Changing the U.S. Health Care System

The Fourth Edition of Changing the U.S. Health Care System addresses the key topics in health care policy and management, presenting evidence-based views of current issues. Each chapter is written by an expert in the field who integrates evidence to explain the current condition and presents support for needed change. The book examines all the levers in the setting and implementation of health policy, and includes extensive coverage of impact of the Affordable Care Act, particularly on Medicare, Medicaid, and large and small group insurance markets. Also new to this edition is expanded coverage of nursing, disease management, mental health, women's health, children's health, and care for the homeless.

Figures and Tables xv

Foreword to the Third Edition xix

Foreword to the Fourth Edition xxi

The Editor xxv

The Authors xxvii

Introduction and Overview xliii

Acknowledgments lvii

Part One: Access to Health Care 1

1 The Patient Protection and Affordable Care Act of 2010 3
Gerald F. Kominski

2 Improving Access to Care 33
Ronald M. Andersen, Pamela L. Davidson, Sebastian E. Baumeister

3 Racial and Ethnic Disparities in Health Status 71
Antronette K. Yancey, Roshan Bastani, Beth A. Glenn

4 Racial and Ethnic Disparities in Health Care 103
Arturo Vargas Bustamante, Leo S. Morales, Alexander N. Ortega

5 Multilevel Social Determinants of Health 135
Ninez A. Ponce, Michelle Ko

6 Public Health Insurance 157
Shana Alex Lavarreda, E. Richard Brown

7 Private Health Insurance 191
Nadereh Pourat, Gerald F. Kominski

Part Two: Cost of Health Care 223

8 Measuring Health Care Expenditures and Trends 225
Thomas H. Rice

9 Containing Health Care Costs 245
Thomas H. Rice, Gerald F. Kominski

10 Promoting Pharmaceutical Access While Controlling Prices and Expenditures 269
Stuart O. Schweitzer, William S. Comanor

Part Three: Quality of Health Care 305

11 Measuring Health-Related Quality of Life and Other Outcomes 307
Patricia A. Ganz, Ron D. Hays, Robert M. Kaplan, Mark S. Litwin

12 Evaluating the Quality of Care 343
Elizabeth A. McGlynn

13 Public Release of Information on Quality 381
Elizabeth A. McGlynn, John L. Adams

14 Health Care Information Systems 413
Jeff Luck, Leah J. Vriesman, Paul Fu Jr.

15 Performance Measurement of Nursing Care 455
Jack Needleman, Ellen T. Kurtzman, Kenneth W. Kizer

Part Four: Special Populations 493

16 Long-Term Services and Supports for the Elderly Population 495
Steven P. Wallace, Nadereh Pourat, Linda Delp, Kathryn G. Kietzman

17 HIV and AIDS in the Twenty-First Century 523
Erin G. Grinshteyn, William E. Cunningham

18 Children’s Health 559
Moira Inkelas, Neal Halfon, David Lee Wood

19 Homeless Persons 593
Lisa Arangua, Lillian Gelberg

Part Five: Directions For Change 621

20 Changing the Health Care Delivery System 623
Nadereh Pourat, Hector P. Rodriguez

21 Medicare Reform 651
Gerald F. Kominski, Jeanne T. Black, Thomas H. Rice

22 Public Health and Clinical Care 681
Jonathan E. Fielding, Lester Breslow, Steven M. Teutsch

23 Strengthening the Safety Net 703
Dylan H. Roby

24 Ethical Issues in Public Health and Health Services 727
Pauline Vaillancourt Rosenau, Ruth Roemer, Frederick J. Zimmerman

Index 753

Gerald F. Kominski, PhD, is professor, Department of Health Policy and Management in the UCLA Fielding School of Public Health, and director of UCLA Center for Health Policy Research. He is co-developer of the California Simulation of Insurance Markets (CalSIM) model currently being used to estimate eligibility and enrollment in health insurance exchanges in California and Hawaii.

Changing the U. S. Health Care System
Key Issues in Health Services Policy and Management
4^th Edition

Since the first edition was published in 1996, Changing the U.S. Health Care System has provided a comprehensive, single-source account of the issues of most concern to health care policy and management students, health services researchers and policy analysts, health care managers, practitioners, and providers.

The fourth edition of Changing the U.S. Health Care System is a thoroughly revised and updated compendium of evidence-based views of the most important current issues in the field. Written by a panel of health care policy experts, this new edition highlights access to health care, cost of health care, quality of health care, special populations, and directions for change. This resource also offers deep coverage of health reform and its impact on all areas and regions of health services.

Each chapter is written by experts in the field who integrate evidence to explain the current condition and present support for needed change in our health care system.

Companion Web site: www.josseybass.com/go/kominski4e
Additional resources: www.josseybasspublichealth.com