Inside Managed Care


Inside Managed Care
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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 Education 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.



Case Management


Case Management
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Author : Suzanne K. Powell
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2000

Case Management written by Suzanne K. Powell and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Medical categories.


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.



Readings In Managed Health Care


Readings In Managed Health Care
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Author : Peter Reid Kongstvedt
language : en
Publisher:
Release Date : 1997

Readings In Managed Health Care written by Peter Reid Kongstvedt and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Business & Economics categories.


This collection of readings is a companion To The Essentials of Managed Health Care, Second Edition. These articles, taken from four Aspen journals (Managed Care Quarterly, Health Care Management Review, Journal of Health Care Finance, and Quarterly Management in Health Care) provide indepth coverage of key issues and topics in managed care.



Inside Managed Care


Inside Managed Care
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Author : Judi Aronson
language : en
Publisher: Routledge
Release Date : 2013-10-28

Inside Managed Care written by Judi Aronson and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-10-28 with Psychology categories.


Papers presented at the International Symposium on Asymptotic and Computational Analysis, held June 1989, Winnipeg, Man., sponsored by the Dept. of Applied Mathematics, University of Manitoba and the Canadian Applied Mathematics Society.



The Dictionary Of Managed Care


The Dictionary Of Managed Care
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Author : Jodi Aronson
language : en
Publisher: Routledge
Release Date : 2013-06-20

The Dictionary Of Managed Care written by Jodi Aronson and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-06-20 with Health & Fitness categories.


The idea of managed care has sparked much controversy including its impact on the insurance industry, employer providers of care, and the patients themselves. In the confusion that comes with deciphering this complex system, this book provides clear and concise definitions of the most commonly used words, phrases and abbreviations in the industry. If mental health professionals want to become a part of the managed care system, they need to understand the terminology. In addition to the easy-to-understand definitions, the author provides examples for further clarification and appendices which include: a termination summary, a treatment plan, a treatment update, and a release form for confidential information. The idea for this book came about after the author gave a lecture at a national conference and the audience repeatedly asked for definitions of basic managed care terms. Therefore, this dictionary does not contain a debate on the pros or cons of managed care or an inside look into the managed care system. Instead, the author has provided a valuable resource for the professional that will answer questions regarding the basic terms of this industry.



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.



Managed Care Quality


Managed Care Quality
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Author : A. F. Al-Assaf
language : en
Publisher: CRC Press
Release Date : 2020-07-26

Managed Care Quality written by A. F. Al-Assaf and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-07-26 with Law categories.


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.



Contemporary Managed Care


Contemporary Managed Care
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Author : Marsha R. Gold
language : en
Publisher:
Release Date : 1998

Contemporary Managed Care written by Marsha R. Gold and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Medical categories.


Look inside the "black box" of managed care. This compilation provides a wealth of recent research & analysis on such topics as the evolution & shape of managed care, managed care & the market, managed care & public programs, & public policy. Also discusses possible future trends for managed care.



The Role Of Managed Care Organizations Within The Healthcare Industry


The Role Of Managed Care Organizations Within The Healthcare Industry
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Author : Patrick Kimuyu
language : en
Publisher: GRIN Verlag
Release Date : 2018-02-01

The Role Of Managed Care Organizations Within The Healthcare Industry written by Patrick Kimuyu and has been published by GRIN Verlag this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-02-01 with Medical categories.


Seminar paper from the year 2018 in the subject Medicine - Medical Frontiers and Special Areas, grade: 1, Egerton University, language: English, abstract: This paper will provide a comprehensive overview of managed care, primarily on the advantages and disadvantages of managed care organizations. Over the decades, the United States’ healthcare system has been experiencing challenges. In general, the cost and quality of care has always been considered as the most critical factors that influence healthcare sustainability in the United States and the world, as a whole. As a result, a series of value-based payment reforms have been introduced. For instance, the Affordable Care Act (ACA) of 2010 introduced payment and delivery system reforms. From a critical perspective, the reforms introduced by the ACA have addressed the long-standing problems which have been posing enormous hindrances to the development of the U.S. healthcare system. Above all, it has enhanced managed care through consolidating care, as well as, addressing the problem of unsustainable costs and uneven quality of care. However, managed care seems to exhibit some drawbacks too.



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 Business & Economics 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.