Managed Care And Capitation In California

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Capitation In California

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Author : Maurice J. Penner
language : en
Publisher: Maurice Penner
Release Date : 1997

Capitation In California written by Maurice J. Penner and has been published by Maurice Penner this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Capitation fees (Medical care) categories.

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.

Capitation Rates In The Medi Cal Managed Care Program

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Author : Sandra Hunt
language : en
Publisher: California Healthcare Foundation
Release Date : 1999-05-01

Capitation Rates In The Medi Cal Managed Care Program written by Sandra Hunt and has been published by California Healthcare Foundation this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-05-01 with Managed care plans (Medical care) categories.

Managed Care And Capitation In California

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Author : Eve A. Kerr
language : en
Publisher:
Release Date : 1996

Managed Care And Capitation In California written by Eve A. Kerr and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Capitation fees (Medical care) categories.

All physician groups reported using gatekeeping and preauthorization for certain referrals or tests. Most also used profiling of utilization patterns (79%), guidelines (70%), and managed care education (69%). Most physician groups asked gatekeepers to submit preauthorization requests for specialty referrals and restricted patient self-referral. For example, 60% of groups required preauthorization for an internal medicine subspecialty referral, and 7% allowed patient self-referral. Most groups also asked gatekeepers to obtain preauthoirzation for many tests (for example, 95% for magnetic resonance imaging and 53% for pulmonary function tests). Preauthorization requests were denied infrequently (less than 10% of the time) by more than 75% of groups. Of the 54 groups reporting utilization profiles to their physicians, 61% never adjusted for case-mix among patients and more than 60% suggested practice changes to their physicians based on utilization. Fewer than 35% of the groups used written guidelines for expensive tests that required preauthorization (such as angiography).

Medicaid Managed Care

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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1995

Medicaid Managed Care written by United States. General Accounting Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Managed care plans (Medical care) categories.

Medicaid Managed Care In California

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Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment
language : en
Publisher:
Release Date : 1994

Medicaid Managed Care In California written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Medical categories.

The Evolution Of Medical Groups And Capitation In California

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Author : Lawrence Casalino
language : en
Publisher:
Release Date : 1997

The Evolution Of Medical Groups And Capitation In California written by Lawrence Casalino and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Capitation fees (Medical care) categories.

Medical Groups And The Transition To Managed Care In California

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Author : Lawrence Peter Casalino
language : en
Publisher:
Release Date : 1997

Medical Groups And The Transition To Managed Care In California written by Lawrence Peter Casalino and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Group medical practice categories.

Physician Behavior In A Medicaid Capitated Managed Care System

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Author : Jeremiah Brown
language : en
Publisher:
Release Date : 1989

Physician Behavior In A Medicaid Capitated Managed Care System written by Jeremiah Brown and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1989 with categories.

Improving Managed Health Care In California Supporting Documentation

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Author : California. Managed Health Care Improvement Task Force
language : en
Publisher:
Release Date : 1998

Improving Managed Health Care In California Supporting Documentation written by California. Managed Health Care Improvement Task Force and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Health care reform categories.

Improving Managed Health Care In California

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Author : California. Managed Health Care Improvement Task Force
language : en
Publisher:
Release Date : 1998

Improving Managed Health Care In California written by California. Managed Health Care Improvement Task Force and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Health maintenance organizations categories.