Not What the Doctor Ordered: How to End the Medical Monopoly in Pursuit of Managed Care (The Hfma Healthcare Financial Management Series)
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Author Description
When it comes to managed care, do American's really have the choices they deserve? In today's healthcare environment, consumers' only choices are selecting a healthcare plan, designating a primary care doctor out of that plan, or opting not to have a plan and pay the high cost of healthcare out of their pockets. And yet there is another little-known choice that ought to be available to the consumer-qualified non-physician practitioners. Nurse anesthetists, nurse practitioners, nurse midwives, clinical pharmacists, and specialized therapists are trained experts in their specific areas of practice, frequently costing much less than the physician and always providing care of equal or better quality. This better deal will not only benefit the consumer, but the health systems and health plans that makes these certified non-physicians available to their patients.Not What the Doctor Ordered, revised once again opens the eyes of consumers, providers, and third party insurers to the vision of low cost, high quality alternative choices when it comes to delivering care.Written by medical economist and healthcare futurist, Dr. Jeff Bauer, Not What the Doctor Ordered, revised explains how opening up the healthcare market and creating competition can achieve the goals of health reform and managed care-without raising costs or imposing more restrictions.New to Not What the Doctor Ordered, revised: * Clinton health reform-what exactly went wrong and why* Managed care- how it will evolve* Alternative medicine-steps in the right direction* Technology-the growth of telemedicine and integrated information systems* What's ahead for healthcare in 2000 and beyond
Menrva's Summary
THE THESIS
This book investigates whether the American healthcare system can achieve cost-effective, high-quality outcomes by dismantling the traditional physician monopoly in favor of a competitive market that includes non-physician practitioners. Dr. Jeffrey C. Bauer, a medical economist and healthcare futurist, utilizes his professional background to analyze the structural inefficiencies of the current managed care model. He argues that integrating nurse practitioners, midwives, and specialized therapists into the primary care landscape will increase consumer choice and lower costs without compromising patient safety.
THE SCOPE MAP
What You Will Find
- Analysis of the economic impact of non-physician practitioners on health systems.
- Evaluation of the failure of past health reform initiatives, including the Clinton-era proposals.
- Projections regarding the evolution of telemedicine and integrated information systems.
- Strategies for increasing competition within the third-party insurance market.
Scope Limits
- The text focuses primarily on the United States healthcare market and regulatory environment.
- It does not provide a comprehensive clinical manual for non-physician practice, focusing instead on the policy and economic implications.
THE AUTHORITY PERSPECTIVE
Experts in healthcare administration often cite this work as a foundational text for understanding the economic arguments for expanding the scope of practice for non-physician clinicians. Readers frequently note the clarity of the author's economic framework, though some observe that the specific policy projections are dated given the rapid technological shifts since the book's publication.
Page Count:
240
Publication Date:
1998-01-01
Publisher:
McGraw-Hill
ISBN-10:
007006721X
ISBN-13:
9780070067219
Public Policy
Health Reform
Healthcare
Managed Care
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