Applied healthcare economics : unexpected insights for management and policy / Mark V. Pauly.

Format:

Book

Author/Creator:

Pauly, Mark V., 1941- Author.

Language:

English

Subjects (All):

Medical economics--United States.

Medical economics.

Health services administration--United States.

Health services administration.

Physical Description:

1 online resource (xviii, 383 pages) : digital, PDF file(s).

Edition:

1st ed.

Place of Publication:

Cambridge ; New York, NY : Cambridge University Press, 2026.

Summary:

A wide range of managerial challenges in healthcare, from decisions on what reimbursement levels to accept to how to deal with social determinants of health, could benefit from economic insights. This book for professionals in medical services, insurance and public healthcare emphasises intuition and common sense, making the concepts of health economics more relatable and actionable. It also challenges conventional wisdom, debunking myths and suggesting innovative solutions to industry challenges. For each problem, the book suggests actions managers should or should not take, when to seek new information, and how to interpret it. Economic analysis and research suggest novel answers to questions like whether to raise private insurer prices when Medicare cuts what it pays, when to accept a particular reimbursement offer, or how to manage patients with high-deductible insurance. The book highlights the impact on healthcare costs and efficiency of issues such as moral hazard, cost-sharing and price setting.

Contents:

Preface: what managers should do

Management mission impossible - my care is okay, but the system is broken

Ideal decisions with and about evidence

The managerial problem with primary care - coaching the quarterback of a team of cats

Doctors and hospitals - can we please get along?

How good can we be? How big should we be? Should we try to conquer the world?

Dancing in the dark - managing with moral hazard, adverse selection, and other information imperfections

Managing insurance and managing with insurance

Cost effectiveness and insurance coverage - messages for true believers

Value-based everything in healthcare - what is beyond slogans?

Pricing that violates economic law - how to learn to love price discrimination

Who is the buyer of insured medical care?

Competition, antitrust, and regulation in hospital and health care markets introduction

Cost containment

Drugs - of golden eggs, outrage, and what to do when you don't have a clue

Social determinants of health and health spending - can health care change the world?

Conclusion - don'ts, do's and debunks from economics.

Notes:

Title from publisher's bibliographic system (viewed on 29 Sep 2025).

Description based on publisher supplied metadata and other sources.

ISBN:

1-009-60699-9

1-009-60700-6

1-009-60696-4

OCLC:

1543228606