The economics of US health care policy [electronic resource]

• 作者： Phelps, Charles E., author.
• 其他作者：
  • Parente, Stephen T., author.
• 出版： London : Routledge
• 版本：First edition.
• 主題： Medical policy--United States. , Medical economics--United States. , Medical care--United States. , Delivery of Health Care--economics. , Health Care Reform--economics. , Insurance, Health--economics. , Health Policy--economics. , United States. , Electronic books.
• ISBN： 9781315228518 (electronic bk.): USD176.00 、 1315228513 (electronic bk.)
• FIND@SFXID: CGU
• 資料類型: 電子書
• 內容註: Includes bibliographical references and index. Cover; Half Title; Title Page; Copyright Page; Dedication; Table of Contents; List of figures; List of tables; Foreword; Preface; Acknowledgments; Executive summary; Part I: The market for private health insurance; 1 The pivotal role of employer-paid health insurance; Prologue and proposition; How World War II still haunts us; How the tax subsidy became permanent; How the subsidy changed through time; Why it matters: how the subsidy expands health insurance and health care use; 2 An alternate universe: life without the tax subsidy; Employers would actively offer health insurance. Robust markets would exist beyond the employer-based health insurance marketNon-employer markets would actively use actuarial rating; We might see fewer people with health insurance ... or perhaps not; Job and entrepreneurship lock and insurance-related labor disputes would not exist; The income tax system would not redistribute from the poor to the rich; Summary of the a#x80;#x9C;alternate universea#x80;#x9D;; 3 How to get there from here and also grow the economy; Fix the tax law (Proposal 1); Previous efforts and ideas; Further details about our proposal; The macroeconomic benefits. Summarizing the tax revenue effectsConcluding comments; 4 Who might support or oppose our proposal?; Who will likely oppose our proposal?; What factors might generate support for our proposal?; Some observations about horse trading; 5 What else needs fixing?; Eliminate the employer mandate (Proposal 2); Eliminate the a#x80;#x9C;precious metalsa#x80;#x9D; ranking system (Proposal 3); Fix the Health Insurance Exchanges (Proposal 4); Proposal 4a: franchise HIX to allow private operation of federal and state sites; Proposal 4b: make health plan bidding dynamic. Proposal 4c: allow and encourage national bidding and competitionProposal 4d: allow insurance sales across state lines; Proposal 4e: passive, not active, management of the HIX market; Proposal 4f: rationalize and solidify reinsurance mechanisms; Summary; 6 Pre-existing conditions and the individual mandate; Some observations about a#x80;#x9C;experience ratinga#x80;#x9D; in insurance markets; Different risk factors leading to pre-existing conditions; The individual mandate; Job lock and entrepreneurship lock; Ita#x80;#x99;s not about broccolia#x80;#x94;ita#x80;#x99;s about free-riders; Part II: Medicare and Medicaid. 7 Understanding Medicare and MedicaidHistory and roots; Some key changes in Medicare provider payment methods; Changes in Medicare coverage options; How Medicare decides what to pay for; Medigap plans; Some key changes in Medicaid structure; Conclusion; 8 Rationalizing Medicare and Medicaid; Ten specific proposals; The combined effect; 9 Further discussion of our Medicare and Medicaid proposals; Proposals 1 and 2: reset Parts A and B deductibles; Proposal 3: set Medicare premiums to match regional cost differences; Proposal 4: unshackle HDHP Medicare Advantage plans.
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• 摘要註: "In this book, Phelps and Parente explore the US health care system and set out the case for its reform. They trace the foundations of today's system, and show how distortions in the incentives facing participants in the health care market could be corrected in order to achieve lower costs, a higher quality of care, a higher level of patient safety, and a more efficient allocation of health care resources. Phelps and Parente propose novel yet economically robust changes to US tax law affecting health insurance coverage and related issues. They also discuss a series of specific improvements to Medicare and Medicaid, and assess potential innovations that affect all of health care, including chronic disease management, fraud and abuse detection, information technology, and other key issues. The Economics of US Health Care Policy will be illuminating reading for anyone with an interest in health policy, and will be a valuable supplementary text for courses in health economics and health policy, including for students without advanced training in economics."--Provided by publisher.
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