The Boundaries of Medicare


Book Description

While almost all universal health coverage in Canada is provided under the Canada Health Act, there is Medicare coverage that is provided outside of the act. This is the first book to explain the nature of these boundary health services, why they exist, and how to navigate them in practice. The Boundaries of Medicare examines the complex range of public health care services and coverage arrangements that predate or have developed alongside the Canada Health Act. These provisions – including for workers’ compensation, military personnel and veterans, incarcerated persons, migrants, and Indigenous Peoples – are often not well understood, even by those working at policy and delivery levels. Katherine Fierlbeck and Gregory Marchildon aim to improve understanding of these boundary services: why they were established, who is eligible for them, how services are provided, how they are paid for, and how they are managed within a multilevel governance system. They also look at the dramatic increase in virtual health care services since the onset of the COVID-19 pandemic and their relationship to the Canada Health Act. Explaining the origins, operations, and tensions of government-funded health care outside the Canada Health Act, The Boundaries of Medicare is an essential resource for policymakers, providers, administrators, and patients seeking to navigate Medicare in Canada.




The Social Transformation of American Medicine


Book Description

Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review




Just Medicare


Book Description

Just Medicare illustrates that legal scholars can also contribute to the issue of how to allocate scarce health resources by determining what constitutes fair processes for decision-making, and by challenging unjust processes.




Medicare's Geographic Cost Adjustors


Book Description




The Role of Telehealth in an Evolving Health Care Environment


Book Description

In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.




Do We Care?


Book Description

One of Canada's preeminent social thinkers, John Ralston Saul, begins the book with a harsh reminder that public policy can be successful only when driven by the humanistic principles which fueled its formulation. Once saving money becomes a goal in itself, rather than "something we do on the side," public policy has little chance of survival. In subsequent chapters introducing the five key areas, Dr. Richard Cruess (McGill) and Dr. Sylvia Cruess (McGill) write on the physician's role in society; the Honourable Bob Rae tackles the political challenges of health care in the consumer era; Professor Raisa Deber (Toronto) looks at the rightful place of economics in health policy; Sister Nuala Kenny (Dalhousie) examines the ethical dilemmas we face; and Professor Bernard Dickens (Toronto) describes how current health care issues are perceived by the law. Other contributors represent a "who's who" of Canada's most highly recognized academics, professionals, and policy-makers. Also writing on clinical practice are Pat Kelly (PISCES), Dr. Terrence Montague (Merck Frosst), and Dr. Hugh Scully (Cardiac Care Network). The Honourable Monique Bégin, Mark Wainberg (International AIDS Society), and Rev. Lois Wilson (Senator, Canadian Parliament) write on politics. Nathalie St. Pierre (Fédération Nationale des Associations des Consommateurs du Québec), Devidas Menon (Institute of Pharmaco-Economics), and Dr. John Wade (Former Deputy Minister of Health, Manitoba) discuss economics. Tim Caufield (Alberta), Maurice McGregor (McGill), and Lesley Degner (St. Boniface Research Centre) consider ethical issues. Marcia Rioux (Roeher Institute), Jamie Cameron (York), and Henry Dinsdale (Royal College of Physicians and Surgeons) deal with the law. Do We Care? is a must-read for anyone involved in decision-making about the future of Canadian health care -- and for all of us who are affected by these decisions. Do We Care? is the result of a conference entitled "Directions for Canadian Health Care: A Framework for Sound Decisions" which was held in Toronto in October of 1998.







Social Security 101


Book Description

Learn about Social Security and plan for your future with the help of this comprehensive and accessible guide to everything you need to know about Social Security. Understanding Social Security can be overwhelming at times and dense government websites don’t help. Fortunately, Social Security 101 can help with easy-to-understand explanations and lessons that keep you engaged as you learn all you need to know about the federal program that’s been around since the Great Depression. Social Security 101 will give you the most up-to-date information on this government program, such as: -Getting a Social Security card -Applying for benefits -Estimating your benefits -Disability benefits -Medicare -401(k) plans for young adults Use this guide to plan for the future so that you’ll be comfortable in retirement. With the knowledge gained from this book, you’ll feel more secure in your future. Whether you want to learn about calculating your retirement age or estimating your projected payments, Social Security 101 has all the answers—even the ones you didn't know you were looking for.




Improving Diagnosis in Health Care


Book Description

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.




Annual Report to Congress


Book Description