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Tables of Contents for Bleeding Edge
Chapter/Section Title
Page #
Page Count
Figures
xi
2
Preface
xiii
PART I DIAGNOSIS
1
22
You Call This a Market?
4
2
You Call This a System?
6
2
Managed Care to the Rescue
8
3
Now...Rescue Us from Managed Care
11
4
Treatment Plan
15
8
PART II TREATMENT
23
158
Capitalists' Progress
26
4
Entrepreneur's Paradise
30
3
A Dash of Irony for the Naysayers
33
6
1 Risk-Assumption
39
18
Utilization Management: Dr. Throttle and Mr. Brake
40
3
The Wonder Drug of Capitation
43
8
Risk as Currency: Providers' Trump Card
51
6
2 Consumerism
57
18
The Preferred Provider Is Your Provider
60
3
The Un-Plan Plan
63
1
The Patient Will See You Now
64
4
Just Heal It
68
7
3 Consolidation
75
38
From Chaos to Consolidation
76
6
A Community HMO for All Time Zones
82
4
Welcome to McHospital, May I Take Your Order?
86
4
"Like Herding Cats"
90
2
Vendor-Benders
92
3
Big Pharma's Risk Diversification
95
3
And This Number of Beds Is Just Right
98
3
Of Alliances Holy, Unholy, and Purely Secular
101
3
The Questionable Economics of Pure Consolidation
104
3
Consolidation as a Stepping-Stone
107
6
4 Integration
113
38
Integration's "Value-Adds"
116
4
First Steps toward Integration: Global Package Pricing
120
4
Next Step toward Integration: Full Risk-Assumption
124
1
Integration Realized: The Emerging Health Care Organization
125
1
Form and Function: Vertical versus Virtual
126
3
Integration Path I: The Case against Ownership
129
3
Integration Path II: The Case for Ownership
132
2
Eating at the Enemy's Table: Forward Integration and the Super EHO
134
3
Humana: Thanks for the Bad Memories
137
4
The EHO and Direct Government Contracting
141
1
Progress, Sort Of
142
2
The Path to Industrialization
144
7
5 Industrialization
151
30
The Confluence of Factors Driving Health Care Industrialization
157
3
Analog Docs in a Digital World
160
4
The Numbers Game
164
3
Best Demonstrated Practices
167
3
A "Good Medical Outcome" by Any Other Name
170
2
Take Two Aspirin and Call the 800 Number in the Morning
172
3
Industrialization's Bottom Line
175
6
PART III PROGNOSIS
181
26
The Emerging Health Care Organization
182
5
The Customer Is Always Right
187
3
The Freedom To (Pay To) Choose
190
3
MLR Plus: The EHO's Nice Price
193
3
Choosy Customers
196
3
Evolution of a Market
199
5
A Happy (If Paradoxical) Ending
204
3
PART IV--OUTCOMES
207
132
6 The Un-Hospital
209
34
The Acute Care Hospital as ICU
212
2
"Continuum Conundrum," Said the Cat in the Hat
214
4
Is There a Doctor in the Corporation?
218
5
Taming a Two-Headed Monster
223
2
The Competitive Advantage of a Legacy "Infostructure"
225
4
The Groves of Academic Hospitals
229
6
Acute Flare-Ups of Chronic "Bureausclerosis"
235
8
7 MD, MBA
243
32
How Many Doctors in the House?
246
4
Is There an Advanced Nurse Practitioner in the House?
250
2
The 50/50 Rule
252
6
Holy (and Secular) Alliances with Hospital Systems
258
3
Equity, Equity, That's Our Cry
261
2
Going National: Going for Broke?
263
6
The Unbearable Lightness of Risk Bearing
269
6
8 Panaceas R Us
275
30
On the Winning Side of the Revolution
278
2
The Emergence of "Big Pharma"
280
9
Like Father, Like Son
289
1
A Great Leap Forward? Big Pharma's PBM Fantasies
290
8
Ready-Made for Industrialization
298
3
The Best Competitive Advantage of All: Clarity of Purpose
301
4
9 The Supply Chain Gang
305
16
The Least Unkindest Cut
306
3
From Cutting Edge to Dulled Instrument
309
3
The Whole Surgical Kit and Caboodle
312
3
From Rocket Scientists to Rocket Servicers
315
2
How Risky Is This Surgery? About $18,546 Worth
317
4
10--What Was an HMO?
321
18
The Paradox of Profitability
324
2
The Underwriting Cycle: Deja Vu All Over Again
326
2
Providers' Last Laugh
328
2
Health Maintenance, Not Mending Organization
330
3
What Next?
333
6
Selected Bibliography
339
2
Acknowledgments
341
6
Index
347
14
About the Author
361