Changing the U.S. Health Care System Key Issues in Health Services Policy and Management

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  • Edition: 4th
  • Format: Hardcover
  • Copyright: 12/9/2013
  • Publisher: Jossey-Bass

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Supplemental Materials

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The Fourth Edition of Changing the U.S. Health Care System addresses the key topics in health care policy and management, presenting evidence-based views of current issues. Each chapter is written by an expert in the field who integrates evidence to explain the current condition and presents support for needed change. The book examines all the levers in the setting and implementation of health policy, and includes extensive coverage of impact of the Affordable Care Act, particularly on Medicare, Medicaid, and large and small group insurance markets. Also new to this edition is expanded coverage of nursing, disease management, mental health, women's health, children's health, and care for the homeless.

Author Biography

Gerald F. Kominski, PhD, is professor, Department of Health Policy and Management in the UCLA Fielding School of Public Health, and director of UCLA Center for Health Policy Research. He is co-developer of the California Simulation of Insurance Markets (CalSIM) model currently being used to estimate eligibility and enrollment in health insurance exchanges in California and Hawaii.

Table of Contents

Figures And Tables

Foreword To The Third Edition

Foreword To The Fourth Edition

Editor Bio

Contributor Bios



Part One: Access To Health Care

Chapter 1 Changing The U.S. Health Care System: The Patient Protection And Affordable Care Act

Chapter 2 Improving Access To Care In America

Chapter 3 Ethnic Disparities In Health Status

Chapter 4 Racial And Ethnic Disparities In Health Care

Chapter 5 Multilevel Social Determinants Of Health

Chapter 6 Public Policies To Extend Health Care Coverage

Chapter 7 Private Health Insurance

Part Two: Costs Of Health Care

Chapter 8 Measuring Health Care Costs And Trends

Chapter 9 Containing Health Care Costs

Chapter 10 Promoting Pharmaceutical Access While Controlling Prices And Expenditures

Part Three: Quality Of Health Care

Chapter 11 Measuring Health-Related Quality Of Life And Other Outcomes

Chapter 12 Evaluating The Quality Of Care

Chapter 13 Public Release Of Information On Quality

Chapter 14 Health Care Information Systems

Chapter 15 Performance Measurement Of Nursing Care

Part Four: Special Populations

Chapter 16 Long-Term Services And Supports For The Elderly Population

Chapter 17 HIV And Aids In The Twenty-First Century

Chapter 18 Health Reform For Children And Families

Chapter 19 Homeless Persons

Part Five: Directions For Change

Chapter 20 Changing The Us Health Care Delivery System

Chapter 21 Medicare Reform

Chapter 22 Public Health And Clinical Care

Chapter 23 Strengthening The Safety Net

Chapter 24 Ethical Issues In Public Health And Health Services


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