The economics of health and medical care / Philip Jacobs, John Rapoport.

Format:

Book

Author/Creator:

Jacobs, Philip, 1943-

Contributor:

Rapoport, John, 1944-

Language:

English

Subjects (All):

Medical economics.

Medical economics--United States.

United States.

Economics, Medical.

Medical Subjects:

Economics, Medical.

Physical Description:

vi, 438 pages : illustrations ; 26 cm

Edition:

Fifth edition.

Place of Publication:

Gaithersburg, Md. : Aspen Publishers, 2002.

Summary:

The Economics of Health and Medical Care, 5th Edition is an introductory textbook that provides students the fundamental tools necessary to apply basic economic principles to the health care field. This new edition delivers a balance of population-based health economics and consumer driven, managed health care economics. The Fifth Edition also features an expanded section on health outcomes and an increased emphasis on quality of life measures with international comparisons. Contains coverage of the basic demand model and the uncertainty of demand using utility theory, provider reimbursement and risk-related capitation related to the theory of supply, and public health insurance with an emphasis on linking performance indicators to social goals. Each chapter contains abstracts, learning objectives, and a set of practical exercises.

Contents:

Three Major Tasks of Economics 2

Tools Used In Economic Analysis 3

Part I Descriptive Economics 15

Chapter 1 Output of the Health Care Sector 17

1.2 Medical Care 18

1.3 Risk Shifting and Health Insurance 21

1.4 Health Status 23

1.5 Consumption and Investment Output 30

Chapter 2 Economic Dimensions of the Health Care System 35

2.2 Economic Units and Economic Flows 36

2.3 Cost of Activities 44

Part II Explanatory Economics 53

Chapter 3 Demand for Medical Care: A Simple Model 55

3.1 The Concept of Demand 55

3.2 Individual Demand: The Price-Quantity Relation 56

3.3 Deriving the Demand Relationship 60

3.4 Market Demand 64

3.5 Measuring Quantity Responsiveness To Price Changes 64

3.6 Insurance, Out-of-Pocket Price, and Quantity Demanded 69

3.7 Elasticity of Demand Estimates 73

Chapter 4 Additional Topics in the Demand for Health and Medical Care 80

4.2 Implications of Health Care for Life and Health 81

4.3 External and Social Demand for Medical Care 82

4.4 Influence of Quality on the Demand for Medical Care 83

4.5 Time and Money Costs 84

4.6 The Demand for Health 85

4.7 Agency Theory and Supplier-Induced Demand 86

Chapter 5 Health Care Production and Costs 96

5.2 Production: The Input-Output Relation 97

5.3 Short-Run Cost-Output Relations 103

5.4 Cost Curve Position 108

5.5 Economies of Scope 110

5.6 Long-Run Cost Curves 112

5.7 Empirical Estimation of Cost Curves 113

Chapter 6 Behavior of Supply 126

6.2 A Model of Supply Behavior: An Individual For-Profit Company 127

6.3 Market Supply 134

6.4 Supply Behavior of Nonprofit Agencies: The Output Maximization Hypothesis 135

6.5 Supply Decisions Involving Quality 138

6.6 Supply Behavior of Nonprofit Agencies: The Administrator as Agent Model 140

Chapter 7 Provider Payment 147

7.2 Principal-Agent Relationships Among Payers and Providers 148

7.3 Physician Reimbursement 148

7.4 Hospital Reimbursement 153

7.5 Diagnosis-Related Groups 157

7.6 Long-Term Care Facility Reimbursement 160

7.7 Health Maintenance Organizations 161

7.8 Provider Supply under Managed Care 163

Chapter 8 Competitive Markets 174

8.2 The Competitive Model: Assumptions 175

8.3 The Competitive Model: Predictions 176

8.4 Evidence for and against the Competitive Model 185

8.5 Competitive Bidding 188

8.6 Supplier-Induced Demand 190

Chapter 9 Market Power in Health Care 202

9.2 Monopolistic Markets 203

9.3 Monopsony

Buyers' Market Power 210

9.4 Market Structure and Its Determinants 212

9.5 Nonprice Competition and Market Power 217

Chapter 10 Health Insurance 228

10.2 Demand for Health Insurance 229

10.3 Supply of Health Insurance 239

10.4 Adverse Selection in Health Insurance Markets 242

Chapter 11 The Labor Market 248

11.2 Demand for Labor 249

11.3 Labor Supply 252

11.4 The Competitive Labor Market 256

11.5 Market Power in Labor Markets 259

Part III Evaluative Economics 267

Chapter 12 Value Judgments and Economic Evaluation 269

12.2 Values and Standards in Economic Evaluation 270

12.3 Efficient Output Levels 271

12.4 Optimal Health Insurance 280

12.5 Extra-Welfarism 281

12.6 Concepts of Equity 283

12.7 Goals of Health Policy 285

Chapter 13 Financing Health Care 291

13.2 Financing Means and Burdens in the United States 292

13.3 Economic Analysis of Alternative Payment Sources 293

13.4 The Incidence of Alternative Types of Health Care Financing 301

13.5 The Administrative Cost of Alternative Types of Health Care Financing 304

Chapter 14 Public Health Insurance 307

14.2 Public Health Insurance 307

14.3 Uncovered Care 313

14.4 Some Trends in Public Health Insurance 314

14.5 Goals of Medicare 317

14.6 Policy Alternatives for Medicare 318

14.7 Policy Alternatives for Medicaid 322

Chapter 15 Reform of the Health Care Market 330

15.2 Insurance Market Reform 331

15.3 Managed Care 338

15.4 Information and Consumer Choice 344

Chapter 16 Regulation and Antitrust Policy in Health Care / Ronald P. Wilder 350

16.2 Regulation of Health Care 352

16.3 Antitrust Policy 357

Chapter 17 Economic Evaluation of Health Services 374

17.2 The Purposes of Economic Evaluation 375

17.3 Selecting the Right Type of Analysis 375

17.4 Guidelines for Conducting a Cost-Effectiveness Analysis 376

17.5 Cost-Benefit Analysis 386.

Notes:

Includes bibliographical references and index.

ISBN:

0834219379

OCLC:

49055489