Managing The Risks Of Managed Care PDF Download
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Author | : Barbara J. Youngberg |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 306 |
Release | : 1995 |
Genre | : Health facilities |
ISBN | : 9780834207325 |
Download Managing the Risks of Managed Care Book in PDF, ePub and Kindle
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 | : Bruce S. Pyenson |
Publisher | : Jossey-Bass |
Total Pages | : 0 |
Release | : 1998-04-29 |
Genre | : Medical |
ISBN | : 9781556482137 |
Download Managing Risk Book in PDF, ePub and Kindle
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 |
Download Capitation in California Book in PDF, ePub and Kindle
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 | : 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 | : Anthony Broskowski |
Publisher | : |
Total Pages | : 120 |
Release | : 1998 |
Genre | : Managed care plans (Medical care) |
ISBN | : |
Download Estimating and Managing Risks for the Utilization and Cost of Mental Health and Substance Abuse Services in a Managed Care Environment Book in PDF, ePub and Kindle
Author | : |
Publisher | : Health Forum |
Total Pages | : 51 |
Release | : 1991 |
Genre | : Political Science |
ISBN | : 9780872586000 |
Download Managing Risks and Quality in Hospital-related Managed Care Book in PDF, ePub and Kindle
Author | : Peter Reid Kongstvedt |
Publisher | : Jones & Bartlett Learning |
Total Pages | : 1448 |
Release | : 2001 |
Genre | : Medical |
ISBN | : 9780834217263 |
Download The Managed Health Care Handbook Book in PDF, ePub and Kindle
This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.
Author | : |
Publisher | : |
Total Pages | : 58 |
Release | : 1990 |
Genre | : |
ISBN | : 9780872585430 |
Download Physicians in the Management of Risk in Managed Care Contracts Book in PDF, ePub and Kindle
Author | : American Society for Healthcare Risk Management (ASHRM) |
Publisher | : John Wiley & Sons |
Total Pages | : 672 |
Release | : 2009-04-27 |
Genre | : Medical |
ISBN | : 0470300175 |
Download Risk Management Handbook for Health Care Organizations Book in PDF, ePub and Kindle
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 | : Suzanne K. Powell |
Publisher | : Lippincott Williams & Wilkins |
Total Pages | : 548 |
Release | : 2000 |
Genre | : Medical |
ISBN | : 9780781718837 |
Download Case Management Book in PDF, ePub and Kindle
The Second Edition of this comprehensive "how to" text has been completely revised and updated. This text outlines the basics of case management and illustrates some of the pitfalls encountered in the field of case management. The book provides information on the new Case Management Standards, supplies standard definitions and guidelines of case management for the practicing case manager, and presents information on caring for clients in a wide variety of health care settings. New to this edition--chapters focusing on Quality Reviews and Risk Management with a strong emphasis on Continuous Quality Improvement (CQI), ethical and legal issues, and various case studies.