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The navigator you need to find your way through the process and operational complexities of the U.S. healthcare system
From a seasoned professor of healthcare management at The Wharton School, The U.S. Healthcare Ecosystem provides a new perspective to the subject—navigating readers through complicated environment where healthcare customers, healthcare providers, and those who create products used in healthcare all interact. Emphasizing processes and operations, this thorough resource provides expert insight into important themes, i.e., how the goals of healthcare relate to the “the iron triangle” (cost, quality, and access) and “the triple aim” (per capita cost, population health, and patient experience).
Chapters include brief but timely cases that inspire you to think more critically about what you hear and read about the healthcare industry and make your own informed assessments. Packed with 200 illustrations, The U.S. Healthcare Ecosystem Covers often-neglected topics, such as employer-based health insurance, pharmacy benefits, healthcare consolidation, and biotechnology.
Features::
•Contains the most current statistics and industry developments •Every chapter begins with a roadmap and ends with a summary and questions to ponder •Includes insights to drug discovery and development, biotechnology, and information technology, i.e., the marriage of life sciences and business •Reflects the insights and feedback of 60+ professors
SECTION I - FOUNDATIONS OF THE ECOSYSTEM CHAPTER 1: Introduction CHAPTER 2: A Guide Through the Wilderness CHAPTER 3: What Is a Healthcare System? CHAPTER 4: Population Health CHAPTER 5: Goals of Healthcare CHAPTER 6: The 800-Pound Gorilla: Rising Healthcare Costs CHAPTER 7: Managing Quality: Another 800-Pound Gorilla?
SECTION II – PROVIDER SECTORS IN THE ECOSYSTEM CHAPTER 8: Healthcare Providers CHAPTER 9: The Medical Profession CHAPTER 10: Primary Care: Physicians, Nurses, and Pharmacists CHAPTER 11: Hospitals CHAPTER 12: Hospital Diversification, Restructuring, and Integration CHAPTER 13: Organized Ambulatory Care CHAPTER 14: Post-Acute Care
SECTION III – PAYER SECTORS IN THE ECOSYSTEM CHAPTER 15: Employer-Based Health Insurance CHAPTER 16: Contracting for Prescription Drug Benefits: Role of Employers, Insurers, and Pharmacy Benefit Managers CHAPTER 17: Private Health Insurance and Managed Care Organizations CHAPTER 18: Medicare CHAPTER 19: Medicaid and the Patient Protection and Affordable Care Act
SECTION IV - TECHNOLOGY SECTORS IN THE ECOSYSTEM CHAPTER 20: The Healthcare Technology Sectors CHAPTER 21: The Pharmaceutical Sector CHAPTER 22: The Biotechnology Sector CHAPTER 23: The MedTech Sector CHAPTER 24: Healthcare Information Technology
SECTION V – THE PUBLIC SECTOR OF THE ECOSYSTEM CHAPTER 25: The Federal Bureaucracy, the US Congress, and Healthcare Policy CHAPTER 26: The Public Health System
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