Managing Managed Care Ii
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Managing Managed Care Ii
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Author : Michael Goodman
language : en
Publisher: American Psychiatric Pub
Release Date : 1996
Managing Managed Care Ii written by Michael Goodman and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Medical categories.
Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes. Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated. Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.
Casebook For Managing Managed Care
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Author : Jeffrey P. Bjorck
language : en
Publisher: American Psychiatric Pub
Release Date : 2008-11-01
Casebook For Managing Managed Care written by Jeffrey P. Bjorck and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-11-01 with Medical categories.
In today's environment of managed care, practitioners face more daunting challenges than ever: treatment authorizations are becoming more difficult to obtain, as are referrals to other healthcare practitioners, which are increasingly performance based. Into this competitive environment comes Casebook for Managing Managed Care: A Self-Study Guide for Treatment Planning, Documentation, and Communication. Dedicated to helping mental healthcare practitioners clearly articulate and prove the value of what they provide patients within the managed care system, this foundational text uniquely fills a gap in the literature by providing a user-friendly, self-contained tutorial for the Patient Impairment Profile (PIP) documentation method. The PIP combines impairment terminology, the impairment profile, and the various treatment plan components to create a common language for describing behavior-based patient dysfunction and communicating the clinical rationale for treatment. As a model for treatment plan development, the PIP system trains the practitioner (or treatment team) in the "must-have" skills needed for todays managed care environment. Here practitioners will find explicit instructions about how to Communicate treatment needs convincingly Distinguish effectively between goals, objectives, and interventions Track progress over time Document treatment summaries efficiently Using clear language and a wide array of case vignettes, the Casebook demonstrates how using PIPS can streamline the documentation, communication, and decision-making processes. The Casebook continues the groundbreaking tradition of its predecessors: Managing Managed Care: The Mental Health Practitioner's Survival Guide (Goodman et al. 1992) and Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition (Goodman et al. 1996). It is uniquely valuable both as a stand-alone instructional text and as a companion to the second edition, which introduced the Patient Impairment Lexicon and the PIP system itself. The Casebook's updates to the Impairment Lexicon definitions that first appeared in Managing Managed Care II are based on the authors' ongoing psychometric evaluation and research. This practical text will find its way onto the bookshelves of mental healthcare practitioners and managed care personnel alike. Psychiatrists, clinical psychologists, clinical social workers, marriage and family therapists, and psychiatric nurses -- especially those participating as managed care providers -- and case managers and utilization reviewers within managed care organizations, regardless of background, will find a framework for success within these pages. The Casebook's broad appeal also extends to both students in healthcare disciplines and the graduate programs that train them, and to psychiatric/behavioral healthcare organizations and facilities (inpatient, outpatient, and residential), where it will be used for treatment planning.
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.
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
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Author : Michael C. Roberts
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-11-19
Managing Managed Care written by Michael C. Roberts and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-11-19 with Psychology categories.
The introduction of the concept of managed care into mental and physical health care appears to be a juggernaut of unparalleled impact. The two extremes of thought about this impact are (I) that managed care is a villainous foe to be resisted in order to bring back the earlier halcyon years of independence in practice decisions with greater reimbursement for psychologists' services or (2) that managed care is a laudatory attempt to restrain health care costs that are out of control and spiraling upward by rooting out mismanagement and reversing financial incentives to provide unnecessary care. The former view calls managed health care such names as "mangled care" and distributes bumper stickers stating "Just Say No to HMOs. " The latter view points to the slowdown of increases in health care expenditures and the enhancement of health care affordability and appropriateness for greater numbers of persons resulting from managed care cost-containment strategies and service review procedures. Mental or behavioral health care has been as strongly impacted as medical care under managed care. Where managed care has forced practitioners' attention to validated procedures and to examining previous wasteful practices, we ap plaud the movement. Where managed care has had adverse impact, we think there needs to be greater public, legal, and regulatory attention to its excesses and abuses.
Managing Managed Care In The Medical Practice
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Author : Kay Stanley
language : en
Publisher: American Medical Association Press
Release Date : 2004
Managing Managed Care In The Medical Practice written by Kay Stanley and has been published by American Medical Association Press 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.
