Managed Care


Managed Care
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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.



Essentials Of Managed Health Care


Essentials Of Managed Health Care
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Author :
language : en
Publisher: Jones & Bartlett Publishers
Release Date : 2013

Essentials Of Managed Health Care written by 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 2013 with Managed care plans (Medical care) categories.


Peter Kongstvedt provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well.



Essentials Of Managed Health Care


Essentials Of Managed Health Care
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Author : Peter Reid Kongstvedt
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2007

Essentials Of Managed Health 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 2007 with Managed Care Programs categories.


Managed Care



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.



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.




The Managed Health Care Handbook


The Managed Health Care Handbook
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Author : Peter Reid Kongstvedt
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2001

The Managed Health Care Handbook 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 2001 with Medical categories.


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.



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 : Joe Barrett
language : en
Publisher:
Release Date : 2023-05-18

Managed Care written by Joe Barrett and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-05-18 with categories.


Is it too much to ask that a managed care facility refund a year's advance payment when your grandfather dies before he can move in?



Understanding Managed Care


Understanding Managed Care
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Author : Thomas N. Wise
language : en
Publisher:
Release Date : 1999

Understanding Managed Care written by Thomas N. Wise and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.


Physicians and allied health care professionals are graduating with in-depth knowledge of disease states and therapeutics, but little, if any practical knowledge of managed care systems. Nevertheless, managed care is so prevalent that in 1998 85% of the US working population was in some form of managed care network and one third of the physicians in practice were enrolled in managed care panels. There are few structured educational opportunities for individuals who are entering health care fields that help in understanding the different managed care systems. Instead, the managed care environment confronts the new physician with an unknown language, a novel management structure, and an expanding scope of rules and regulations. This book is designed to rectify this situation and to serve as a resource for teaching or independent self-paced study. It provides a historical overview, basic structure and components of managed care organizations, and future challenges. A unique series of cases based on a fictional family selecting and using a health plan is presented and a glossary is provided which defines basic concepts frequently encountered in the managed care field.



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.