Beyond Managed Care How Consumers and Technology Are Changing the Future of Health Care

by Coddington, Dean C.; Fischer, Elizabeth A.; Moore, Keith D.; Clarke, Richard L.

• ISBN13: 9780787953836
• ISBN10: 0787953830
• Edition: 1st
• Format: Hardcover
• Copyright: 2000-08-04
• Publisher: Jossey-Bass

Summary

Written for health care leaders at all levels, Beyond Managed Care identifies and assesses the key factors most likely to influence the future market for health care services-such as consumer empowerment through the Internet and the increasing demands of the aging baby boomer population-and shows providers what adjustments can be made in order to thrive in this emerging environment. The authors analyze the factors driving health care costs such as changing demographics, new medical technology, genetic and new drug research, and payment system models. The book clearly shows that organizations that are able to take organizations to the next value-added level--by providing quality, access, service, innovation, and lower costs--will be the winners.

Author Biography

DEAN CODDINGTON is a principal with McManis Associates, Denver, Colorado. ELIZABETH FISCHER is president and CEO of McManis Associates. KEITH MOORE is a principal with McManis Associates. RICHARD L. CLARKE is president of the Healthcare Financial Management Association (HFMA), Westchester, Illinois.Clarke, Moore, and Coddington co-authored The Crisis in Health Care (Jossey-Bass,1990) and Capitalizing Medical Groups.

Table of Contents

Foreword	ix
Leland Kaiser
Preface	xiii
Acknowledgments	xix
The Authors	xxv
Part One: Lessons Learned from the Past Two Decades	1	(54)
Twenty Years of Health Care Revolution: A Look Back	5	(21)
The Maturing of Managed Care	26	(29)
Part Two: Financial Resources Available to Fund Health Care	55	(48)
The Dynamics of the Health Care Marketplace	59	(14)
How Health Care Spending Will Develop: Trends from 2000 to 2005	73	(16)
Who Pays for Benefits and Who Receives Them	89	(14)
Part Three: External Factors Influencing the Health Care Marketplace of the Future	103	(154)
The Growing Role of Consumers	107	(22)
The Changing Face of America	129	(17)
The Meaning of the Internet and Information Technology	146	(22)
The Impact of Genetic Research, New Drugs, and Advances in Medical Technology	168	(20)
Trends in Consolidation, Ownership, and Capacity	188	(20)
The Effect of Changes in Public Policy	208	(24)
The Potential of Different Payment System Models	232	(25)
Part Four: Beyond Managed Care: Scenarios for the Future	257	(48)
Four Health Care Scenarios	259	(30)
Learning from Analysis of the Four Scenarios	289	(16)
References	305	(10)
Index	315