The Challenge of Regulating Managed Care
Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room.
Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources.
The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care.
John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan.
Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.
"1101618737"
The Challenge of Regulating Managed Care
Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room.
Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources.
The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care.
John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan.
Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.
64.95 In Stock
The Challenge of Regulating Managed Care

The Challenge of Regulating Managed Care

The Challenge of Regulating Managed Care

The Challenge of Regulating Managed Care

eBook

$64.95 

Available on Compatible NOOK devices, the free NOOK App and in My Digital Library.
WANT A NOOK?  Explore Now

Related collections and offers

LEND ME® See Details

Overview

Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room.
Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources.
The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care.
John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan.
Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.

Product Details

ISBN-13: 9780472023721
Publisher: University of Michigan Press
Publication date: 02/01/2010
Series: The University of Michigan Forum on Health Policy
Sold by: Barnes & Noble
Format: eBook
Pages: 224
File size: 616 KB

About the Author

John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan.
Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.

Table of Contents

Contents Part 1. Understanding the Big Picture 1. Managing the Managers: An Introduction to the Challenge of Overseeing Managed Care / Gail B. Agrawal 2. A National Overview / George Anders 3. The Stages of Managed-Care Regulation: Developing Better Rules / Alice A. Noble and Troyen A. Brennan Part 2. Views from the Trenches: Patients and Providers 4. A Physician’s View from the Trenches / Clifton R. Cleaveland 5. A Consumer Advocate’s View from the Trenches / Cathy L. Hurwit 6. Oversight of Managed Care: An Academic Health Center Perspective / John E. Billi and Jeanne M. Kin Part 3. Purchasers and Market Oversight 7. Markets for Medicine? / Keith J. Crocker and John R. Moran 8. General Motors as Purchaser / Bruce E. Bradley, James C. Cubbin, James F. Ball, and Deborah Salerno 9. Medicaid: The Prudent Purchaser / Bruce Bullen 10. NCQA: Using Market Pressure to Promote Quality in Managed Care / Margaret E. O'Kane 11. The American Association of Health Plans: Representing the Industry / American Association of Health Plans Part 4. The Role of Regulation and Litigation 12. The Role of State Insurance Regulators / Frances Wallace 13. The Role of Private Litigation in Monitoring Managed Care / Peter D. Jacobson Appendix A: Glossary of Terms and Acronyms Appendix B: Managed Care On-line Resources List of Contributors Index
From the B&N Reads Blog

Customer Reviews