Journey Through Healthcare Finance: The Business of Medicine

This book offers a detailed exploration of healthcare finance in the United States, tracing the development of various payment models from Fee-for-Service to contemporary approaches like Direct Primary Care. It starts with healthcare economics, discussing market dynamics, the role of insurance, and economic evaluations. The text critically assesses the impact of legislation and government's role in shaping healthcare finance while examining the intricacies of Accountable Care Organizations, Clinically Integrated Networks, and the regulatory framework of CMS. Additionally, the book covers medical coding, billing, and physician compensation. Concluding with future prospects, it addresses management considerations and the potential impacts of technological and international developments on healthcare finance. This guide is essential for anyone seeking to understand the complexities and future directions of healthcare finance in the U.S.