-term support. These signals introduce unrealistic best practices that do not fit developing country contexts and are not considered relevant by implementing agents. The result is a set of new forms that do not function. However, there are realistic solutions emerging from institutional reforms in some developing countries. Lessons

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The Limits of Institutional Reform in Development Reviews

Think of efforts to build new governments in Afghanistan and Iraq; or decades worth of interventions intended to improve fiscal management, reduce corruption or introduce efficient public sector service delivery in African countries.

These reforms often have limited results, however. They lead to new laws that are not properly implemented, and new organizations that have poor capacities and fail to function as needed. 

In this book, Matt Andrews explains why reform results are frequently limited and suggests ways to overcome these limits. 

In the first half of the book, Andrews argues that reforms fail to make governments better when they are introduced as signals to gain short-term support--from donors and others. Reforms as signals introduce unrealistic best practices that do not fit developing country contexts and are not considered relevant by implementing agents. The result is a set of new forms that do not function properly.

Andrews uses examples to prove this point, ranging from efforts to introduce fiscal rules in Argentina to reforms aimed at international accounting standard adoption in many African countries, and anti corruption interventions in Malawi and Uganda. 

In the second half of the book, Andrews notes that there are instances where reforms are not being introduced as signals, and are having more of an impact on government effectiveness. Examples include local government reforms in Rwanda, anti corruption initiatives in Indonesia, and a variety of initiatives ranging from results based management to civil service modernization and internal control regime adoption in governments like Kenya, Kosovo and Afghanistan.

Andrews uses these examples to discuss ways in which reforms can actually provide realistic solutions to governance challenges in developing countries. Lessons from these experiences suggest that reform limits can be overcome by focusing interventions on problem solving, and promoting incremental and localized processes to find solutions, involving multiple agents who can authorize and implement reforms.