Unmanageable Care

Unmanageable Care PDF
Get This Book
Author: Jessica M. Mulligan
Publisher: NYU Press
ISBN: 0814770703
Size: 33.92 MB
Format: PDF, ePub, Mobi
Category : Social Science
Languages : en
Pages : 320
View: 3568

In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an HMO and records what it’s really like to manage care. Set at a health insurance company dubbed Acme, this book chronicles how the privatization of the health care system in Puerto Rico transformed the experience of accessing and providing care on the island. Through interviews and participant observation, the book explores the everyday contexts in which market reforms were enacted. It follows privatization into the compliance department of a managed care organization, through the visits of federal auditors to a health plan, and into the homes of health plan members who recount their experiences navigating the new managed care system. In the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the island’s public health facilities and enrolled the poor, elderly and disabled into for-profit managed care plans. These reforms were supposed to promote efficiency, cost-effectiveness, and high quality care. Despite the optimistic promises of market-based reforms, the system became more expensive, not more efficient; patients rarely behaved as the expected health-maximizing information processing consumers; and care became more chaotic and difficult to access. Citizens continued to look to the state to provide health services for the poor, disabled, and elderly. This book argues that pro-market reforms failed to deliver on many of their promises.The health care system in Puerto Rico was dramatically transformed, just not according to plan.


Abuse Neglect And Exploitation Of Older Persons

Abuse  Neglect  and Exploitation of Older Persons PDF
Get This Book
Author: Lorin A. Baumhover
Publisher:
ISBN:
Size: 27.85 MB
Format: PDF, Docs
Category : Social Science
Languages : en
Pages : 269
View: 6707

Timely and insightful, Abuse, Neglect, and Exploitation of Older Persons is the perfect source for training caregivers in abuse prevention by educating them on the types of elder abuse, sensitizing them to the indicators of elder abuse, and equipping them with effective intervention strategies to defuse abusive situations.


The Aging Society

The Aging Society PDF
Get This Book
Author: American Academy of Arts and Sciences
Publisher:
ISBN:
Size: 35.57 MB
Format: PDF, Kindle
Category : Aging
Languages : en
Pages : 400
View: 6827



Nova Scotia Reports

Nova Scotia Reports PDF
Get This Book
Author:
Publisher:
ISBN:
Size: 29.62 MB
Format: PDF
Category : Law reports, digests, etc
Languages : en
Pages :
View: 4268



Government Union Review

Government Union Review PDF
Get This Book
Author:
Publisher:
ISBN:
Size: 27.30 MB
Format: PDF, ePub
Category : Collective bargaining
Languages : en
Pages :
View: 4808



An Elementary Treatise On Plumbing Heating And Ventilation

An Elementary Treatise on Plumbing  Heating  and Ventilation PDF
Get This Book
Author: International Correspondence Schools
Publisher:
ISBN:
Size: 42.71 MB
Format: PDF, ePub, Mobi
Category :
Languages : en
Pages :
View: 4455



A Suggested Analytical Procedure For Pension Design And Appraisal

A Suggested Analytical Procedure for Pension Design and Appraisal PDF
Get This Book
Author: Alton Cornelius Johnson
Publisher:
ISBN:
Size: 17.56 MB
Format: PDF, Kindle
Category : Old age pensions
Languages : en
Pages : 560
View: 4334



A Digest Of The Decisions Of The Courts Of Last Resort Of The Several States From The Year 1892 To The Year 1896

A Digest of the Decisions of the Courts of Last Resort of the Several States  from the Year 1892 to the Year 1896 PDF
Get This Book
Author: William Smithers Church
Publisher:
ISBN:
Size: 72.87 MB
Format: PDF
Category : Law reports, digests, etc
Languages : en
Pages : 1295
View: 2850



Unequal Coverage

Unequal Coverage PDF
Get This Book
Author: Heide Castañeda
Publisher: NYU Press
ISBN: 1479834408
Size: 33.90 MB
Format: PDF, Kindle
Category : Medical
Languages : en
Pages : 336
View: 4062

The Affordable Care Act’s impact on coverage, access to care, and systematic exclusion in our health care system The Affordable Care Act set off an unprecedented wave of health insurance enrollment as the most sweeping overhaul of the U.S. health insurance system since 1965. In the years since its enactment, some 20 million uninsured Americans gained access to coverage. And yet, the law remained unpopular and politically vulnerable. While the ACA extended social protections to some groups, its implementation was troubled and the act itself created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. Unequal Coverage documents the everyday experiences of individuals and families across the U.S. as they attempted to access coverage and care in the five years following the passage of the ACA.It argues that while the Affordable Care Act succeeded in expanding access to care, it did so unevenly, ultimately also generating inequality and stratification. The volume investigates the outcomes of the ACA in communities throughout the country and provides up-close, intimate portraits of individuals and groups trying to access and provide health care for both the newly insured and those who remain uncovered. The contributors use the ACA as a lens to examine more broadly how social welfare policies in a multiracial and multiethnic democracy purport to be inclusive while simultaneously embracing certain kinds of exclusions. Unequal Coverage concludes with an examination of the Affordable Care Act’s uncertain legacy under the new Presidential administration and considers what the future may hold for the American health care system. The book illustrates lessons learned and reveals how the law became a flashpoint for battles over inequality, fairness, and the role of government. More books on the health care debate


Managed Care Organizations

Managed Care Organizations PDF
Get This Book
Author: Colodia Owens
Publisher: McGraw-Hill Companies
ISBN:
Size: 48.63 MB
Format: PDF, ePub, Mobi
Category : Medical
Languages : en
Pages : 175
View: 7758