Solved! Curing Your Medical Insurance Problems

Solved! Curing Your Medical Insurance Problems PDF Author: Adria Goldman Gross Fipc
Publisher: Outskirts Press
ISBN: 9781478760566
Category : Business & Economics
Languages : en
Pages : 130

Book Description
Consumer protection advocate Ralph Nader praised Solved! Curing Your Medical Insurance Problems: "Who hasn't been bewildered and outraged by lengthy, inscrutable medical bills and the tricky ways of the health insurers? ....Learn what to watch out for in this volume by authors who know the inside ways of sellers who try to take you to the cleaners." Some say, "You get what you pay for." If only this were true! Too often, consumers find themselves paying much more than they expected, getting much less than they bargained for. Medical care is no exception. In their book, the authors show readers how to spot over-charges by providers, under-reimbursements by insurers, and inappropriate denials by insurers and government employees. Furthermore, they presented steps to take to prevent being victimized by "the system." And what is the system? In America, it is a hybrid of private healthcare providers, massive insurance companies, and governments at the state and national levels. Unlike Britain with its single-payer National Health System, this public-private mixed-breed creates the need for patient advocate professionals, who take up the cudgels on behalf of the medically disadvantaged and the financially strapped.

Multi-Payer Medicine Nightmare Made in the USA

Multi-Payer Medicine Nightmare Made in the USA PDF Author: Fipc Adria Goldman Gross
Publisher: Outskirts Press
ISBN: 9781478760559
Category : Law
Languages : en
Pages : 132

Book Description
"You get what you pay for." If only this were true! Too often, consumers find themselves paying much more than they expected, getting much less than they bargained for. Medical care is no exception. In the U.S. edition of this book - Solved! Curing Your Medical Insurance Problems - the authors showed American readers how to spot over-charges by providers, under-reimbursements by insurers, and inappropriate denials by insurers and government employees. Furthermore, they presented steps to take to prevent being victimized by "the system." And what is the system? In America, it is a hybrid of private healthcare providers, massive insurance companies, and governments at the state and national levels. Unlike Britain with its single-payer National Health System, this public-private mixed-breed creates the need for patient advocate professionals, who take up the cudgels on behalf of the medically disadvantaged and the financially strapped. The material presented here may serve as an object lesson for those countries that would create or maintain mixed public-private financing and management of medical care.

Who Killed HealthCare?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure

Who Killed HealthCare?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure PDF Author: Regina Herzlinger
Publisher: McGraw Hill Professional
ISBN: 0071509887
Category : Business & Economics
Languages : en
Pages : 314

Book Description
A renowned authority from Harvard Business School confronts America's health care crisis-and how consumer control can fix it PRAISE FOR WHO KILLED HEALTHCARE? “A brilliant analysis... A must-read.” – Bill George, Professor, Harvard Business School and Former CEO of Medtronic “As it becomes more and more obvious to everyone that our current health care system is unsustainable, this is the book that had to be written.” – Daniel H. Johnson, Jr. MD, former president of the American Medical Association “Regina Herzlinger’s ideas to tackle the crisis of the U.S. health care system are based on keen knowledge of the system’s existing difficulties along with insights that introduce the reader to new streamlined choices that have the potential of getting both quantity and cost under control.” – Joseph Kennedy, founder, chairman, and president, Citizens Energy Corporation, CEO, Citizens Health Care, former representative (D-Mass) “Regina Herzlinger... offers a vision of the way things can be, should be, and will be sooner or later. The only question is: how long do we have to wait?” – Greg Scandlen, founder, Consumers for Health Choices“Regi Herzlinger has brilliantly articulated a better way – embracing the principles of competition and innovation that cause every other sector of our economy to thrive. Discharging American health care from the ICU can only happen by putting individual Americans – not politicians and bureaucrats – back in charge of their health care decisioins.” – U.S. Senator Tom Coburn (R-Okla), M.D. “Following on the heels of her landmark Market-Driven Health Care, Herzlinger lays it on the line with her expose of what many who work in the health care industry have felt in their gut. Now it is articulated in an entertaining and must-read portrayal, with you and me as the only way out.” – Dennis White, executive vice president for strategic development, National Business Coalition on Health“A wonderful Orwellian romp through issues which carry a deadly irony. The killers of health care are, of course, the third parties, each of which has an itchy palm and a commitment to profit or power which exceeds the commitment to service, with each engaging the others within a politically shaped box. Rarely has the case for the public been made with so much force, foresight, and wit, and a better way forward shown so clearly.” – James F. Fries, MD, Professor of Medicine, Stanford University School of Medicine “You can practically hear the war chants as Professor Herzlinger sets out her view of what’s wrong with the health care system and how to fix it. You’d best read it so you can decide which side you will be on when the battle is joined.” – Paul Levy, CEO, Beth Israel Hospital, Boston, MA “Regina Herzlinger, the nation’s leading expert on consumer-driven health care, has given us a brilliant analysis of the flaws in our health care system and what it will take to get it back on track. Her latest book is a must-read.” – Bill George, Professor of Management Practice, Harvard Business School, Former CEO, Medtronic, and author of Authentic Leadership“You don’t have to agree with her diagnosis and prescription for the U.S. health care system, but you do have to read her book. Once again, Professor Herzlinger has put together a well researched, well written, and very provocative blueprint for the future of health care.” Peter L. Slavin, MD, President, Massachusetts General Hospital

