Managing Outcomes Process And Cost In A Managed Care Environment
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Managing Outcomes Process And Cost In A Managed Care Environment
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Author : Roey Kirk
language : en
Publisher: Jones & Bartlett Learning
Release Date : 1997
Managing Outcomes Process And Cost In A Managed Care Environment written by Roey Kirk 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 1997 with Medical categories.
Nursing
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
Managing Care A Shared Responsibility
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Author : Joseph L. Verheijde
language : en
Publisher: Springer Science & Business Media
Release Date : 2006-01-07
Managing Care A Shared Responsibility written by Joseph L. Verheijde 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 2006-01-07 with Medical categories.
This book traces the growth of managed care as a mechanism for curbing excessive growth in health costs, and the controversies that have risen around for-profit health care. Also examined are decentralization in US health care, and the absence of comprehensive health care planning, access rules, and minimum health care benefit standards. Finally, the author proposes a framework for improving access to quality, affordable health care in a competitive market environment.
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.
Dictionary Of Health Insurance And Managed Care
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Author : David E. Marcinko, MBA, CFP, CMP
language : en
Publisher: Springer Publishing Company
Release Date : 2006-03-22
Dictionary Of Health Insurance And Managed Care written by David E. Marcinko, MBA, CFP, CMP and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-03-22 with Medical categories.
Designated a Doody's Core Title! To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today. For Further Information, Please Click Here!
Introduction To Health Care Economics Financial Management
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Author : Susan J. Penner
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2004
Introduction To Health Care Economics Financial Management written by Susan J. Penner and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Medical categories.
This text presents basic concepts of economics and tools for financial management in the health care arena, including budgeting, breakeven analysis, financial reporting, business plan preparation, and grant writing. The text includes practical case examples drawn from actual health care settings to relate theory to real-world practice. A sample grant proposal and unique grant writing chapter will prepare students for this critical aspect of management. A free, back-of-book CD-ROM provides sample worksheets for analyzing budgets and determining breakeven points, cost-benefit, and cost-effectiveness, as well as sample budgets. Students can use the worksheets to apply their own data and complete their own analyses.
Financial Management For Nurse Managers And Executives E Book
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Author : Cheryl Jones
language : en
Publisher: Elsevier Health Sciences
Release Date : 2018-01-29
Financial Management For Nurse Managers And Executives E Book written by Cheryl Jones and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-01-29 with Medical categories.
Learn how financial management fits into the healthcare organization. Financial Management for Nurse Managers and Executives, 5th Edition covers the latest accounting and financial management practices distinctly from the nurse manager’s point of view. Topics include how financial management fits into the health care organization, financial accounting, cost analysis, planning and control management of the organization’s financial resources, various management tools, and the future of financial management with respect to healthcare reform and international accounting standards. This new edition includes updated information on the Affordable Care Act, Accountable Care Organizations, Value Based Payment, and Team and Population Based Care. Nursing-focused content thoroughly describes healthcare finance and accounting from the nurse manager’s point of view. Numerous worksheets and tables including healthcare spreadsheets, budgets, and calculations provide you with specific examples of how to apply financial management principles to nursing practice. NEW! Information about the Affordable Care Act details how changes and developments affects coverage for millions of Americans. NEW! Value-Based Payment reimbursement information details what nurse executives need to know in order to use this new system NEW! Coverage of Accountable Care Organizations provides current information on one of the emerging forms of managed care and how it works within the financial system of healthcare. NEW! Team-and Population-Based care information covers how to work with healthcare professionals outside of nursing.
The Leader S Guide To Hospital Case Management
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Author : Stefani Daniels
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2005
The Leader S Guide To Hospital Case Management written by Stefani Daniels 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 2005 with Hospitals categories.
This text will address the role of the hospital case manager from a busniess perspective rather than a nursing perspective. Will engage all areas that are involved with the health care system, in pursuit of global objectives on behalf of every stakeholder.
Health Care Financial Management For Nurse Managers
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Author : Janne Dunham-Taylor
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2006
Health Care Financial Management For Nurse Managers written by Janne Dunham-Taylor 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 2006 with Medical economics categories.
Health Care Financial Management for Nurse Managers: Merging the Heart with the Dollar prepares nurse managers for successful interfacing between financial departments and nursing administration. Using a systems approach to analyze the financial impact of health decisions so nurse managers can thoroughly understand financial concepts such as staffing, budgeting, identifying and analyzing variance, measuring productivity, costing, accounting, and forecasting, the text also presents examples, techniques, and financial accounting terminology and demonstrates how cost cutting can affect patient outcomes.
Managed Care
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Author : Margaret M. Conger
language : en
Publisher: SAGE Publications
Release Date : 1999-01-27
Managed Care written by Margaret M. Conger and has been published by SAGE Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-01-27 with Medical categories.
Of all the recent changes in health care, none have more dramatically affected both patients and care providers than managed care. Not only has it altered the way we pay for health care but also it has compelled a change in the way we approach health care, focusing increasingly on preventive care to reduce costs. In Managed Care, Dr. Margaret M. Conger and her colleagues examine the impact of managed care on nursing as a profession and nurses as individual caregivers. Organized into three sections, Managed Care looks at the nature of managed care, nursing strategies in acute care hospitals, and nursing strategies in community settings. Section I examines the evolution of managed care, definitions, and issues informing this method of service delivery, and nursing involvement in quality of care and case management. In Section II, the authors look at acute care settings, discussing the use of nurse extenders, advanced practice nursing, case management, automated clinical pathways, and outcome research. Section III addresses the community settings and explores case management, advanced practice roles in community health clinics, and collaboration in primary care settings. Managed Care will serve as an excellent course text on nursing and managed care, as well as being a useful introduction and shelf reference for professional nurses at all levels.