Healthcare's Reimbursement Maze The Ecosystem Regulates Market Access to Medical Innovation in the U.S.
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- Taschenbuch ausgewählt
- eBook
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Sprache:Englisch
Fr. 38.90
inkl. gesetzl. MwSt.,
Beschreibung
Produktdetails
Einband
Taschenbuch
Erscheinungsdatum
07.07.2023
Verlag
WyDusSeitenzahl
368
Maße (L/B/H)
21.6/14/2.2 cm
Gewicht
519 g
Sprache
Englisch
EAN
9798988269458
The odds that a healthcare startup will fail is 90%, and 20% of new businesses fold by just one year in. Not clearly understanding who will pay for the product and how much of the reimbursement is a deadly and easy mistake to make. Every day, doctors and patients face difficult choices. Should a patient with stable chest pain undergo a surgical procedure, even though studies show that most patients do not benefit from procedures like coronary artery bypass graft or coronary angioplasty? And should a breast cancer patient with ductal carcinoma in situ receive radiation therapy after surgical excision to prevent recurrences that occur in 20-30% of women over 10 years? Medical innovations, such as those discussed in the book, offer better diagnosis and treatment options for patients in need. However, for a medical innovation to reach patient care, it must typically be paid for. Healthcare reimbursement is the complicated and intertwined process by which a medical innovation receives payment. Healthcare reimbursement is a critical product-to-market question for entrepreneurs and venture capitalists, as the answers decide the likelihood of building a sustainable and successful business from a medical innovation. The healthcare reimbursement ecosystem exerts powerful forces that shape an innovation's adoption and diffusion in patient care. This book provides a detailed account of the US ecosystem regulating market access to medical innovations. Specifically, in the "Healthcare's Reimbursement Maze" you will discover: - Why medical coding is crucial to reimbursement - How the payment systems are designed, evolved, and adapted to new technologies - How public programs and private health plans decide whether to cover a new technology - The roles of healthcare providers in the reimbursement ecosystem - Strategies for navigating the maze of reimbursement
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