Let's Talk American Healthcare: How the Spun Insurance Plan Can Solve Our Country's Medical Crisis

Let's Talk American Healthcare: How the Spun Insurance Plan Can Solve Our Country's Medical Crisis PDF Author: William Frangipane M. D.
Publisher: Independently Published
ISBN: 9781090569141
Category : Health & Fitness
Languages : en
Pages : 336

Book Description
Dysfunction in American healthcare is at a critical point. We pay too much. Not everyone has insurance coverage. We get mediocre results. Due to political rhetoric, problems fester. This book is a guide as to how we all can have affordable, quality care. How we can remake the system, so it works for patient. Here are the answers for a system that is killing and bankrupting us instead helping and healing us. Dr. Frangipane witnessed how the healthcare services are inefficient and rushed. Through conversations with policy experts, colleagues and patients, he saw what is wrong. This book is what he learned from both these experiences and research. Topics, like medical insurance coding, can be real snoozers. But Dr. Frangipane engages the reader. This book feels like a talk with your friend. He anticipates the reader's objections by answering each one of them. This book makes the abstract world of healthcare policy relatable. He tells stories that entertain the reader as they illustrate the problems of the American healthcare. Finally, the book is filled with Dr. Frangipane's unique humor. Dr. Frangipane starts by asking the simplest of questions. The first is if we truly have a crisis with our country's medical care system. He answers with a resounding yes and supported his answer. He backs it up with everyday examples. Next, he looks at the possible solutions for how a country can pay for healthcare. He concludes that a universal, governmental health insurance is the least costly and most efficient. Finally, he answers the objections one might raise about such a system.Dr. Frangipane names his system, "SPUN," for Single Payer Universal National Healthcare Plan. To fund it, he believes using our present federal tax system is the simplest and fairest. He shows that SPUN will save our country money. He analyses the finances of different individuals and businesses and shows they all come out ahead with his plan.He then looks at how SPUN would operate. Doctors still will work for themselves. Patients will retain the choice of where to go for care. However, the single-payer insurance will cover everyone. The coverage will be broad, too, covering dental, eye, mental health, long-term medical care and medications. The price tag for drugs will drop as SPUN will use its market power. There will an approval system of for what tests, medications and procedures are allowed, based on scientific evidence. Good health practices, like eating vegetables, will be subsidized. While bad health practices, like eating junk food, will be taxed. How practitioners get reimbursed will change. To encourage physicians to spend more time on your care, they will be paid by time. To encourage innovation, hospitals will be paid by diagnosis. This will reduce the cost of medical billing. There will the elimination of non-profit hospitals, a restructuring of medical education costs and a greater reliance on non-physician providers.To make the flow of health information more efficient, a single repository will exist for all medical information. Part of this system will be a patient health app. Such a system will be a gold mine of medical data. Dr. Frangipane's proposes a no-fault system for medical liability reform where victims of unexpected medical events receive compensation without the assignment of blame. He details a centralized, national system of healthcare licenses and evaluations.This book next describes how to streamline the practice of medicine. This includes physicians having ownership of each of a patient's medical problems. Patients, too, will be made more responsible for their own care. Healthwebs will be created that will coordinate healthcare. Finally, he describes the needed revolution in the national mindset to permit all these changes.This book is for readers who like current events, healthcare workers and as part of the curriculum in healthcare policy or medical ethics.

