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Now in its 10th edition, this best-selling introductory text, valued for its balanced overview of the U.S. health care system, has been fully updated to help students stay at the forefront of the dynamic and complex health care field. Jonas'Introduction to the U.S. Health Care System continues to offer a foundational framework that concisely explains the core elements and functions of the system. The text provides an essential understanding of the current state of the health care system, as well as the factors influencing its future state. Students also benefit from the special emphasis given to the evolution of the health care system and to identification of the underlying values that influence health care policy. Well-organized and easily accessible, the 10th edition prepares the next generation of health care leaders—from health care management, public health, medicine, nursing, allied health, and health policy—to comprehend the variety of forces that shape the field in which they will practice so they can navigate change and improve the health system's record on quality, safety, value, access, and equity. New to the 10th Edition: Expanded coverage of telehealth, advanced consumer medical devices, apps, and remote patient monitoring Updated treatment of the social and political determinants of health Discussion of the COVID-19 pandemic including the health care system's resiliency in the face of adversity Updated content on the diverse health care workforce and its functions Discussion of important financing issues including value-based care and alternative payment models as well as the impact of private equity funding, consolidation, and consumerism Significantly updated sections across the continuum of care including self-care, adult day services, hospice, long-term care, and others Key Features The most concise and balanced introduction to the U.S. health care system Engaging visual content including cartoons, graphs, and tables that consolidate key information about health care system performance, workforce trends, health care financing, and policy changes Qualified instructors have access to this edition's expanded Instructor Resources featuring new learning activities, engaging case studies, and additional resources to supplement students'dynamic learning and interaction with the text

Engineering Solutions to America‘s Healthcare Challenges covers the technologies, systems, and processes that are emerging in hospitals, clinics, community centers, universities, and the White House to repair healthcare in the United States. Focusing on the importance of individuals being proactive about their own state of health, it presents a sys

Hospital Billing from A to Z Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC With Kohler HealthCare Consulting, Inc., associates Catherine Clark, CPC, CRCE-I Darrin Cornwell, CRCS-I Janet Ellis, RN, BSN, MS Dawn Doll Homer, CPC, CRCS-I, CDC Daria Malan, RN, LNHA, MBA, RAC-CT® John Ninos, MS, MT(ASCP), CCS Robin Stover, RN, BSBA, CPC, CPC-H, CMAS Deanna Turner, MBA, CPOC, CPC, CPC-I, CSSGB Susan Walberg, JD, MPA, CHC Hospital billing departments are known by various names, but their staff all experience the same problems understanding and complying with Medicare's many billing requirements.Hospital Billing From A to Z is a comprehensive, user-friendly guide to hospital billing requirements, with particular emphasis on Medicare. This valuable resource will help hospital billers understand how compliance, external audits, and cost-cutting initiatives affect the billing process. Beginning with Advance Beneficiary Notice and ending with Zone Program Integrity Contractors, this book addresses 88 topics in alphabetical order, including the following:2-Midnight Rule and Inpatient Admission CriteriaCorrect Coding InitiativeCPT®, HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value CodesCritical Access HospitalsDeductibles, Copayments, and CoinsuranceDenials, Appeals, and Reconsideration RequirementsDialysis and DME Billing in HospitalsHospital-Issued Notice of NoncoverageLaboratory Billing and Fee ScheduleLocal and National Coverage DeterminationsMedically Unlikely Edits and Outpatient Code EditorMedicare Advantage PlansMedicare Beneficiary Numbers and National Provider IdentifierMedicare Part A and Part BNo-Pay ClaimsObservation ServicesOutlier PaymentsPresent on AdmissionRejected and Returned ClaimsUB-04 Form Definitions Who should read this book?Finance and reimbursement staffChargemaster staffBillers and codersHIM staffClinical department staffRevenue managersCompliance officers and auditorsRegistration staffFiscal intermediary staffHealthcare attorneys, consultants, and CPAsLegal department staff

Sharing the costs of ill health is the mark of a civilised society. However, every society has limited healthcare resources, and must therefore make finely balanced decisions on how best to allocate them. The National Institute for Health and Clinical Excellence (NICE) has been responsible for the UK's health resource allocation for a decade. To inform its decisions, a Citizens Council of 30 members of the general public was established by NICE to gauge the underlying values of the society it serves. A number of national and international organisations and governments have asked NICE to share its experiences in establishing and running the Citizens Council, and encouraging and supporting patient involvement. As part of NICE's response, this book provides an up to date'position statement'on the Citizens Council, an exploration of how patients interact with NICE and how their views are taken into account, and a national and international perspective on new issues facing the interaction between patients, the public and healthcare provision.'Reading this volume will enable you, the reader, to assess how well NICE is acting as a means of fostering responsible public choice. I hope you profit from its chapters as much as I have.'- Albert Weale in his Foreword

One important reason for the multitude of research activities in this field is because physical inactivity and nutrition are significant risk factors for many common non-communicable diseases. During the past decades physical inactivity and high dietary fat intakes have become increasingly prevalent in people's daily lives in industrialised countries. To prevent and to tackle these major diseases, there is a need for a much better understanding of the basic biological and underlying patho-physiological processes, as well as more relevant baseline data describing food intakes and physical activity habits amongst the general population. Being aware of the importance of nutrition and physical activity for health status a multitude of projects with different scopes and methodologies has arisen. This variety makes it necessary to bring the results of these activities into a coordinated framework.

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Professor Herzlinger documents how the consumer-driven health caremovement is being implemented and its impact on insurers,providers, new intermediaries, and governments. With additionalcontributions by health care's leading strategists,innovators, regulators and scholars, Consumer-Driven HealthCare presents a compelling vision of a health care system builtto satisfy the people it serves. This comprehensive resource includes the most important thinkingon the topic and compelling case studies of consumer-driven healthcare (CDHC) in action, here and abroad, including newconsumer-driven intermediaries for information and support; typesof insurance plans; focused factories for delivering health care;personalized drugs and devices; and government roles.

The Sociology of the Health Service responds directly to the need to develop a sociological analysis of current health policy. Topics covered vary from privatisation and health service management to health education and the politics of professional power. Also included is an histroical review of sociology's contributions to health policy and proposals for an agenda for sociological health policy research in the 1990s.