This book is a thorough, balanced, and insightful study of what
is happening and what should be happening in health care financing.
Americans want unlimited access to the best care at affordable
prices. Fiscal pressures in American health care point in all
different directions, like a pile of jackstraws. This important
book analyzes how new payment incentives stimulate planned
competition or reregulation; and the far-reaching impact these
changes have on hospitals, physicians, long-term care facilities,
HMOs, public health clinics, and multihospital systems. Tools for
survival include better financial planning, productivity
improvement, better scheduling systems, and total quality
management.
Steven R. Eastaugh begins his book with a general overview of
cost management, accounting, product-line selection, and new
payment incentives. Part II provides an in-depth survey of fiscal
trends in long-term care, managed care, HMOs, and PPOs. Part III
analyzes five basic strategies that a provider may consider; with
special focus on market analysis, diversification, and pricing. The
next part reviews physician payment options, the new Medicare 1992
payment systems for hospitals and physicians, and cost analysis of
hospital patient care, research, and education. Part V considers
productivity enhancement methods, incentives to assist productivity
programs, and the Deming method of total quality management. Part
VI focuses on investment, financing, and capital structure
decisions in health care institutions and also in large
multifacility systems. The last part summarizes major strategies
for success in the 1990s, future policy alternatives, and suggests
a number of alternative roads to universal entitlement and national
health care reform. As Eastaugh suggests in this book, Our health
system faces . . . immense opportunity and danger in a reformation
on four fronts: access, efficiency, effectiveness, and quality of
life. The challenge for providers and managers during this period
of unparalleled opportunity is to win a clear victory on all four
fronts, and not erode either access or quality in the name of
efficiency. The range of coverage in Health Care Finance is
extremely wide and detailed--making it essential and useful reading
for health care professionals and students alike.
General
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