Healthcare cost management industry
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Healthcare cost management industry preferred provider organizations, third-party administrators, utilization review organizations and case management.

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Published by Biomedical Business International in Tustin, CA, U.S.A. (17722 Irvine Blvd., Tustin 92680) .
Written in English



  • United States.,
  • United States


  • Managed care plans (Medical care) -- United States.,
  • Managed care plans (Medical care) -- United States -- Directories.

Book details:

Edition Notes

SeriesReport / Biomedical Business International ;, #2220, Report (Biomedical Business International, Inc.) ;, #2220.
ContributionsBiomedical Business International, Inc.
LC ClassificationsRA413.5.U5 H44 1989
The Physical Object
Pagination1 v. (various foliations) :
ID Numbers
Open LibraryOL1924557M
LC Control Number90137035

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» Due to rising health care costs, the industry’s value proposition—best-possible quality of care at lowest-possible price—will not be reversed.» Taking costs out of the health care system will require the sustained effort and attention of health care leadership teams and boards across multiple dimensions. The CEO must drive this Size: 1MB.   Michael E. Porter, Bishop William Lawrence University Professor at Harvard Business School, and Robert S. Kaplan, Senior Fellow and Marvin Bower Professor of Leadership Development, Emeritus at Harvard Business School, have developed, refined, and applied tools and approaches to the fundamental challenges of properly measuring healthcare costs and understanding the relationship between costs.   OneDigital’s final piece of the “Managing Health Care Costs” series focuses on the most critical element: you. We have highlighted in past issues several ways you can reduce costs when you need medical treatment and services. But the fact remains that reducing – even avoiding – your need for health care in the first place has a more direct and greater impact on these costs. Wellness. Rising health care costs are a major global challenge. A number of factors contribute to this trend, including aging populations and medical technology. But an underlying and misunderstood source of health care’s escalating costs has been the inability of health care provider organizations (such as large academic medical centers) to properly measure and manage the true costs and value of.

  In a world of shrinking fee-for-service payment, the industry can no longer rely on revenue management; we require accurate cost management technology and analytics. We know that a fee-for-service system creates incentives for providers to order more tests and perform more procedures in the pursuit of best possible clinical outcomes. She is also director of educational initiatives at Costs of Care and co-author of the book, Understanding Value-Based Healthcare (McGraw-Hill, ). Christopher Moriates, MD is an assistant clinical professor in the Division of Hospital Medicine at the University of California, San Francisco (UCSF). A New York Times bestseller/Washington Post Notable Book of /NPR Best Books of /Wall Street Journal Best Books of "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a Reviews:   For too long, U.S. hospitals have focused on increasing revenue, volume, and growth. At the same time, the healthcare system has wasted hundreds of billions of dollars on supply chain inefficiencies, variation, service duplication, and suboptimal labor management. Unfortunately, the healthcare cost problem has put the industry in a financial quandary.

For those organizations without a cost accounting system, and there are many, perhaps up to 50 percent, it's time to make it a priority. Cost accounting in healthcare has never been more important. Cost estimating in the healthcare industry is a precise science. It is time-sensitive, as costs fluctuate with construction escalation over time. The estimated cost to build a new hospital or medical office in a particular region is tied to a base cost of new construction . The second edition takes into account the feed back from the Asian Summit on Healthcare Cost Management held during 12th and 13th March , which was a roaring success with a plethora of experts sharing their wide practical experiences on fine tuning the healthcare cost management systems in the healthcare sector. UPMC determined that the traditional cost accounting methods used most often in healthcare—relative value units (RVU) and ratio of costs-to-charge (RCC)—did not provide the level of detail and accuracy necessary to inform decisions that would enable it to overcome industry threats to its sustainability.