Managed Care Quality


Managed Care Quality
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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.



Managing Managed Care


Managing Managed Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1997-04-21

Managing Managed Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-04-21 with Medical categories.


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.



A Health Care Quality Improvement System For Medicaid Managed Care


A Health Care Quality Improvement System For Medicaid Managed Care
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Author :
language : en
Publisher:
Release Date : 1993

A Health Care Quality Improvement System For Medicaid Managed Care written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993 with Government publications categories.




A Primer On Assessing Managed Care Quality


A Primer On Assessing Managed Care Quality
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Author : Barbara Tymann
language : en
Publisher:
Release Date : 1998

A Primer On Assessing Managed Care Quality written by Barbara Tymann 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.




Managing Managed Care


Managing Managed Care
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Author : Margaret Edmunds
language : en
Publisher:
Release Date : 1997

Managing Managed Care written by Margaret Edmunds and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Electronic books categories.




Managing Managed Care


Managing Managed Care
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Author : Richard Frank Margaret Edmunds (Michael Hogan, Dennis McCarty, Rhonda Robinson-Beale)
language : en
Publisher:
Release Date :

Managing Managed Care written by Richard Frank Margaret Edmunds (Michael Hogan, Dennis McCarty, Rhonda Robinson-Beale) and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on with Managed mental health care categories.




Managed Care Quality


Managed Care Quality
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Author : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
language : en
Publisher:
Release Date : 1998

Managed Care Quality written by United States. Congress. House. Committee on 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 1998 with Medical categories.




Models For Measuring Quality In Managed Care


Models For Measuring Quality In Managed Care
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Author : Jonathan Seltzer
language : en
Publisher: Faulkner & Gray, Incorporated
Release Date : 1997-01-01

Models For Measuring Quality In Managed Care written by Jonathan Seltzer and has been published by Faulkner & Gray, Incorporated this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-01-01 with Health services administration categories.




Collaboration Among Competing Managed Care Organizations For Quality Improvement


Collaboration Among Competing Managed Care Organizations For Quality Improvement
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1999-03-09

Collaboration Among Competing Managed Care Organizations For Quality Improvement written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-03-09 with Medical categories.


In November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans. Competition has existed at the provider level in the pre-managed care era and continues among physicians, physician groups and hospitals today. What is new is the extent of competition at the managed care organization level in individual regional markets. As large numbers of individuals are enrolled in health plans, the potential for new forms of cooperation for improving quality of care becomes possible. Along with these new possibilities, however, come questions about whether they bring the potential for antitrust violation.



Managed Care Outcomes And Quality


Managed Care Outcomes And Quality
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Author : Steven F. Isenberg
language : en
Publisher: Thieme
Release Date : 1998

Managed Care Outcomes And Quality written by Steven F. Isenberg and has been published by Thieme 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.


The first section leads us through the complicated and risky business of capitation and examines reimbursement in a managed care environment. The idiosyncrasies of managed care contracts are detailed and you will learn how to negotiate with managed care companies. There is a focus on practice profiling and the presentation of an expertise on referral guidelines. The final chapter explores the ethical issues of managed care. In section II you will find a description of outcome research and youseful information for the implementation of outcomes research in community-based office practices. The third section begins with two chapters on improving office efficiency and managing staff in a managed care environment. The next chapter leads us through the important and complicated software selection process for the individual practitioner's needs. A private practitioner offers his insight into managing a medical practice and the section completes with some helpful pointers to avoid malpractice claims. Section IV provides the physicians' response to managed care. The legal issues of mergers and networks are discussed. Several practicing physicians outline their personal experiences in the rapidly changing world of physician network development. The book's final chapter leaves us with an expertise on how physicians can take back healthcare