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Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management, 4th Edition

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Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management, 4th Edition

Gerald F. Kominski

ISBN: 978-1-118-41640-2 November 2013 Jossey-Bass 846 Pages

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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.

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Figures and Tables xv

Foreword to the Third Edition xix

Foreword to the Fourth Edition xxi

The Editor xxv

The Authors xxvii

Introduction and Overview xliii

Acknowledgments lvii

Part One: Access to Health Care 1

1 The Patient Protection and Affordable Care Act of 2010 3
Gerald F. Kominski

2 Improving Access to Care 33
Ronald M. Andersen, Pamela L. Davidson, Sebastian E. Baumeister

3 Racial and Ethnic Disparities in Health Status 71
Antronette K. Yancey, Roshan Bastani, Beth A. Glenn

4 Racial and Ethnic Disparities in Health Care 103
Arturo Vargas Bustamante, Leo S. Morales, Alexander N. Ortega

5 Multilevel Social Determinants of Health 135
Ninez A. Ponce, Michelle Ko

6 Public Health Insurance 157
Shana Alex Lavarreda, E. Richard Brown

7 Private Health Insurance 191
Nadereh Pourat, Gerald F. Kominski

Part Two: Cost of Health Care 223

8 Measuring Health Care Expenditures and Trends 225
Thomas H. Rice

9 Containing Health Care Costs 245
Thomas H. Rice, Gerald F. Kominski

10 Promoting Pharmaceutical Access While Controlling Prices and Expenditures 269
Stuart O. Schweitzer, William S. Comanor

Part Three: Quality of Health Care 305

11 Measuring Health-Related Quality of Life and Other Outcomes 307
Patricia A. Ganz, Ron D. Hays, Robert M. Kaplan, Mark S. Litwin

12 Evaluating the Quality of Care 343
Elizabeth A. McGlynn

13 Public Release of Information on Quality 381
Elizabeth A. McGlynn, John L. Adams

14 Health Care Information Systems 413
Jeff Luck, Leah J. Vriesman, Paul Fu Jr.

15 Performance Measurement of Nursing Care 455
Jack Needleman, Ellen T. Kurtzman, Kenneth W. Kizer

Part Four: Special Populations 493

16 Long-Term Services and Supports for the Elderly Population 495
Steven P. Wallace, Nadereh Pourat, Linda Delp, Kathryn G. Kietzman

17 HIV and AIDS in the Twenty-First Century 523
Erin G. Grinshteyn, William E. Cunningham

18 Children’s Health 559
Moira Inkelas, Neal Halfon, David Lee Wood

19 Homeless Persons 593
Lisa Arangua, Lillian Gelberg

Part Five: Directions For Change 621

20 Changing the Health Care Delivery System 623
Nadereh Pourat, Hector P. Rodriguez

21 Medicare Reform 651
Gerald F. Kominski, Jeanne T. Black, Thomas H. Rice

22 Public Health and Clinical Care 681
Jonathan E. Fielding, Lester Breslow, Steven M. Teutsch

23 Strengthening the Safety Net 703
Dylan H. Roby

24 Ethical Issues in Public Health and Health Services 727
Pauline Vaillancourt Rosenau, Ruth Roemer, Frederick J. Zimmerman

Index 753