Rising health care costs consumed one-fifth of the economic growth in the United States between 1980 and 1987, and increased at a rate much greater than that of inflation. One of the ways in which the country is seeking to control these costs is through health maintenance organizations. With their emphasis on prepayment for comprehensive medical care, and their use of risk-sharing with providers, they represent a distinct change from traditional fee-for-service medicine. This book examines the growth and development of HMOs over the past two decades, detailing the success that they have had in controlling costs, and assesses the quality of care they provide to their 33 million current enrollees. Perry Moore begins his study with a brief survey of the health care crisis and HMOs, covering such topics as regulation versus competition and decreasing patient satisfaction. He then presents a detailed history of HMOs and a look into their future, an analysis of utilization and costs in these organizations, and an assessment of the quality of care provided. Subsequent chapters examine the interaction between HMOs and employers, physicians, pharmacists, Medicaid, and Medicare; the particular problems that are faced by HMOs in rural areas; the characteristics of preferred provider organizations and how they compare with HMOs; and issues of managed competition and cost containment as they will affect the future of HMOs. This timely work will be a most valuable reference source for professionals in human resources and benefits management, as well as for students in these and related fields.
Health risks from infrastructure failures are not well understood, despite the potential widespread introduction of chemical, microbial, and physical contaminants, as well as service disruptions. Public health effects due to distribution infrastructure failures are the concern and responsibility of the local water utility, the health department, community medical care providers, and in special circumstances, emergency first response agencies. While the water utility is responsible for safe water, including the operation and maintenance of distribution infrastructure, other agencies including public health regulators, medical practitioners, and first responders (e.g., police, fire, others) also play a pivotal and active role when dealing with the impacts of infrastructure failures on the community. All agencies involved with some aspect of public health protection from infrastructure failures acknowledged that the true extent of health effects, while not yet well known or characterized, required a collaborative, interagency approach.
In Health Care Policy and Practice: A Biopsychosocial Perspective, Moniz and Gorin have updated their text to incorporate health care reform. The authors have also restructured the book to guide students through the development of the American health care system: what it is, what the policies are, and how students can influence them. The first section focuses on recent history and reforms during the Obama Administration to describe the health care system; section two examines the system's structure and policies; and the third section explores policy analysis and advocacy, and disparities in health based on demographics and inequities in access to care. It concludes with a discussion of the impact of social factors on health and health status.
The new edition incorporates the CSWE EPAS competencies; it is for social work courses in health care, health care policy, and health and mental health care policy.
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