This fully updated and revised 11th edition of a highly esteemed survey and analysis of health care delivery in the United States keeps pace with the rapid changes that are reshaping our system. Fundamentally, this new edition presents the realities that impact our nation’s achievement of the so-called Triple Aim: better health and better care at a lower cost. It addresses challenges and responses to the Affordable Care Act (ACA), the implementation of Obamacare, and many new models of care designed to replace outmoded systems. Leading scholars, practitioners, and educators within population health and medical care present the most up-to-date evidence-based information on health disparities, vulnerable populations, and immigrant health; nursing workforce challenges; new information technology; preventive medicine; emerging approaches to control health care costs; and much more.
Designed for graduate and advanced undergraduate students of health care management and administration and public health, the text addresses all of the complex core issues surrounding our health care system in a strikingly readable and accessible format. Contributors provide an in-depth and objective appraisal of why and how we organize health care the way we do, the enormous impact of health-related behaviors on the structure, function, and cost of the health care delivery system, and other emerging and recurrent issues in health policy, health care management, and public health. The 11th edition features the writings of such luminaries as Michael K. Gusmanno, Carolyn M. Clancy, Joanne Spetz, Nirav R. Shah, Michael S. Sparer, and Christy Harris Lemak, among others. Chapters include key words, learning objectives and competencies, discussion questions, case studies, and new charts and tables with concrete health care data. Included for instructors is an Instructor’s Manual, PowerPoint slides, Syllabus, Test Bank, Image Bank, Supplemental e-chapter on the ACA, and a transition guide bridging the 10th and 11th editions.
 
Key Features
 
Integration of the ACA throughout the text, including a supplementary e-chapter devoted to this major health care policy innovation
The implementation of Obamacare
Combines acute and chronic care into organizations of medical care
Nursing workforce challenges
Health disparities, vulnerable populations, and immigrant health
Strategies to achieve the Triple Aim (better health and better care at lower cost)
New models of care including accountable care organizations (ACOs), patient homes, health exchanges, and integrated health systems
Emerging societal efforts toward creating healthy environments and illness prevention
Increasing incentives for efficiency and better quality of care
Expanded discussion of information technology
A new 5-year trend forecast
 
About the Author

James R. Knickman, PhD is the Robert Derzon Chair in Public and Health Affairs at New York University with joint appointments at the NYU Wagner School of Public Service and at NYU Langone Medical School's Department of Population Health. He has spent four decades splitting his time between academe and the philanthropic sector. His work focuses on health policy and he has played many roles both as a researcher and a leader in philanthropy to advance the use of public policy to improve the American health care system. He was a Vice President at the Robert Wood Johnson Foundation and President of the New York State Health Foundation. He has a PhD in Public Policy Analysis from the University of Pennsylvania and did his undergraduate work at Fordham University. He serves on the Board of Directors at three non-profit organizations, including chairing the National Council on Aging.
 
Anthony R. Kovner, PhD, MPA, is professor emeritus of Public and Health Management at New York University (NYU) Wagner Graduate School of Public Service.