Managing Managed Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309175054
Total Pages : 394 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Managing Managed Care by : Institute of Medicine

Download or read book Managing Managed Care written by Institute of Medicine and published by National Academies Press. This book was released on 1997-04-21 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

The Credentialing Handbook

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834209336
Total Pages : 604 pages
Book Rating : 4.2/5 (93 download)

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Book Synopsis The Credentialing Handbook by : Sheryl Deutsch

Download or read book The Credentialing Handbook written by Sheryl Deutsch and published by Jones & Bartlett Learning. This book was released on 1999 with total page 604 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Credentialing Handbook provides comprehensive, plain-English guida nce to understand and master the provider credentialing process in any health care setting. With sample forms, checklists, flowcharts, and c orrespondence, this practical guide walks you through every aspect of effective credentialing, appointment, and recredentialing. You'll lear n: key steps in the credentialing process; about express credentialin g models; how to credential allied health practitioners; typical time frames and tracking systems; pros and cons of delegating credentialin g, plus more.

Managed Care Quality

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Publisher : CRC Press
ISBN 13 : 1000162141
Total Pages : 294 pages
Book Rating : 4.0/5 (1 download)

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Book Synopsis Managed Care Quality by : A. F. Al-Assaf

Download or read book Managed Care Quality written by A. F. Al-Assaf and published by CRC Press. This book was released on 2020-07-26 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Medical Records and the Law

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Publisher : Jones & Bartlett Learning
ISBN 13 : 0763734454
Total Pages : 613 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Medical Records and the Law by : William H. Roach

Download or read book Medical Records and the Law written by William H. Roach and published by Jones & Bartlett Learning. This book was released on 2006 with total page 613 pages. Available in PDF, EPUB and Kindle. Book excerpt: Published in conjunction with the American Health Information Management Association (AHIMA), the Fourth Edition of Medical Records and the Law is once again the ideal text for programs in HIM as well as a valuable reference resource for health professionals and those in the legal profession. Providing a useful resource to those in the legal profession, it addresses the substantial changes brought about by HIPAA and the growth of electronic health record systems and electronic data networks, retaining and updating the discussion of state laws affecting the use and disclosure of health informat

Ethical Challenges in Managed Care

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Publisher : Georgetown University Press
ISBN 13 : 9780878407194
Total Pages : 392 pages
Book Rating : 4.4/5 (71 download)

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Book Synopsis Ethical Challenges in Managed Care by : Karen Grandstrand Gervais

Download or read book Ethical Challenges in Managed Care written by Karen Grandstrand Gervais and published by Georgetown University Press. This book was released on 1999 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Through twenty case studies that illustrate a wide range of ethical challenges, this book explores the goals, methods, and practices of managed care, and offers practical guidance for addressing the ethical and policy issues inherent in such a system.

Medical Records and the Law

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Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449663524
Total Pages : 613 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Medical Records and the Law by : William H. Roach Jr.

Download or read book Medical Records and the Law written by William H. Roach Jr. and published by Jones & Bartlett Publishers. This book was released on 2006-04-18 with total page 613 pages. Available in PDF, EPUB and Kindle. Book excerpt: Published in conjunction with the American Health Information Management Association (AHIMA), Medical Records and the Law is the ideal text for programs in HIM as well as a valuable reference for health and legal professionals. The Fourth Edition features an expanded discussion of state laws affecting the use and disclosure of health information and the substantial changes brought about by HIPAA and the growth of electronic health record systems. It also discusses the highly complex interplay of federal and state laws as well as the challenging area of how patient information may be used in connection with medical research involving human subjects.

In the Nation's Compelling Interest

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Publisher : National Academies Press
ISBN 13 : 0309166616
Total Pages : 429 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis In the Nation's Compelling Interest by : Institute of Medicine

Download or read book In the Nation's Compelling Interest written by Institute of Medicine and published by National Academies Press. This book was released on 2004-06-29 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.

Managed Care Services

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Publisher : Oxford University Press, USA
ISBN 13 : 019513429X
Total Pages : 304 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Managed Care Services by : Nancy W. Veeder

Download or read book Managed Care Services written by Nancy W. Veeder and published by Oxford University Press, USA. This book was released on 2001 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume explores policy, programmatic, and research issues in the health and behavioural health care system known as managed care. Discussions include such areas as the evolution of health care from essential social good to a commodity, cost of and access to care, parity of behavioural health services reimbursement and more.

Race, Ethnicity, and Language Data

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Publisher : National Academies Press
ISBN 13 : 0309140129
Total Pages : 286 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Race, Ethnicity, and Language Data by : Institute of Medicine

Download or read book Race, Ethnicity, and Language Data written by Institute of Medicine and published by National Academies Press. This book was released on 2009-12-30 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.

