Health Care Management and Financing

Abstract

Health care financing and health care management in the United States have been intricately intertwined in their evolution and have been dependent on technology, on public and private policy and funding, and the needs of employers and employees. Virtually all major changes in health care management in the United States have occurred in the last century. Little has changed over the decades; the cost of health care today is still only one-third the estimated cost of absenteeism and presenteeism in the workplace. The difference is that the individual's burden in many cases is now carried by employers and by state and federal governments. Movement toward other reimbursement mechanisms for health care was advanced as medical technology improved and health care costs increased.