Transforming Healthcare : a focus on Consumerism and Profitability.

Cover -- TRANSFORMING HEALTH CARE -- Series Page -- TRANSFORMING HEALTH CARE: A FOCUS ON CONSUMERISM AND PROFITABILITY -- Copyright -- CONTENTS -- LIST OF FIGURES -- LIST OF TABLES -- ABOUT THE CONTRIBUTORS -- LIST OF REVIEWERS -- INTRODUCTION -- OVERVIEW OF THE PAPERS IN THIS VOLUME -- SECTION I: REIMBURSEMENT, COST, AND PROFITABILITY -- SECTION II: THE MOVE TOWARDS TRANSPARENCY -- References -- Bundled Payment Programs as an Application of Case Rate Provider Reimbursement -- Abstract -- Explaining Bundled Payment Programs through the Lens of Agency Theory

History of Bundled Payment Models -- Early Payer Models -- 1984-1985 -- Pioneering Innovations -- 1986-1989 -- Private Sector Adoption and Early CMS Interest -- 1989-1996 -- Early CMS Adoption -- 1997-2005 -- Early Learning Dissemination and Slow Progress -- 2005-Present -- Reemergence and Wide Adoption of Bundled Payments -- Policy Recommendations for Successful Bundled Payment Programs -- Prerequisite Standard Definitions -- Market Catalysts for Bundled Payment Programs -- Factors in Determining a Target Price -- Clinical Levers to Increase Episode Efficiency -- Importance of Measuring Impact

Establishing Markets for Bundled Payment Programs -- Implications of Bundled Payment Model Choice -- Conclusion -- References -- Profitability of Rural Hospitals: An Analysis of Government Payment Policies -- Abstract -- Introduction -- Conceptual Framework -- Profit Model -- Methods -- Results -- Discussion -- Policy Implications -- Conclusion -- Notes -- References -- Assessing the Impact of Privatization of Public Hospitals on Community Orientation: A Stakeholder Approach -- Abstract -- Introduction -- Conceptual Framework and Hypotheses -- Methods -- Data -- Variables -- Dependent Variable

Independent Variable -- Control Variables -- Analysis -- Results -- Discussion -- Limitations of the Study and Directions for Future Research -- Managerial, Policy, and Research Implications -- References -- The Cost of Capital, Leverage, and System Membership: Does System Membership Help Hospitals Achieve Optimal Leverage? -- Abstract -- Introduction -- Theory -- Tradeoff Theory of Capital Structure-How Much Debt Should a Hospital Hold? -- Barriers to Optimal Leverage -- Benefits of System Membership -- Methods -- Data and Sample -- Analysis -- Measures -- Dependent Variable

Independent Variable -- Results -- Discussion -- Conclusion -- References -- When Is Medical Care Price Transparency a Good Thing (and When Isn't It)? -- Abstract -- Introduction -- The Context of Price Transparency: Cost Containment -- Review of the Literature -- Limits on Price Transparency's Impact -- What's the Core Economic Problem? -- What's the Management Problem? -- The Economics of Price-Cutting -- Hidden Price Discrimination: When and Why? -- Differences in Real Markets with Real Patients -- Does Price Discrimination Help? -- Price Discrimination under Monopoly or Stable Cartels

Shedding light on current transformations in payment mechanisms and transparency of hospital performance data and prices, this volume of Advances in Health Care Managementpresents findings on hospital profitability, cost, and organizational structures.

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