Specialty Care in the Era of Managed Care
Cleveland Clinic Versus University Hospitals of Cleveland
By (author) John A. Kastor
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Specialty Care in the Era of Managed Care by John A. Kastor
Book DescriptionLimiting the use of specialists is one of the highest priorities of managed care, which requires patients and their primary care physicians to focus on a health maintenance approach. Preventive medicine programs, encouraged by insurers and HMOs, theoretically reduce the need for expensive specialty care and thus lower overall costs. But where does this leave specialists and their institutions? Dr. John A. Kastor has studied two leading centers in specialty care, the Cleveland Clinic and the University Hospitals of Cleveland, to learn what these institutions are doing to survive in the current era. Using the findings of more than two hundred interviews with physicians, administrators, investigators, and trustees, the author describes in detail these rival organizations, their individual struggles against the economic pressures presented by managed care, and their sometimes bitter competition for patients. The insights that emerge from this struggle will be of value to anyone interested in how high-profile hospitals and academic medical centers operate, particularly in economically and socially challenging situations.
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Book DetailsISBN: 9780801881749
(229mm x 152mm x 25mm)
Imprint: Johns Hopkins University Press
Publisher: Johns Hopkins University Press
Publish Date: 28-Oct-2005
Country of Publication: United States
Books By Author John A. Kastor
Selling Teaching Hospitals and Practice Plans, Hardback (July 2008)» View all books by John A. Kastor
For the current leaders of medical schools facing similar financial challenges, Kastor analyzes how much it costs to teach clinical medicine and offers valuable advice on how to reduce expenses and increase surpluses.
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Author Biography - John A. Kastor
John A. Kastor, M.D., is former chair of the Department of Medicine and a cardiologist at the University of Maryland School of Medicine. He is the author of two editions of Arrhythmias; Mergers of Teaching Hospitals in Boston, New York, and Northern California; and Governance of Teaching Hospitals: Turmoil at Penn and Hopkins, which is also available from Johns Hopkins.
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