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Bleeding Edge: The Business of Health Care in the New Century
By J.D. Kleinke

Book Info
Analysis of the U.S. health care system and a former executive with HCIA (medical economist). Reviews current status, and evaluates future direction. For health care administrators and general readers. Added to Brandon-Hill Medical List in April 2001.

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Oxymorons: The Myth of a U.S. Health Care System
By J.D. Kleinke

Book Description
J.D. Kleinke’s newest book, Oxymorons: The Myth of a US Health Care System published by Jossey-Bass. Oxymorons is the much anticipated follow-up to Kleinke’s best-selling Bleeding Edge: The Business of Health Care in the New Century, published in 1998 and widely hailed as the definitive roadmap for health care organizations seeking to survive and thrive under managed care.

Oxymorons represents a major departure for Kleinke, a medical economist and one of the most outspoken champions of market-driven reform of the US health care system. It is a provocative, unflinching look at how and why the marketplace has failed to fix the most fundamental problems involved in the financing and delivery of medical care in America – and at how managed care has aggravated rather than attenuated this failure.

Oxymorons surveys the complex history and implacable dynamics of health care in America; it identifies a few unlikely guideposts for what we can reasonably expect the marketplace to fix; and it proposes broad regulatory solutions for those things we should no longer expect the marketplace to fix, informed by more than a decade of managed care’s desperate and often destructive attempts. The legislative reforms at the heart of Oxymorons are designed specifically to introduce real market forces in the US health care system – by liberating that system from decades of piecemeal, faulty, and often arbitrary regulation.

Oxymorons includes a highly practical analysis of why well-meaning strategic initiatives undertaken by health care organizations so often fail – and why others often succeed, seemingly by accident. With its comprehensive survey of the complexities built into the broader health care system, Oxymorons outlines what kind of strategies health care organizations can reasonably expect to work, and what kind will not work no matter how well funded or implemented.

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