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Chapter H Who Created the Problem?
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100 percent additional admissions aerobic exercise attempt average bill Chapter charges claims coordination of beneﬁts cost control cost management cost problem cost-effective coverage deﬁned deﬁnition developed diagnostic discharge doctors dollars effective emergency rooms employee contribution employee relations evaluate expense facilities factor fee-for-service plans ﬁgure ﬁnancial ﬁnd ﬁrst ﬁve health care cost health care plan health care program health care system health insurance Health Maintenance Organizations health plan health promotion HMOs hospital stay in-patient hospital incentives increases Independent Practice Associations individual inﬂuence insurance company insurance plan issues length of stay major Marcus Welby marketplace Medicare models offer out-of-pocket expense out-patient basis participation patients payers payment percentage performed physician plan administration population PPOs preferred provider Preferred Provider Organizations premium procedures reﬂection reimbursement require risk second opinion second surgical opinion signiﬁcant signiﬁcantly small employer smoking cessation speciﬁc surgery surgical opinion programs utilization review