The Cure That Works

The Cure That Works PDF Author: Sean M. Flynn
Publisher: Simon and Schuster
ISBN: 162157962X
Category : Political Science
Languages : en
Pages : 256

Book Description
Right now, a country halfway around the world is using forgotten American ideas to deliver the world’s best healthcare at a quarter of the price of American healthcare. Even more amazing: every resident has access to the same high-quality care. Economics for Dummies author Sean Flynn shows us what we can learn from Singapore's superior, free market-style healthcare system in The Cure That Works.

Curing Our Sick Health Care System

Curing Our Sick Health Care System PDF Author: Robert Gumbiner
Publisher: AuthorHouse
ISBN: 1438920520
Category : Health care reform
Languages : en
Pages : 150

Book Description


An American Sickness

An American Sickness PDF Author: Elisabeth Rosenthal
Publisher: Penguin
ISBN: 0698407180
Category : Medical
Languages : en
Pages : 434

Book Description
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

Curing Medicare

Curing Medicare PDF Author: Andy Lazris
Publisher: Cornell University Press
ISBN: 1501703862
Category : Medical
Languages : en
Pages : 263

Book Description
Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare’s payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly. Lazris offers straightforward solutions to ensure Medicare’s solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.

Real Cause, Real Cure

Real Cause, Real Cure PDF Author: Jacob Teitelbaum M.D.
Publisher: Rodale Books
ISBN: 1605292028
Category : Health & Fitness
Languages : en
Pages : 450

Book Description
An eye-opening guide that boils down common health problems to nine simple causes and offers the relief readers have been searching for. An expert in combining both traditional and alternative medicine, Dr. Teitelbaum explains that tackling nine wholly preventable causes is the key to long-term, real relief from nagging health concerns. Real Cause, Real Cure unearths the underlying causes of more than 50 health problems, steering readers toward cost-effective, safe, and easy remedies to combat woes ranging from acne and food allergies to diabetes and cancer. Readers will discover how getting a full night's rest can combat heart disease, diabetes, depression, heartburn, weight gain, and chronic pain; how adding exercise to one's daily routine not only prevents an expanding waistline, but also wards off Alzheimer's, fibromyalgia, insomnia, and stroke; and how drugs taken to improve our health are a major culprit in why we keep getting sick. This user-friendly guide takes the confusion out of personal health care so readers can enjoy a life free of needless prescriptions, doctors' offices, and irritating health issues.

The Cure

The Cure PDF Author: Seth Denson
Publisher:
ISBN: 9781950892075
Category : Health & Fitness
Languages : en
Pages : 144

Book Description
Focusing on the entire healthcare system and all of its various stakeholders, The Cure aims to provide a roadmap inclusive of both legislative and societal changes needed to improve the method by which healthcare is accessed, delivered and financed within the United States. With detailed analysis investigating both the cause and current status of major problems within the healthcare space, The Cure is able to provide insight and guidance to begin solving those issues. This book is written in a non-partisan manner and wastes no time with finger pointing, instead focusing on realistic goals and practical solutions to elevate and enhance the healthcare system. Outlining the need for transparency, reasonable regulation, and consumer engagement, along with other key drivers of cost and inefficiencies in healthcare, Seth Denson uses his vast industry experience to shine a spotlight on what is keeping America's healthcare system sick, but more importantly, outline what is needed to cure it.