Managed Care What It Is And How It Works


Managed Care What It Is And How It Works
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Managed Care


Managed Care
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Author : Peter Kongstvedt
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2009-10-07

Managed Care written by Peter Kongstvedt and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-10-07 with Medical categories.


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.



Health Insurance And Managed Care


Health Insurance And Managed Care
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Author : Peter R. Kongstvedt
language : en
Publisher: Jones & Bartlett Publishers
Release Date : 2015-03-27

Health Insurance And Managed Care written by Peter R. Kongstvedt and has been published by Jones & Bartlett Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-03-27 with Medical categories.


Health Insurance And Managed Care: What They Are And How They Work (Formerly Titled Managed 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. The Fourth Edition Is A Thorough Update That Addresses The Impact Of The Affordable Care Act Throughout The Industry Including: -New Underwriting Requirements -New Marketing And Sales Channels -Limitations On Sales, Governance, And Administrative (SG&A) Costs And Profits -New Provider Organizations Such As Patient Centered Medical Homes (Pchms) And Accountable Care Organizations (ACO’S) -New Payment Mechanisms Such As Shared Savings With Acos, And Severity-Adjusted Diagnosis Related Groups -Changes To Medicare Advantage -Medicaid Expansion And Reliance On Medicaid Managed Care



Managed Care


Managed Care
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Author : Peter Reid Kongstvedt
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2004

Managed Care written by Peter Reid Kongstvedt and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Managed care plans (Medical care) categories.


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



Managed Care


Managed Care
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Author : Wendy Knight
language : en
Publisher:
Release Date : 1998

Managed Care written by Wendy Knight and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Managed care plans (Medical care) categories.


Managed Care: What It Is and How It Works, the title says it all! This introduction to managed care is a must have for managed care professionals new to the industry, health care professionals who traditionally have had limited exposure to managed care, and professionals in other industries eager to capitalize on the business opportunities generated by managed care. It also serves as a textbook or supplemental reading for health-related courses in public health, medical, nursing, allied health, business, and public policy schools and programs. This book provides the reader with the basic structures, concepts, and practices of managed care in a concise, easy-to-read format. Winner of the 1998 AJN Book of the Year Award in the Managed Care category.



Health Insurance And Managed Care


Health Insurance And Managed Care
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Author : Peter R. Kongstvedt
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2019-02-14

Health Insurance And Managed Care written by Peter R. Kongstvedt and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-02-14 with Medical categories.


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.



Health Insurance And Managed Care


Health Insurance And Managed Care
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Author : Peter Reid Kongstvedt
language : en
Publisher: Jones & Bartlett Publishers
Release Date : 2016

Health Insurance And Managed Care written by Peter Reid Kongstvedt and has been published by Jones & Bartlett Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with Health insurance categories.




Making Managed Healthcare Work


Making Managed Healthcare Work
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Author : Peter Boland
language : en
Publisher: Jones & Bartlett Learning
Release Date : 1993

Making Managed Healthcare Work written by Peter Boland and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993 with Managed care plans (Medical care) categories.


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.



Managed Care And Modernization


Managed Care And Modernization
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Author : David Cochrane
language : en
Publisher:
Release Date : 2001

Managed Care And Modernization written by David Cochrane and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Health care reform categories.


What is managed care?* How does it fit with the current modernization of health services?* How should it be applied in particular contexts?Managed Care and Modernization is a handbook for healthcare managers and practitioners. Its primary aim is to give practical guidance on applying managed care techniques as part of the modernization of health services. David Cochrane and his contributors contextualize managed care, reviewing current policy and practice and exploring the major challenges facing health services. Throughout, they are concerned to assist practitioners in service design, delivery and management to adapt the techniques of managed care to their own needs and contexts. They draw on key examples from both American and British experience to indicate how managed care works in practice and how important is its development to the modernization of health services. This book is essential reading for all those involved in healthcare reform.



Managed Care Services


Managed Care Services
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Author : Nancy W. Veeder
language : en
Publisher: Oxford University Press
Release Date : 2000-12-07

Managed Care Services written by Nancy W. Veeder and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-12-07 with Social Science categories.


Managed Care Services explores the complexities of managed health and behavioral health care systems in relation to policy, program, and research issues. It focuses on the dramatic consequences of the transformation of health care delivery from an essential social good to a commodity totally dependent on the marketplace. The book begins with a foreword by James J. Callahan Jr., a leading authority in the field, and includes an interdisciplinary group of authors who address multiple fields of practice. A common theme throughout the book is the inadequacy of service for such high-risk groups as children, the elderly, the mentally ill, the disabled, the chronically ill, substance abusers, and minorities of color. These at-risk groups include, but are not limited to, the vast numbers of un- and underinsured people in the United States. Specific topics covered in the book include cost of access to care; parity of behavioral health care services reimbursement; health services utilization patterns; education of health care professionals and professional autonomy; care management; and ethical issues arising from the structure of managed care administrative and organizational systems. The importance of research, especially program outcome assessments, is also emphasized. Managed Care Services provide a broad overview of "macro" managed care issues and is an invaluable resource for students and professionals interested in the intersection of social work and health care.



Some Stories Are Better Than Others


Some Stories Are Better Than Others
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Author : Michael F. Hoyt
language : en
Publisher: Routledge
Release Date : 2013-08-21

Some Stories Are Better Than Others written by Michael F. Hoyt and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-08-21 with Psychology categories.


There are stories that we use to explain what happened to us twenty years ago or last wee, those we use to explain why the world works the way it does, and those that we sue to "fix" the world when it doesn't work the way other stories said it should. And as the author points out in this collection of essays and interviews, some of these stories are better than others. This book is an investigation into which might be the better stories and how they can help clients reach their goals in therapy. This book contains fifteen essays and interviews written or co-written by Michael Hoyt. The collection represents Dr. Hoyt's recent thinking on helping clients with the brief, future-orientated therapeutic approaches.