Overview

"Today, employed physicians and independent physicians alike feel powerless. Hospital-employed doctors feel like cogs in a machine, and community doctors are increasingly threatened by forces beyond their control. Physician-led healthcare reform would give them back a large measure of control and pride in their work. The Medicare for All debate has mostly focused on how the U.S. should finance healthcare. This book, directed to physicians, healthcare administrators, health policy experts, politicians, and consumers, explains why the U.S. healthcare delivery system must be restructured to lower costs--and how to do it. Unless we can get doctors to change how they practice, Medicare for All will struggle with the same cost pressures that have made our system the most expensive in the world. The biggest problems of physicians--both employed and independent--are a loss of professional autonomy, overwhelming administrative requirements, and the conflict between business and patient care imperatives. From the Foreword ""With this manual, leaders of health systems and medical groups can achieve these goals and align their physicians, management, care teams, payers, and patients to deliver exceptional care that will improve quality while lowering costs, resulting in better care, better patient experience, and more affordable health care."" This book, at this critical time, offers a comprehensive argument in favor of physician-led reform. Table of Contents Chapter 1 - Medicare for All Lives Chapter 2 - Obamacare: A Work in Progress Chapter 3 - Industry Consolidation on Steriods Chapter 4 - Primary Care on The Ropes Chapter 5 - Waste Not, Want Not Chapter 6 - Population Health Management Chapter 7 - Addressing Social Determinants of Health Chapter 8 - Physician-led Healthcare Reform Chapter 9 - Building the New Delivery System Chapter 10 - Taking Advantage of Health IT Chapter 11 - The Payoff Chapter 12 - Drugs and the Technology Challenge Final Thoughts"

Full Product Details

9780984831050

Table of Contents

Reviews

Ken Terry has produced a tour de force analysis of the current state of American health care. In a world filled with alternative facts, Ken's encyclopedic reliance on research evidence, instructive interviews, and clear writing makes for compelling reading, whether or not you agree with his prescriptions for reform. An essential resource. Robert Berenson, MD, Institute Fellow, Urban Institute Mr. Terry has again dissected the health care industry and all of its faults with an eye toward finding solutions rather than merely pointing out defects. This is a timely book which should be required reading for any public figure who wants to talk intelligently about real-life situations and practical solutions to the most problematic social issue facing our political structure today. A. Michael La Penna, Principal, The La Penna Group, Inc. Ken Terry's book, Physician-Led Healthcare Reform: A New Approach to Medicare for All, offers an encyclopedia of knowledge on the U.S. healthcare system, written in an engaging, popular style. Up-to-date as of 2020, the information will be timely for years to come. Tom Bodenheimer, MD, MPH, Founding Director of the Center for Excellence in Primary Care Every country on the planet struggles to control their healthcare costs. Nowhere else is this struggle so palpable nor the consequences of inaction so clear as in America. Healthcare rationing occurs in some form in every wealthy country; however, in those countries rationing takes the form of limiting low value care that hasn't been demonstrated to improve the health of its population. On the other hand, in America, where over 30% of the care we provide is low value care, we instead ration care by leaving 44 million Americans uninsured and taxing those with insurance through high premiums and high out-of-pocket costs. Set against this backdrop is Ken Terry's comprehensive treatise on Medicare for All (MFA). The solution to our healthcare crisis lies in the elimination of low value care and redirection of those resources towards improved health outcomes and reduced cost of care. Ken elegantly outlines the potential of a single-payor model to achieve these goals. He applies his quarter century of health economic experience to help readers understand this complex calculus, including the political, economic, and societal changes that would occur as a result of this change. He also analyzes current care models within the U.S. that align with MFA and would therefore contribute to its success. The unanswered question is at what point the financial pain of the average American will create enough influence to counterbalance the lobbying forces of big pharma, hospitals, physician groups, and insurance companies to tip the scale in favor of a sustainable healthcare model. Ken Cohen MD, CMO, FACP, Chief Medical Officer at New West Physicians and Senior Medical Director OptumCare

"Ken Terry has produced a tour de force analysis of the current state of American health care. In a world filled with ""alternative facts,"" Ken's encyclopedic reliance on research evidence, instructive interviews, and clear writing makes for compelling reading, whether or not you agree with his prescriptions for reform. An essential resource. Robert Berenson, MD, Institute Fellow, Urban Institute Mr. Terry has again dissected the health care industry and all of its faults with an eye toward finding solutions rather than merely pointing out defects. This is a timely book which should be required reading for any public figure who wants to talk intelligently about real-life situations and practical solutions to the most problematic social issue facing our political structure today. A. Michael La Penna, Principal, The La Penna Group, Inc. Ken Terry's book, Physician-Led Healthcare Reform: A New Approach to Medicare for All, offers an encyclopedia of knowledge on the U.S. healthcare system, written in an engaging, popular style. Up-to-date as of 2020, the information will be timely for years to come. Tom Bodenheimer, MD, MPH, Founding Director of the Center for Excellence in Primary Care Every country on the planet struggles to control their healthcare costs. Nowhere else is this struggle so palpable nor the consequences of inaction so clear as in America. Healthcare rationing occurs in some form in every wealthy country; however, in those countries rationing takes the form of limiting low value care that hasn't been demonstrated to improve the health of its population. On the other hand, in America, where over 30% of the care we provide is low value care, we instead ration care by leaving 44 million Americans uninsured and taxing those with insurance through high premiums and high out-of-pocket costs. Set against this backdrop is Ken Terry's comprehensive treatise on Medicare for All (MFA). The solution to our healthcare crisis lies in the elimination of low value care and redirection of those resources towards improved health outcomes and reduced cost of care. Ken elegantly outlines the potential of a single-payor model to achieve these goals. He applies his quarter century of health economic experience to help readers understand this complex calculus, including the political, economic, and societal changes that would occur as a result of this change. He also analyzes current care models within the U.S. that align with MFA and would therefore contribute to its success. The unanswered question is at what point the financial pain of the average American will create enough influence to counterbalance the lobbying forces of big pharma, hospitals, physician groups, and insurance companies to tip the scale in favor of a sustainable healthcare model. Ken Cohen MD, CMO, FACP, Chief Medical Officer at New West Physicians and Senior Medical Director OptumCare"

Author Information

Ken Terry, the author of two previous books on health care policy and practice, has been writing about the health care field for more than 25 years. As a senior editor at Medical Economics from 1993-2007, he covered all aspects of medical practice business, focusing especially on managed care and health information technology. Terry received several journalism awards, including a Neal Award from American Business Media. Since 2008, Terry has contributed freelance articles to a wide variety of publications, ranging from Medical Economics, Medscape Medical News, and cio.com to InformationWeek and FierceHealthIT.

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