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| Author | : |
| Publisher | : Health Forum |
| Total Pages | : 51 |
| Release | : 1991 |
| Genre | : Political Science |
| ISBN | : 9780872586000 |
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 394 |
| Release | : 1997-04-21 |
| Genre | : Medical |
| ISBN | : 0309175054 |
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 | : Barbara J. Youngberg |
| Publisher | : Jones & Bartlett Learning |
| Total Pages | : 306 |
| Release | : 1995 |
| Genre | : Health facilities |
| ISBN | : 9780834207325 |
The dominance of managed care is spreading quickly and risk managers are suddenly faced with major new challenges. With Managing the Risks of Managed Care, the risk manager will learn about risk management challenges in an integrated delivery system. The book also presents expert analysis on issues like contracting, peer review, ethical dilemmas, antitrust and more.
| Author | : American Society for Healthcare Risk Management (ASHRM) |
| Publisher | : John Wiley & Sons |
| Total Pages | : 672 |
| Release | : 2009-04-27 |
| Genre | : Medical |
| ISBN | : 0470300175 |
Risk Management Handbook for Health Care Organizations, Student Edition This comprehensive textbook provides a complete introduction to risk management in health care. Risk Management Handbook, Student Edition, covers general risk management techniques; standards of health care risk management administration; federal, state and local laws; and methods for integrating patient safety and enterprise risk management into a comprehensive risk management program. The Student Edition is applicable to all health care settings including acute care hospital to hospice, and long term care. Written for students and those new to the topic, each chapter highlights key points and learning objectives, lists key terms, and offers questions for discussion. An instructor's supplement with cases and other material is also available. American Society for Healthcare Risk Management (ASHRM) is a personal membership group of the American Hospital Association with more than 5,000 members representing health care, insurance, law, and other related professions. ASHRM promotes effective and innovative risk management strategies and professional leadership through education, recognition, advocacy, publications, networking, and interactions with leading health care organizations and government agencies. ASHRM initiatives focus on developing and implementing safe and effective patient care practices, preserving financial resources, and maintaining safe working environments.
| Author | : Barbara J. Youngberg |
| Publisher | : Jones & Bartlett Learning |
| Total Pages | : 548 |
| Release | : 1998 |
| Genre | : Hospitals |
| ISBN | : 9780834210165 |
The Risk Manager's Desk Reference, Second Edition is the definitive guide to ensure quality in your organization and save thousands of dollars in costly lawsuits. It puts at your fingertips the information you need on integrating quality assurance and risk management, understanding risk management in a managed care environment, and program development. With this book you learn how to integrate patient support services and facilitate physician participation. This handy reference offers concise information on your most challenging concerns and various ethical issues.
| Author | : Barbara J. Youngberg |
| Publisher | : Jones & Bartlett Publishers |
| Total Pages | : 519 |
| Release | : 2010-08-10 |
| Genre | : Health & Fitness |
| ISBN | : 1449618839 |
This book identifies changes in the industry and describes how these changes have influenced the functions of risk management in all aspects of healthcare. The book is divided into four sections. The first section describes the current state of the healthcare industry and looks at the importance of risk management and the emergence of patient safety. It also explores the importance of working with other sectors of the health care industry such as the pharmaceutical and device manufacturers. The last three sections focus on the three main components of the risk managers responsibility: claims management, risk financing and proactive loss control. The final section touches on solutions for seamless integration between risk management and patient safety functions. Using an integrative approach this book offers a comprehensive review of the current issues which formulate the basis of a risk management program and provide the knowledge that a risk manager would be expected to have.
| Author | : Bruce S. Pyenson |
| Publisher | : Jossey-Bass |
| Total Pages | : 0 |
| Release | : 1998-04-29 |
| Genre | : Medical |
| ISBN | : 9781556482137 |
Providers who ignore the fundamentals of risk management may be placing their organizations in peril. This book helps leaders of such organizations to develop systems that succeed in controlling managed care risk. Hospitals, physicians, integrated deliver systems (IDSs), and other providers that deliver care face unique challenges of risk that differ from those of most insurers and HMOs. Managing Risk addresses risk issues concerning these diverse provider groups and discusses: Quantifying risks of capitation and other managed care arrangements Using a funds flow model to spread risk How provider information systems (ISs) relate to an organization's ability to manage financial risk. Operational and clinical approaches to managing risk Financial incentive programs for physicians PSOs and the future of health care risk
| Author | : Maurice J. Penner |
| Publisher | : Maurice Penner |
| Total Pages | : 298 |
| Release | : 1997 |
| Genre | : Capitation fees (Medical care) |
| ISBN | : 9781567930511 |
This "from-the-trenches" guide can help you meet the challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, negotiating managed care contracts, & managing utilization & quality.
| Author | : National Library of Medicine (U.S.) |
| Publisher | : |
| Total Pages | : 1536 |
| Release | : 1993 |
| Genre | : Medicine |
| ISBN | : |
| Author | : A. F. Al-Assaf |
| Publisher | : CRC Press |
| Total Pages | : 294 |
| Release | : 2020-07-26 |
| Genre | : Law |
| ISBN | : 1000162141 |
Managed care organizations are paving the way to the future of health care delivery in the United States and countries around the world. As managed care systems evolve, a major concern is quality. Managed Care Quality: A Practical Guide is a collection of applications and experiences gathered from practicing health professionals in the field of managed care. This first "how to" guide was written to help managed care organizations meet the common objective of ensuring the best quality of services and care. Managed Care Quality: A Practical Guide presents successive steps in implementing quality in health care organizations. It introduces the methods, skills, and practices involved in quality health care programs and offers solutions to problems typically encountered in managed care.