Provides an overview of today's concepts of managed care as they relate to the business aspects of medical practice. This updated guide relates the current mechanics of managed care and illustrates their application to medical practice management. Invaluable resources such as reviews of the fundamentals and concepts, terminology and definitions, a clarification of various roles of physicians in managed care, and tools for assessing plans and reviewing contracts are included. This book will keep the reader ahead of managed care trends and ensure that the readers' practice remains fiscally solid while providing the highest quality care possible to patients.
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.
Managing Managed Care
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Author : Robert Langs
language : en
Publisher: Jason Aronson
Release Date : 2009-02-19
Managing Managed Care written by Robert Langs and has been published by Jason Aronson this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-02-19 with Psychology categories.
Managing Managed Care is the first comprehensive exploration of the many issues and challenges faced by both providers and patients who work under the auspices of managed care insurers. The distinctive conditions of managed care treatment are scrutinized in detail and their effects and optimal management are carefully presented. The book makes extensive use of the author's unique, in-depth understanding of the human mind and pays attention to both the consciously mediated effects of the conditions of managed care treatment and to the especially powerful, largely unappreciated effects that are mediated unconsciously. The result is a well grounded, extensive, practical guide to dealing effectively with the inevitable intrusions into the therapeutic relationship and with other common issues that are characteristic of managed care therapy. The recommendations proposed by the author can turn a failing treatment experience into one that brings symptom relief to the patient and satisfaction to the therapist. While the author is critical of many practices endorsed by managed care insurers and in use by their providers, he takes pains to propose basic improvements in these areas. In addition, the positive features of this treatment modality are given full consideration, including ways to enhance their favorable effects. The book uniquely provides critical insights for therapists and psychiatrists of all backgrounds and all levels of clinical experience in ways that will greatly enhance their work with managed care patients.
Concise Guide To Managing Behavioral Health Care Within A Managed Care Environment
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Author : Michael Isaiah Bennett
language : en
Publisher: American Psychiatric Pub
Release Date : 2008-08-13
Concise Guide To Managing Behavioral Health Care Within A Managed Care Environment written by Michael Isaiah Bennett and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-08-13 with Medical categories.
How can behavioral health clinicians provide managed care in an ethical, professionally satisfying way while also dealing with managed care organizations (MCOs)? This concise yet powerful volume will jump-start clinicians in their search for effective answers. Unlike other managed care guides, which tend to view the clinician-managed care relationship as inherently adversarial, this groundbreaking pocket guide (another in American Psychiatric Publishing's Concise Guides series) views resource management as a basic function -- indeed, an ally -- of ethical clinical practice. True managed care both improves the quality of clinical care and protects community resources. It even stimulates patients to become more active managers of their own care. The author, speaking from extensive first-hand experience as both network provider and MCO administrator, asserts that clinicians must know how to manage care themselves to effectively persuade insurance companies to pay for treatment. Toward that end, the author details the practical tools clinicians need in just five chapters: Chapter 1, Managing Care Ethically, discusses basic principles and methods for making clinical decisions about behavioral health care when resources are limited and methods for communicating these decisions to patients and MCOs. Chapter 2, Managing Nonacute Care, applies the principles and methods from Chapter 1 to providing non-acute, usually outpatient, services. Chapter 3, Managing Acute Care, applies the principles and methods from Chapter 1 to providing acute crisis or inpatient services. Chapter 4, Marketing to Managed Care Organizations, details strategies for negotiating contracts to often unreceptive MCOs who consider their networks full, showing how clinicians can enhance their market value by filling MCO needs. Chapter 5, Managing Utilization Review, offers insights on overseeing the clinical work of colleagues and shaping the health care system, assuming that care managers are professionally obligated to help patients receive the care they need and deserve without intruding on the clinician's role, and that the best management manages least, taking responsibility for efficient resource utilization and ongoing system improvement. This practical guide is more than just a handbook for successfully navigating MCO procedures and market dynamics; it also shows that the outcome of truly managed care can be just as satisfying and effective as care provided with infinite resources. Invaluable to clinicians in everyday practice, this remarkable guide with its unique insights, collaborative approach, and case examples will also find a wide audience among clinical administrators in private and public MCOs who train network clinicians and utilization managers.
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.