Managed Care What It Is And How It Works PDF Download
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Author | : Peter Kongstvedt |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 295 |
Release | : 2009-10-07 |
Genre | : Education |
ISBN | : 0763759112 |
Download Managed Care Book in PDF, ePub and Kindle
The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.
Author | : Peter R. Kongstvedt |
Publisher | : Jones & Bartlett Publishers |
Total Pages | : 295 |
Release | : 2008-09-19 |
Genre | : Medical |
ISBN | : 1449649823 |
Download Managed Care: What It Is and How It Works Book in PDF, ePub and Kindle
The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.
Author | : Peter R. Kongstvedt |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 355 |
Release | : 2019-02-14 |
Genre | : Medical |
ISBN | : 128415209X |
Download Health Insurance and Managed Care Book in PDF, ePub and Kindle
Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Author | : Peter Reid Kongstvedt |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 348 |
Release | : 2004 |
Genre | : Managed care plans (Medical care) |
ISBN | : 9780763724986 |
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A managed care expert overviews the history, structure, regulation, and issues of the complex US health care system. This second edition work was originally published by Aspen in 2002. Much of the information is distilled from another of the doctor's books, The Managed Care Handbook, 4th ed. An extensive glossary is included, but there are no refer
Author | : Peter Reid Kongstvedt |
Publisher | : Jones & Bartlett Publishers |
Total Pages | : 418 |
Release | : 2016 |
Genre | : Business & Economics |
ISBN | : 1284087115 |
Download Health Insurance and Managed Care Book in PDF, ePub and Kindle
Author | : Peter R. Kongstvedt |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 355 |
Release | : 2019-02-14 |
Genre | : Medical |
ISBN | : 1284194639 |
Download Health Insurance and Managed Care Book in PDF, ePub and Kindle
Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 394 |
Release | : 1997-04-21 |
Genre | : Medical |
ISBN | : 0309175054 |
Download Managing Managed Care Book in PDF, ePub and Kindle
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Author | : Peter Reid Kongstvedt |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 918 |
Release | : 2003 |
Genre | : Medical |
ISBN | : 9780763724962 |
Download Essentials of Managed Health Care Book in PDF, ePub and Kindle
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 384 |
Release | : 1996-11-01 |
Genre | : Medical |
ISBN | : 0309175364 |
Download Improving the Medicare Market Book in PDF, ePub and Kindle
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
Author | : Peter Boland |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 624 |
Release | : 1993 |
Genre | : Managed care plans (Medical care) |
ISBN | : 9780834203914 |
Download Making Managed Healthcare Work Book in PDF, ePub and Kindle
Making Managed Healthcare Work is your comprehensive guide to developing and implementing a new strategic approach to managed care that's practical, performance-based, and results-oriented. Learn how to prepare for, identify, pursue, negotiate and implement a new type of managed care arrangement that can accomplish the objective of delivering quality care at competitive prices.