Health care finance, economics, and policy for nurses : a foundational guide

Cover
Title
Copyright
Contents
Foreword to the Second Edition
Foreword to the First Edition
	References
A Note From the Author
How To Use This Text: A Note to Faculty
	Note
	References
Acknowledgments
Section I:  The Context of Health Care and Health Care Reform
	Chapter 1: What Is Health Economics and Why Is It Important to Nurses?
		Theoretical Economic Approaches
		Social Determinants of Health
		How Economics Differs from Financing and Reimbursement
		Note
		References
	Chapter 2: A Story of Unintended Consequences: How Economic and Policy Solutions Create New Challenges
		The Influence of the Flexner Report
		Early Hospitals
		Social Reform Addressing Unintended Consequences Of Employer-Based Insurance
		Attempts to Change Financial Incentives to Contain Costs
		The Affordable Care Act and New (and Renewed) Payment Models
		COVID-19
		Note
		References
	Chapter 3: The Patient Protection and Affordable Care Act of 2010
		The Patient Protection and Affordable Care Act of 2010
		Insurance Access—Employer Mandates and Medicaid Expansion
		Insurance Access— Expanded Eligibility
		What About Those Who Are Still Not Covered By One of These Mechanisms?
		What Does the Health Care Exchange Do?
		Where Can a Nurse Direct a Patient Who Asks Questions About How to Navigate the Complex Terrain of Health Insurance?
		Insurance Lessons from Covid-19
		Acknowledgment
		References
	Chapter 4: Payment Reform
		From Volume to Value: Payment Models that Move Away from Fee-for-Service Reimbursement
		Nursing Roles Within Emerging Payment Models
		Note
		References
Section II: Health Care Economics: An Overview
	Chapter 5: How Health Care Markets Differ From Classic Markets
		What Does it Mean to Bear the Consequences of Financial Decision-Making?
		What Ideas Help Us Understand Overtreatment? The Example of Small-Area Variation and Supplier-Induced Demand
		References
	Chapter 6: The Role of Information in Health Care Markets and Decision-Making
		The Need for Information
		Data on Quality
		Data Science
		Information Science, Quality Science, and Data
		References
	Chapter 7: Market Entry, Exit, and Antitrust Law
		Entering and Exiting the Market
		Merge, Consolidate, or Stand Alone: An Overview of Antitrust Law
		Is Consolidation the Same as Integration?
		References
Section III: Ethics and Economicsin an Age of Reform
	Chapter 8: What Is Ethinomics?
		Can Economics Coexist With the Intention of “Doing Good”?
		Social Determinants of Health, Health Disparities, Ethics, and Economics
		Moral Conduct of Nurses in Contemporary Complexity
		References
	Chapter 9: Additional Models to Guide Ethical Decision-Making
		Consequence-Based Decision-Making
		Deontology: Rule-Based Decision-Making
		Virtue Ethics
		Using These Models in Clinical Decision-Making
		Moral Distress
		Ethics and Clinical Decision-Making During Pandemics
		Ethics of Reform and Cost Containment
		Sustainability is an Ethical Issue
		Nurses on Boards and in Politics
		References
Section IV: Pulling it All Together: Using Your Knowledge of Health Finance, Economics, and Ethics to Influence Health and Health Care
	Chapter 10: Governance and Organizational Type
		Role of the Board of Trustees
		Types of Hospitals and Health Systems
		Navigating Governance–Management Boundaries
		The Relationship Between Organizational Structure and Organizational Values
		The Role of Board Committees
		The Sarbanes–Oxley Act
		Note
		References
	Chapter 11: Building Skills for Board Membership
		Zeal, Organizational Fit, and Philanthropy
		Types of Board Appointments
		What a Governing Board is Not
		Other Types of Boards
		Building the Skill Set for Board Membership
		Next Steps
		References
	Chapter 12: Applying Health Economics to Influence Health Care Through Federal and State Policy Formation
		Branches of Government
		Influencing at the Committee Level
		Timing Matters
		Maintaining a Connection With Policy Makers To Influence Health and Health Care
		Ways of Influence
		Lobbying as Official Authority to Represent a Group View
		Grassroots Lobbying
		How to Contact Policy Makers
		Overcoming Impediments to Involvement
		Learning from Distant Others
		Learning from At-Hand Mentors
		Note
		References
	Chapter 13: Early Lessons from the COVID Pandemic and a Look to the Future
		References
	Chapter 14: Epilogue: Reflections on Living and Leading in a Changing Nursing World
		Tell Me One More Time: What Does All This Financing, Economics, and Policy Have to Do With Nursing?
		How to Retain and Expand on What You Have Learned
	Chapter 15: Quiz Answers
	Appendix A: Medicare Eligibility
	Appendix B: Key Concepts in Health Finance, Economics, Policy, and Ethics: Level Setting Pre-Survey
	Appendix C: The Policy Analysis Process
		References
	Glossary
	Index