The Managed Healthcare Industry- A Market Failure Jack Charles Schoenholtz

The Managed Healthcare Industry- A Market Failure

Author: Jack Charles Schoenholtz

Publisher: JCSMDPC

Publication Date: 08 August, 2011

ISBN: 9780615449593

Pages:

Subjects: Health and fitness

Available as: , E-Book - Kindle, 978-0-615-44959-3

Description:

Professor Schoenholtz analyzes the past four decades and how legislative and economic changes have caused healthcare in the U.S. to become unsustainably costly, and its citizens to have both a lower life expectancy and higher infant mortality rate than that of the leading industrial nations. He breaks his work down into 10 parts that show readers how the healthcare industry got to where it is today.In the first part, Schoenholtz looks at the beginning of the healthcare “cost-containment” era, when HMOs were first introduced. He goes on to show how federal antitrust laws and the Supreme Court have so far shielded the insurance and managed-healthcare industries, paying particular attention to the 1974 enactment of ERISA, the Employee Retirement Income Security Act.Schoenholtz explains why companies were at first created to be outside of the business of insurance to manage the delivery of healthcare, and how these organizations either failed to thrive or ended up swallowed by a shrinking group of huge insurers. The book also contends that insurers were pretending to save on healthcare costs but were in fact recruiting new patients and preying on them with coercive incentives, and delves into the business of insurance companies to give readers a better understanding of the origins of company benefit plans and the role of Medicare and Medicaid.