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About the Editor; Contributors and Biography; Introduction; Physician Involvement in℗ Healthcare Reform; Background Information; Reference; Chapter 1: Geriatricians Involvement in℗ Healthcare Changes; Introduction; What Is Driving Healthcare Changes?; Healthcare Innovation; Leadership Is a℗ function of℗ (Expertise, Change, Risk, Persistence, and℗ Trust); Barriers to℗ Change; References; Chapter 2: Healthcare Changes and℗ the℗ Affordable Care Act: A℗ Physician Call to℗ Action Quality Improvement Organizations; Overview; Background; Capabilities of℗ QIOs; The Work of℗ QIOs
Role of℗ the℗ Physician in℗ the℗ QIOSkills Needed; Stakeholder Engagement; Trade Association; Conclusion; References; Chapter 3: Leadership Opportunities for℗ Physicians; Introduction; Defining Leadership; Characteristics of℗ Good Leaders; Emotional Intelligence; Personality Types; How to℗ Lead; Leadership Styles; Managing Physician and℗ Patient Expectations; Why Some Leaders Succeed and℗ Others Fail; Should I℗ Take a℗ Physician Leadership Job?; Specific Skills for℗ Physician Leaders; Physician Recruitment; Negotiation; Credentialing and℗ Privileging for℗ Accountable Care; Quality of℗ Care
Oversight of℗ Systems of℗ Care and℗ Patient Safety Performance Evaluation; Financial and℗ Legal Skills for℗ Physician Leaders; References; Chapter 4: The ABCs of℗ ACOs; Introduction; Brief History of℗ the℗ Medicare Program; Medicare FFS Versus Managed Care History and℗ Payment Mechanics; Cost Pressures and℗ Medicare Managed Care Expansion and℗ Contraction; Provider-Based Accountability: A℗ Throwback; The Affordable Care Act and℗ ACOs; Key Features of℗ Medicare Pioneer and℗ MSSP ACO Programs; Provider Participation and℗ Length of℗ Programs; Patient Alignment and℗ Engagement; Financial Model
Physician Payment Quality Monitoring; Care Coordination; Other ACO Models; Conclusion; References; Chapter 5: Our Failing System: A℗ Reasoned Approach Toward Single Payer; Follow the℗ Money; The Affordable Care Act; Lessons from℗ Around the℗ World; Medicare Today; Medicare Tomorrow: A℗ Solution Hiding in℗ Plain Sight; Key Provisions of℗ HR676; The New Savings from℗ a℗ Single Payer Model Would Outweigh the℗ New Expenses; Single Payer Would Level the℗ Global Business Playing Field for℗ Employers and℗ Labor; The Roads to℗ Single Payer; At the℗ End of℗ the℗ Day; References
Chapter 6: Geriatric and℗ Primary Care Workforce DevelopmentReferences; Chapter 7: Medicare and℗ Medicaid Coordination: Special Case of℗ the℗ Dual Eligible Beneficiary; Background; "Duals" Illness Burden and℗ Diversity; Care Coordination Challenges; Models of℗ Care Prior to℗ the℗ ACA; Medicare Advantage; Special Needs Plans (A Form of℗ Medicare Advantage); State Demonstration Waiver Programs; The Program of℗ All-Inclusive Care for℗ the℗ Elderly; Lessons from℗ Previous Demonstration Projects; ACA Provisions Directly Related to℗ the℗ Care of℗ the℗ Duals; Financial Alignment Demonstrations
Role of℗ the℗ Physician in℗ the℗ QIOSkills Needed; Stakeholder Engagement; Trade Association; Conclusion; References; Chapter 3: Leadership Opportunities for℗ Physicians; Introduction; Defining Leadership; Characteristics of℗ Good Leaders; Emotional Intelligence; Personality Types; How to℗ Lead; Leadership Styles; Managing Physician and℗ Patient Expectations; Why Some Leaders Succeed and℗ Others Fail; Should I℗ Take a℗ Physician Leadership Job?; Specific Skills for℗ Physician Leaders; Physician Recruitment; Negotiation; Credentialing and℗ Privileging for℗ Accountable Care; Quality of℗ Care
Oversight of℗ Systems of℗ Care and℗ Patient Safety Performance Evaluation; Financial and℗ Legal Skills for℗ Physician Leaders; References; Chapter 4: The ABCs of℗ ACOs; Introduction; Brief History of℗ the℗ Medicare Program; Medicare FFS Versus Managed Care History and℗ Payment Mechanics; Cost Pressures and℗ Medicare Managed Care Expansion and℗ Contraction; Provider-Based Accountability: A℗ Throwback; The Affordable Care Act and℗ ACOs; Key Features of℗ Medicare Pioneer and℗ MSSP ACO Programs; Provider Participation and℗ Length of℗ Programs; Patient Alignment and℗ Engagement; Financial Model
Physician Payment Quality Monitoring; Care Coordination; Other ACO Models; Conclusion; References; Chapter 5: Our Failing System: A℗ Reasoned Approach Toward Single Payer; Follow the℗ Money; The Affordable Care Act; Lessons from℗ Around the℗ World; Medicare Today; Medicare Tomorrow: A℗ Solution Hiding in℗ Plain Sight; Key Provisions of℗ HR676; The New Savings from℗ a℗ Single Payer Model Would Outweigh the℗ New Expenses; Single Payer Would Level the℗ Global Business Playing Field for℗ Employers and℗ Labor; The Roads to℗ Single Payer; At the℗ End of℗ the℗ Day; References
Chapter 6: Geriatric and℗ Primary Care Workforce DevelopmentReferences; Chapter 7: Medicare and℗ Medicaid Coordination: Special Case of℗ the℗ Dual Eligible Beneficiary; Background; "Duals" Illness Burden and℗ Diversity; Care Coordination Challenges; Models of℗ Care Prior to℗ the℗ ACA; Medicare Advantage; Special Needs Plans (A Form of℗ Medicare Advantage); State Demonstration Waiver Programs; The Program of℗ All-Inclusive Care for℗ the℗ Elderly; Lessons from℗ Previous Demonstration Projects; ACA Provisions Directly Related to℗ the℗ Care of℗ the℗ Duals; Financial Alignment Demonstrations