Abstract
Insurance is protection to cover individuals against some type of loss or risk. Common types of insurance include automobile, home, and business insurance. These insurances provide the consumer with a protection against some type of risk such as an automobile accident or home damage. Health insurance was invented to protect the consumer against health issues or risks because the cost of healthcare prevention, diagnosis, and treatment can be very expensive. Most people are unable to pay for their healthcare needs with their current incomes and need assistance to pay for medical services. The concept of health insurance has been around for 150 years and has evolved into a major part of the healthcare business. Health insurance is available in some manner to all citizens of the United States and can be provided by private insurance companies or federal and state governments. Healthcare insurance can be funded by employers, by state and federal governments, or by individuals. The healthcare insurance system needs to be understood by healthcare professionals to provide quality care for their patients and receive the proper reimbursement for their services. This can involve some type of collaboration between insurance providers, payers, and beneficiaries.
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Further Reading
Barton P. Understanding the U.S. health services system. Chicago, IL: Health Administration Press; 2010.
Buchbinder S, Shanks N. Introduction to health care management. Burlington, MA: Jones & Bartlett Learning; 2012.
Cleverley W, Cleverley J, Song P. Essentials of health care finance. Sudbury, MA: Jones & Bartlett Learning; 2011.
Cms.gov. Medicare Program – General Information – Centers for Medicare & Medicaid Services. (Online) http://www.cms.gov/Medicare/Medicare-General-Information/MedicareGenInfo/index.html. Accessed 3 Sept 2013.
Finkler S, Ward D. Accounting fundamentals for health care management. Sudbury, MA: Jones and Bartlett; 2006.
Huss W, Coleman M. Start your own medical practice. Naperville, IL: Sphinx; 2006.
Ihs.gov. About IHS – Indian Health Service (IHS). (Online) http://www.ihs.gov/aboutihs/. Accessed 4 Sept 2013.
Kongstvedt P. Managed care. Boston: Jones and Bartlett; 2004.
Management V. About VHA – Veterans Health Administration. (Online) http://www.va.gov/health/aboutVHA.asp. Accessed 4 Sept 2013.
Marcinko D, Hetico H. The business of medical practice. New York: Springer; 2011.
Mcdonnell K. A brief history of managed care. Washington, DC: Employee Benefit Research Institute; 2002. http://www.ebri.org/publications/facts/index.cfm?fa=0302fact (e-book).
Medicare.gov. Medicare.gov: the official U.S. government site for Medicare. (Online) http://www.medicare.gov/. Accessed 3 Sept 2013.
Medicaid.gov. Medicaid Benefits|Medicaid.gov. (Online) http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Medicaid-Benefits.html. Accessed 3 Sept 2013.
Medicaid.gov. Program of All-Inclusive Care for the Elderly (PACE)|Medicaid.gov. (Online) http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Services-and-Support/Integrating-Care/Program-of-All-Inclusive-Care-for-the-Elderly-PACE/Program-of-All-Inclusive-Care-for-the-Elderly-PACE.html. Accessed 3 Sept 2013.
Niles N. Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett; 2011.
Reiboldt J. Financial management of the medical practice. Chicago, IL: American Medical Association; 2011.
Shi L, Singh D. Delivering health care in America. Sudbury, MA: Jones & Bartlett Learning; 2012.
Shi L, Singh D. Essentials of the U.S. health care system. Burlington, MA: Jones & Bartlett Learning; 2013.
Solomon R. The physician manager’s handbook. Sudbury, MA: Jones and Bartlett; 2008.
Sultz H, Young K. Health care USA. Burlington, MA: Jones & Bartlett Learning; 2014.
Tricare.mil. About us. (Online) http://www.tricare.mil/Welcome/AboutUs.aspx. Accessed 4 Sept 2013.
TMCI. A brief history of managed care. Boston, MA: Tufts Managed Care Institute; 1988. http://www.thci.org/downloads/briefhist.pdf (e-book).
Yousem D, Beauchamp N. Radiology business practice. Philadelphia, PA: Saunders/Elsevier; 2008.
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Bucci, R.V. (2014). Healthcare Insurance. In: Medicine and Business. Springer, Cham. https://doi.org/10.1007/978-3-319-04060-8_11
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DOI: https://doi.org/10.1007/978-3-319-04060-8_11
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