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The Influence of Health Reform on "Direct Pay" Medicine

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dc.contributor.advisor Koizumi, Naoru
dc.contributor.author Srinivasan, Divya
dc.creator Srinivasan, Divya en_US
dc.date.accessioned 2014-09-18T01:56:33Z
dc.date.available 2014-09-18T01:56:33Z
dc.date.issued 2014-05 en_US
dc.identifier.uri https://hdl.handle.net/1920/8903
dc.description.abstract This dissertation focuses on "direct pay," which is a new business model that revolutionizes the practice of traditional medicine, by delivering individualized, patient-centered care (with services, such as house calls, 24/7 access to the physician, and same-day appointments) in return for a recurring membership fee, which is not covered by health insurance plans. The purpose of the study is to analyze how two characteristics of direct pay practices -- 1) organizational identity of "pure practices" (direct pay-only practices) and "hybrid practices" (practices with the direct pay services, as well as managed care services for patients with health insurance) and 2) the presence of Fee-for-Care or Fee-for-Service payment models in the practice -- impact the perception and utility of health reform policies, health information technologies, and organizational culture. Direct pay may produce a public policy solution to the administrative, financial, and regulatory troubles faced by traditional, private medical practices in the U.S, while also demonstrating that new government policies need to be devised to aid and incorporate direct pay practices in the political economy.
dc.format.extent 284 pages en_US
dc.language.iso en en_US
dc.rights Copyright 2014 Divya Srinivasan en_US
dc.subject Public policy en_US
dc.subject Health care management en_US
dc.subject concierge medicine en_US
dc.subject direct pay en_US
dc.subject direct primary care en_US
dc.subject health information technology en_US
dc.subject public policy en_US
dc.subject retainer medicine en_US
dc.title The Influence of Health Reform on "Direct Pay" Medicine en_US
dc.type Dissertation en
thesis.degree.level Doctoral en
thesis.degree.discipline Public Policy en
thesis.degree.grantor George Mason University en


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