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"Foreword
vii
Acknowledgments
xi
Part I: The Issues and Principles of Fair Health Care Decisions
Chapter 1
What's Fair? An Introduction to Fairness Issues
3
Foundations
5
Audience
7
Form and Function
8
The Stages of Health Care Coverage Decisions
9
Where to Apply the Five Ethical Guideposts
11
Legal Ramifications
13
The Ethical Guideposts Reflect Overlapping Ethical Principles
13
Next Steps
15
Chapter 2
Why Worry? The Business Case for Fair Decisions
16
The Five Ethical Guideposts for Making Fair Decisions
23
The Business Case
26
Two-Step Decisions
29
Abuse or Misuse of the Ethical Guideposts
30
""Give Him an Inch and He'll Take a Mile"": The Importance of Balancing the Ethical Guideposts
32
Will the Guideposts Really Work?
33
Conclusion
36
Chapter 3
Why Is Health Insurance for Employees My Problem, Anyway? A Brief History of Health Insurance Coverage in the United States
38
Health Insurance in the United States
42
Tensions Within Managed Care
48
The Ethical Role of Businesses in Providing Health Insurance Coverage
52
The Basic Terminology of Health Insurance Coverage
54
Part II: The Five Ethical Guideposts of Fair Decision-Making
Chapter 4
A Clear Choice: The Decision-Making Process Should Be Transparent
63
Why Transparency Is Important
65
Transparency Is Critical in Times of Transition
67
Transparency and Communication Barriers
71
Why Wouldn't an Employer Be Transparent?
72
Maximizing the Transparency of Your Decision-Making
73
What's the Business Case for Transparency?
75
Transparency as the Foundation of Fairness
76
Case Studies
78
[bpConclusion
90
Chapter 5
Get It Together: The Decision-Making Process Should Be Participatory
92
Improving Decision-Making Through Employee Participation
94
The Business Case for Employee Participation
97
Offering Employees the Opportunity to Participate
100
Why Wouldn't an Employer Be Participatory?
102
Case Studies
105
Conclusion
110
Chapter 6
You Can Count On It: The Decision-Making Process Should Be Consistent
111
Why Wouldn't an Employer Be Consistent?
114
What's the Business Case for Consistent Decision-Making?
117
Case Studies
118
Conclusion
129
Chapter 7
The Value Equation: The Decision-Making Process Should Be Sensitive to Value
131
Judgments of Value
134
Centers of Excellent Value
139
Determination of What? By Whom?
140
Why Wouldn't an Employer Be Sensitive to Value?
142
Case Studies
143
Conclusion
149
Chapter 8
Stay Flexible: The Decision-Making Process Should Be Compassionate
150
Types of Compassion
153
What Is the Business Case for Compassion?
156
Measuring and Balancing Compassion
157
Why Wouldn't an Employer Be Compassionate?
157
Case Studies
159
Conclusion
164
Chapter 9
Putting It All Together: Ensuring Fair Decisions
165
The Five Ethical Guideposts of Fair Decisions
167
Summarizing the Business Case (Once More, with Feeling)
172
Consistent, but Not Transparent?
174
Using Resources like HEDIS;rm, and Knowing Your Limits
175
Conclusion
175
Afterword
177
Appendix A: The Expert Advisory Panel on Benefits Determination
183
Appendix B: Steering by the Rearview Mirror: Factors That Shape Employee Health Plans
185
Appendix C: Selected Resources
213
Index
221
About the Authors
226"
| Price | Condition | Delivery | Seller | Action |
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Sue Hoog
reviewed Ensuring Fairness in Health Care Coverage: An Employer's Guide to Making Good Decisions on Tough Issues on December 16, 2009
Ensuring Fairness in Health Care Coverage: An Employer's Guide to Making Good Decisions on Tough Issues
So smart, so useful, so revelatory. Super glad to have worked with Steve and learned about what he does. There really is a way around HMOs, yo.
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Add Ensuring Fairness in Health Care Coverage: An Employer's Guide to Making Good Decisions on Tough Issues, Choosing a health care plan that is both ethically sound and financially prudent is one of the biggest challenges facing businesses today. Many people think that high-quality, compassionate health care plans are prohibitively expensive. But in reality, p, Ensuring Fairness in Health Care Coverage: An Employer's Guide to Making Good Decisions on Tough Issues to the inventory that you are selling on WonderClubX
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Add Ensuring Fairness in Health Care Coverage: An Employer's Guide to Making Good Decisions on Tough Issues, Choosing a health care plan that is both ethically sound and financially prudent is one of the biggest challenges facing businesses today. Many people think that high-quality, compassionate health care plans are prohibitively expensive. But in reality, p, Ensuring Fairness in Health Care Coverage: An Employer's Guide to Making Good Decisions on Tough Issues to your collection on WonderClub |