Medicaid Managed Care

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Publisher :
ISBN 13 :
Total Pages : 872 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Medicaid Managed Care by : United States. Congress. Senate. Special Committee on Aging

Download or read book Medicaid Managed Care written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1997 with total page 872 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Organization Ethics in Health Care

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Publisher : Oxford University Press
ISBN 13 : 019028465X
Total Pages : 256 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Organization Ethics in Health Care by : Edward M. Spencer

Download or read book Organization Ethics in Health Care written by Edward M. Spencer and published by Oxford University Press. This book was released on 2000-01-06 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ethical aspects of the operation of healthcare organizations (HCOs) are central to the delivery of health care. Organization Ethics in Health Care begins by assessing the shortcomings of clinical ethics, business ethics, and professional ethics as a basis for solving problems that have emerged in healthcare delivery systems since the advent of managed care. The text focuses on the meaning of the developent of the HCO in our society and what its present status is. The authors point out that moral parameters endorsed by society have guided previous shifts in the relationships among important HCO stakeholders, but that these parameters have been unclear or missing altogether during the past tumultous decade. Finally, they describe the key elements for the successful implementation of a fully functioning healthcare organization ethics program and what it can mean to the institution, its associated clinicians and employees, its patients, and its community. Moving from theory to practical application, this book will serve as an excellent student text, a professional guide, and a reference work.

Health Professions Education

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Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Managed Care Success

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834210233
Total Pages : 328 pages
Book Rating : 4.2/5 (12 download)

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Book Synopsis Managed Care Success by : James W. Saxton

Download or read book Managed Care Success written by James W. Saxton and published by Jones & Bartlett Learning. This book was released on 1998 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: The number of malpractice claims And The severity of final judgments could explode under managed care. Physicians and managed care organizations are on a collision course with malpractice when patient expectations are at an all-time high, and pressures of efficiency are constantly increasing. Defensive medicine -- doing procedures or additional tests, To protect the provider will no longer work. Utilization controls will penalize you, and ultimately, limit your practice. So what's the solution? to be successful in this evolving health care environment, you've got to change with it. You've got to be informed, be prepared, and ready to coexist with it. That's precisely why you need Managed Care Success: Reducing Risk While Increasing Patient Satisfaction . You'll learn how to work with -- not against -- managed care.

Community Health Nursing

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763740740
Total Pages : 1052 pages
Book Rating : 4.7/5 (47 download)

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Book Synopsis Community Health Nursing by : Karen Saucier Lundy

Download or read book Community Health Nursing written by Karen Saucier Lundy and published by Jones & Bartlett Learning. This book was released on 2001 with total page 1052 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book is designed to be used throughout the undergraduate nursing curriculum, as well as in traditional community health nursing theory and clinical courses. Ideal courses include Community Health Nursing, Nursing Care III, Nursing Care of the Community, Community Nursing Clinical, and Community Nursing Theory.

Asian American Mental Health

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Publisher : Springer Science & Business Media
ISBN 13 : 1461507359
Total Pages : 366 pages
Book Rating : 4.4/5 (615 download)

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Book Synopsis Asian American Mental Health by : Karen Kurasaki

Download or read book Asian American Mental Health written by Karen Kurasaki and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asian American Mental Health is a state-of-the-art compendium of the conceptual issues, empirical literature, methodological approaches, and practice guidelines for conducting culturally informed assessments of Asian Americans, and for assessing provider cultural competency within individuals and systems. It is the first of its kind on Asian Americans. This volume draws upon the expertise of many of the leading experts in Asian American and multicultural mental health to provide a much needed resource for students and professionals in a wide range of disciplines including clinical psychology, medical anthropology, psychiatry, cross-cultural psychology, multicultural counseling, ethnic minority psychology, sociology, social work, counselor education, counseling psychology, and more.

SAMHSA News

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Publisher :
ISBN 13 :
Total Pages : 166 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis SAMHSA News by :

Download or read book SAMHSA News written by and published by . This book was released on 2002 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Handbook of Quality Management in Behavioral Health

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Publisher : Springer Science & Business Media
ISBN 13 : 1461541956
Total Pages : 410 pages
Book Rating : 4.4/5 (615 download)

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Book Synopsis Handbook of Quality Management in Behavioral Health by : George Stricker

Download or read book Handbook of Quality Management in Behavioral Health written by George Stricker and published by Springer Science & Business Media. This book was released on 2013-11-11 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the first time in history, behavioral health providers are expected to understand and participate in activities intended to access and improve the quality of services they provide. This handbook is designed as a general resource in the field of behavioral health quality management for a very diverse group of readers, including graduate and undergraduate students, payors, purchasers and administrators within managed care organizations, public sector service system planners and managers, applied health services researchers and program evaluators. This volume provides a comprehensive context for the development of quality management (QM) in health services - behavioral health in particular - as well as an overview of tools, techniques, and programs reflecting QM in practice. It also offers perspectives on both internally- and externally-based QM activities.