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Managed Care Systems


Managed Care Systems
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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.



Symposium Managed Care Systems Emerging Health Issues From An Ethics Perspective


Symposium Managed Care Systems Emerging Health Issues From An Ethics Perspective
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Author : Steven H. Miles
language : en
Publisher:
Release Date : 1995

Symposium Managed Care Systems Emerging Health Issues From An Ethics Perspective written by Steven H. Miles and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with categories.




Managed Care Systems And Emerging Infections


Managed Care Systems And Emerging Infections
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2000-02-11

Managed Care Systems And Emerging Infections 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 2000-02-11 with Medical categories.


This workshop summary report examines how the managed care revolution has created both problems and opportunities in the fight against infectious diseases. It highlights ways in which managed care systems can aid research, develop clinical guidelines, manage the use of antibiotics, support public education efforts, and monitor the spread of emerging infections and microbial resistance.



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.



Managed Care What It Is And How It Works


Managed Care What It Is And How It Works
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Author : Peter R. Kongstvedt
language : en
Publisher: Jones & Bartlett Publishers
Release Date : 2008-09-19

Managed Care What It Is And How It Works 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 2008-09-19 with Medical categories.


The new Third Edition of Managed Health 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. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.



Change Drivers


Change Drivers
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Author : Roy Ziegler
language : en
Publisher: Jossey-Bass
Release Date : 1998-09-29

Change Drivers written by Roy Ziegler and has been published by Jossey-Bass this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998-09-29 with Health & Fitness categories.


In this book, nationally recognized experts give clear and useful advice showing how information technology accelerates the transition to managed care and how it ensures clinical and operational excellence in the managed care environment. The authors focus on business and clinical issues, flow analyses of managed care transactions, and applications systems planning and implementation. In addition, they present a case study of Mercy Healthcare Sacramento, showing the inner workings of one of the more progressive organizations in the country.



Three Realms Of Managed Care


Three Realms Of Managed Care
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Author : Jack Glaser
language : en
Publisher: Rowman & Littlefield
Release Date : 1997

Three Realms Of Managed Care written by Jack Glaser and has been published by Rowman & Littlefield this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Managed care plans (Medical care) categories.


Glaser and Hamel offer readers an opportunity to step back from the ethical issues connected with modern health care and reflect on what we are doing, how we are doing it, and what impact our actions (and omissions) are having on the common good. While offering a new ethical paradigm that takes into account the three realms of ethical complexity (societal issues, institutional issues, and individual issues), this book offers articles for reflection and self-examination on various aspects of managed care, taking into account specific issues such as rationing, financial incentives, and full disclosure.



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


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



The Physician S Guide To Managed Care


The Physician S Guide To Managed Care
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Author : David B. Nash
language : en
Publisher: Jones & Bartlett Learning
Release Date : 1994

The Physician S Guide To Managed Care written by David B. Nash 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 1994 with Medical categories.


You'll find the practical guidance you need to transition smoothly int o the managed care environment. You'll learn the pros and cons of prac ticing in a managed care setting, the daily life of managed care physi cians, the role of managed care in medical education and health care r eform. Discover how to take advantage of new opportunities and avoid p itfalls, balance cost consideration with clinical decision-making, and understand the case mix systems most frequently used in managed care. Written almost entirely by physicians, The Physician's Guide to Manag ed Care is a must for any physician interested in meeting future chall enges.