Consumer-Directed Healthcare and Its Implications for Providers

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9781567932416: Consumer-Directed Healthcare and Its Implications for Providers
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Government policy, the economy, and drug costs are just a few of the factors fueling the movement toward consumer-directed healthcare. The emerging models of care seek to make healthcare costs transparent to consumers. Now more than ever, healthcare organizations will need to justify the costs of their services to both payers and patients. Consumer-Directed Healthcare and Its Implications for Providers will arm your organization to respond to increasing demands. It explains what consumer-directed products are entering the market, how to position your organization to respond to these models, and what strategies to use during negotiations with insurers. A payer contract checklist is included to help you evaluate contracts. The book also touches on the effect consumer-directed care will have on teaching hospitals and those hospitals providing a greater portion of indigent care. The author explores possible long-term scenarios, including a return to billed charges, rates based on a percentage of Medicare, and the development of a national health plan.

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About the Author:

Robert S. Bonney, J.D., FACHE, is currently senior vice president for business development at Saint Luke’s Health System in Kansas City, Missouri. He has more than 27 years of healthcare experience, including serving simultaneously as a senior vice president of an integrated delivery system and the executive vice president and chief operating officer of the system’s two largest hospitals; more recently he was the executive director of a 170,000-member managed care company

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