For-Profit Enterprise in Health Care

For-Profit Enterprise in Health Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1986-01-01

Total Pages: 580

ISBN-13: 0309036437

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"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.


Charity Care

Charity Care

Author: Sandra J. Wolfskill

Publisher: HC Pro, Inc.

Published: 2005

Total Pages: 206

ISBN-13: 9781578395613

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Your hospital doesn't have to lose millions of dollars every year providing care to the uninsured. Charity care for the uninsured patient population is a universal problem for healthcare providers. Now you don't have to struggle through this controversial issue any longer. "Charity Care: Tools for Managing the Uninsured Population"provides strategies and case studies you can use to meet the challenges inherent in providing charity care. This comprehensive resource will help you assess risk and develop appropriate policies and procedures to educate your revenue cycle team. Healthcare financial management and consulting expert Sandra Wolfskill, FHFMA, provides best practices, case studies, and sample policies and forms to help you build or refine the foundation of your charity care program. All of the files are included on an accompanying CD-ROM so you can download, customize, and use the tools you need right away.Tools you need to get the job done "Charity Care: Tools to Manage the Uninsured Population"gives you contemporary insights into the charity care issues you face every day. It provides: best practices risk assessments implementation guides to assist in redesigning your approach to charity-related activities case studies that highlight what your peers have done to address charity care claim processing Table of Contents Chapter 1: Introduction to charity care issues The human equation Uncompensated care Changes in the charity-care arena Tax exempt status-federal level Chapter 2: Legal background Hospital charges Class action litigation and the uninsured The government reaction to the uninsured Knowing what information is public Chapter 3: Accounting principles and state programs Applicable accounting principles Accounting principles for charity care State laws and programs Chapter 4: Strategies to assess risk and identify opportunities for improvement Identify current charity care processes The risk assessment process Chapter 5: Best practices: The ideal revenue cycle and charity processing Pre-service processing: Scheduled patient workflow Time of service processing: Scheduled patient workflow Time of service processing: Unscheduled patient workflow Post-service processing Charity policies and procedures Charity eligibility processing: Eligibility scales and forms Chapter 6: Implementing contemporary financial assistance policies and procedures Getting started Pre-service process Time of service process Post-service process Communicating with patients and physicians Outsourcing charity processing Chapter 7: Case studies Case study 1: Camden-Clark Memorial Hospital Case study 2: "Hospital"-regional medical center Case study 3: West Virginia University Hospitals and University Health Associates You'll discover strategies to initiate and implement change in the way your hospital delivers charity care, improve operations, and increase patient satisfaction with the hospital's billing and collections operation. Chief financial officers, PFS directors, revenue cycle directors, billing and collection managers, and anyone involved in making decisions about your organization's charity care position will find "Charity Care: " Tools for Managing the Uninsured Population an invaluable investment."


America's Health Care Safety Net

America's Health Care Safety Net

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2000-09-04

Total Pages: 304

ISBN-13: 030906497X

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America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.


Hidden Costs, Value Lost

Hidden Costs, Value Lost

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-06-19

Total Pages: 212

ISBN-13: 0309133203

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Hidden Cost, Value Lost, the fifth of a series of six books on the consequences of uninsurance in the United States, illustrates some of the economic and social losses to the country of maintaining so many people without health insurance. The book explores the potential economic and societal benefits that could be realized if everyone had health insurance on a continuous basis, as people over age 65 currently do with Medicare. Hidden Costs, Value Lost concludes that the estimated benefits across society in health years of life gained by providing the uninsured with the kind and amount of health services that the insured use, are likely greater than the additional social costs of doing so. The potential economic value to be gained in better health outcomes from uninterrupted coverage for all Americans is estimated to be between $65 and $130 billion each year.


Homelessness, Health, and Human Needs

Homelessness, Health, and Human Needs

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1988-02-01

Total Pages: 257

ISBN-13: 0309038324

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There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.


Models of Charitable Care

Models of Charitable Care

Author: Annelies Van Heijst

Publisher: BRILL

Published: 2008

Total Pages: 428

ISBN-13: 9004168338

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This Dutch case study examines, historically and ethically, Catholic charity in the 19th and 20th centuries. The nuns embodied a spiritual model of devotion, and theorists offered theoretical models for interpretation; but how to integrate the perspective of care leavers?


Coverage Matters

Coverage Matters

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2001-10-27

Total Pages: 204

ISBN-13: 0309076099

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Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.


Care Without Coverage

Care Without Coverage

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2002-06-20

Total Pages: 213

ISBN-13: 0309083435

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.