Health Economics (Book Only) , 5th Edition

Front Cover......Page 1
Title Page......Page 2
Copyright......Page 3
CONTENTS......Page 12
PART 1 BASIC HEALTH CARE ECONOMIC TOOLS AND INSTITUTIONS......Page 20
CHAPTER 1 Introduction......Page 22
What Is Health Economics?......Page 23
The Four Basic Questions......Page 24
Taking the Pulse of the Health Economy......Page 29
A Note on the Relation between System Structure and Performance......Page 36
Review Questions and Problems......Page 38
Appendix 1: Economic Models and Empirical Testing......Page 40
Summary......Page 51
Review Questions and Problems......Page 52
References......Page 54
CHAPTER 2 Health and Medical Care: An Economic Perspective......Page 56
Why Good Health? Utility Analysis......Page 57
What Is Medical Care?......Page 60
The Production of Good Health......Page 61
Empirical Evidence on the Production of Health in the United States......Page 68
Summary......Page 78
Review Questions and Problems......Page 79
Online Resources......Page 80
References......Page 81
CHAPTER 3 Cost and Benefit Analysis......Page 84
Cost Identification Analysis......Page 85
Cost-Benefit Analysis......Page 86
Cost-Effectiveness Analysis......Page 98
Summary......Page 104
Review Questions and Problems......Page 105
References......Page 107
CHAPTER 4 Health Care Systems and Institutions......Page 110
Elements of a Health Care System......Page 111
The Role and Financing Methods of Third-Party Payers......Page 113
Risk Management, Reimbursement, and Consumer Cost Sharing......Page 115
The Production of Medical Services......Page 118
The Three National Health Care Systems Summarized......Page 121
An Overview of the U.S. Health Care System......Page 123
Review Questions and Problems......Page 126
References......Page 127
CHAPTER 5 The Demand for Medical Care......Page 128
The Demand for Medical Care and the Law of Demand......Page 129
Empirical Estimation......Page 147
Review Questions and Problems......Page 154
References......Page 156
CHAPTER 6 The Demand for Medical Insurance: Traditional and Managed Care Coverage......Page 160
Introduction......Page 161
The Conventional Theory of the Demand for Private Health Insurance......Page 162
Nyman’s Access Theory of the Demand for Private Health Insurance......Page 173
The Health Insurance Product: Traditional versus Managed Care Insurance......Page 182
The Regulation of MCOs......Page 188
Summary......Page 190
Review Questions and Problems......Page 191
References......Page 193
CHAPTER 7 Medical Care Production and Costs......Page 196
The Short-Run Production Function of the Representative Medical Firm......Page 197
Short-Run Cost Theory of the Representative Medical Firm......Page 205
The Cost-Minimizing Input Choice......Page 215
Long-Run Costs of Production......Page 216
Neoclassical Cost Theory and the Production of Medical Services......Page 220
Review Questions and Problems......Page 221
References......Page 223
CHAPTER 8 Structure, Conduct, Performance, and Market Analysis......Page 226
Structure, Conduct, and Performance Paradigm......Page 227
Is a Perfectly Competitive Market Relevant to Medical Care?......Page 230
A Model of Supply and Demand......Page 231
The Monopoly Model of Market Behavior and Performance......Page 237
Monopolistic Competition and Product Differentiation......Page 243
Oligopoly......Page 247
Defining the Relevant Market, Measuring Concentration, and Identifying Market Power......Page 251
Summary......Page 257
Review Questions and Problems......Page 259
References......Page 262
PART 2 THE ROLE OF GOVERNMENT......Page 264
CHAPTER 9 Government, Health, and Medical Care......Page 266
Economic Reasons for Government Intervention......Page 267
Types of Government Intervention......Page 269
Summary......Page 299
Review Questions and Problems......Page 300
References......Page 301
CHAPTER 10 Government as Health Insurer......Page 304
Why Does the Government Produce Health Insurance?......Page 305
The Medicaid Program......Page 306
The Medicare Program......Page 312
Summary......Page 328
References......Page 329
PART 3 INDUSTRY STUDIES......Page 332
CHAPTER 11 The Private Health Insurance Industry......Page 334
A Brief History of the Private Health Insurance Industry......Page 335
The Structure of the Private Health Insurance Industry......Page 336
The Conduct of the Private Health Insurance Industry......Page 341
The Performance of the Private Health Insurance Industry......Page 356
Review Questions and Problems......Page 371
References......Page 373
CHAPTER 12 The Physician Services Industry......Page 376
The Structure of the Physician Services Industry......Page 377
The Conduct of the Physician Services Industry......Page 388
The Performance of the Physician Services Industry......Page 405
Review Questions and Problems......Page 409
References......Page 410
CHAPTER 13 The Hospital Services Industry......Page 416
The Structure of the Hospital Services Industry......Page 417
The Conduct of the Hospital Services Industry......Page 431
The Performance of the Hospital Services Industry......Page 457
Review Questions and Problems......Page 465
References......Page 468
CHAPTER 14 The Pharmaceutical Industry......Page 476
The Structure of the Pharmaceutical Industry......Page 477
The Conduct of the Pharmaceutical Industry......Page 489
The Performance of the Pharmaceutical Industry......Page 501
Summary......Page 509
Review Questions and Problems......Page 510
References......Page 511
CHAPTER 15 The Long-Term Care Industry......Page 516
The Structure of the Long-Term Care Services Industry......Page 517
The Conduct of the Long-Term Care Industry......Page 526
The Performance of the Long-Term Care Industry......Page 540
Summary......Page 551
Review Questions and Problems......Page 552
References......Page 554
PART 4 HEALTH INSURANCE REFORM......Page 558
CHAPTER 16 Health Insurance Reform......Page 560
The Performance of the U.S. Health Care System: A Summary and an International Comparison......Page 561
Why Is There So Much Disagreement Concerning How Health Care And Insurance Reform Should Be Designed?......Page 570
An Overview of Health Insurance Reform in the United States......Page 572
Health Insurance Reform at the Federal Level......Page 573
Attempts at State Health Care and Insurance Reform: Successes and Failures......Page 581
An Overview of the Clinton Health Care Plan......Page 586
Summary......Page 588
Review Questions and Problems......Page 589
References......Page 590
GLOSSARY......Page 592
NAME INDEX......Page 612
SUBJECT INDEX......Page 617