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Protecting American Health Care Consumers

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Book

Pages: 288

Published: May 2002

Author: Eleanor DeArman Kinney

Despite the attention to the problem of protecting the health care interests of Americans, there is little consensus on what should be done politically or otherwise to address this problem. In Protecting American Health Care Consumers Eleanor DeArman Kinney, a nationally regarded expert on health policy and law, tackles the serious and ongoing debate among state and federal policymakers, health care providers, third-party payers, and consumers about how to provide procedural justice to patients in the present health care climate.
To promote and ensure consumer protection in an increasingly adversarial and complicated health-care culture, Kinney first analyzes the procedures by which consumer concerns are presently discerned and resolved and then explains why these systems are unsatisfactory. She also discusses problematic procedures for making coverage policy and quality standards and proposes reforms in a variety of processes that would enable all consumers, including the uninsured, to influence key policies and standards and also to raise concerns and obtain appropriate remedies.
As the first comprehensive treatment of administrative procedures in American health plans and other such institutions, Protecting American Health Care Consumers will be welcomed by state and federal policymakers, managed care executives, and lawyers charged with designing and implementing protections for consumers in public and private health plans.

Praise

"[A] well-written, timely book . . . . [E]xcellent . . . . Kinney’s credentials qualify her well to explain the importance of health care consumer rights." - R.G. McGee Jr. , Choice

"[A]n engaging read. It is most suited for policymakers, providers, health care activists, and public health students." - Stephen L. Fielding , Social Science & Medicine

"[T]here is a great deal here to work with. Anyone who writes or teaches health law, or who makes health policy, can benefit from Kinney’s extensive experience and insight." - Timothy Stoltzfus Jost , American Journal of Law and Medicine

"Kinney’s book offers comprehensive insight into the topic of consumer protection in health care. A widely recognized expert on numerous topics in health law, Kinney offers readers an accessible and thorough framework for thinking about health care consumer protections. . . . [H]elpful . . . [and] valuable . . . Protecting American Health Care Consumers represents an excellent and succinct review of a seminal issue in law and public policy and does so in a manner that makes the book appropriate for a wide audience." - Sara Rosenbaum , JAMA

“This book makes an important contribution to a new and deeper understanding of health care policy procedures. With her sound and thorough grounding in administrative law, Kinney helps us to understand these processes in original and important ways.” - Timothy S. Jost, Washington and Lee University School of Law

“This first-rate study should interest everyone concerned with health-care law and policy. Kinney provides a rich description of individuals’ complaints about health care, the law governing such complaints, the structure of health insurance, and the process of health care policymaking. She argues compellingly for more public and responsive procedures for handling consumer complaints. This major book illuminates a leading topic of our time.” - Thomas O. Sargentich, American University, Washington College of Law

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Author/Editor Bios Table Of Contents Rights Additional Information

Author/Editor Bios

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Eleanor DeArman Kinney is Samuel R. Rosen Professor of Law at Indiana University and Co-director of the Center for Law and Health at the Indiana University School of Law. She is a former Assistant General Counsel for the American Hospital Association and program analyst for the Department of Health and Human Services in Washington, D.C.

Table Of Contents

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Acknowledgments

1. Introduction

2. The Patient Protection Debate

3. Health Insurance Coverage in the United States

4. Relevant Law and Theory

5. The Universe of Consumer Concerns about Health Care

6. The Universe of Medical Standards and Other Policies Regarding Health Care

7. Processes for Making Policies Regarding Health Care

8. Regimes for Tapping and Resolving Consumer Concerns about Health Care

9. Principles of Sound Procedural Protections

10. A Vision of Reform

Notes

Index

Rights

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Sales/Territorial Rights: World

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Additional Information

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Hardcover ISBN: 978-0-8223-2876-6 / eISBN: 978-0-8223-8353-6 / DOI: https://doi.org/10.1215/9780822383536