Beacon Guide To Medicare Service Delivery 2012

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The Beacon Guide to Medicare Service Delivery, 2012

Author : Paula Long
Publisher : Beacon Health
ISBN 13 : 9781601469199
Total Pages : 336 pages
Book Rating : 4.4/5 (691 download)

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Book Synopsis The Beacon Guide to Medicare Service Delivery, 2012 by : Paula Long

Download or read book The Beacon Guide to Medicare Service Delivery, 2012 written by Paula Long and published by Beacon Health. This book was released on 2012-02-01 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to reflect the 2012 PPS Final Rule, The Beacon Guide to Medicare Service Delivery: 2012 Edition helps your staff understand how to deliver and document patient care in compliance with the Medicare rules. Newly-expanded to include care planning and navigating the CMS-485, the Beacon Guide remains the industry leader in providing complete interpretation and compliance guidelines on all PPS regulations. What's New in the 2012 Edition: * Complete section on care planning strategies and completing the CMS 485 form * Detailed analysis of how to comply with the face-to-face physician encounter requirement, including strategies to partner with physicians and discharge planners to complete required documentation * Guidance on new therapy assessment and reassessment changes, including tips on how to meet assessment timelines, and ensure documentation accuracy * Downloadable chapter on hospice management * Survey preparation strategies under the revised survey process, including the necessary steps to prepare for a CMS audit. * A breakdown of the most common survey deficiencies, with insight into exactly what a surveyor will be looking for upon arriving at your agency Benefit from this manual by: * Giving staff a working knowledge of the current regulations * Implementing checks to ensure services are delivered according to regulations * Producing documentation that supports compliance and payment claims

Beacon Guide to Medicare Service Delivery 2012

Author : Paula Long
Publisher : Healthleaders Media
ISBN 13 : 9781615691692
Total Pages : 334 pages
Book Rating : 4.6/5 (916 download)

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Book Synopsis Beacon Guide to Medicare Service Delivery 2012 by : Paula Long

Download or read book Beacon Guide to Medicare Service Delivery 2012 written by Paula Long and published by Healthleaders Media. This book was released on 2014-05-14 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to reflect the 2012 PPS Final Rule, The Beacon Guide to Medicare Service Delivery: 2012 Edition helps your staff understand how to deliver and document patient care in compliance with the Medicare rules. Newly-expanded to include care planning and navigating the CMS-485, the Beacon Guide remains the industry leader in providing complete interpretation and compliance guidelines on all PPS regulations. What's New in the 2012 Edition: * Complete section on care planning strategies and completing the CMS 485 form * Detailed analysis of how to comply with the face-to-face physician encounter requirement, including strategies to partner with physicians and discharge planners to complete required documentation * Guidance on new therapy assessment and reassessment changes, including tips on how to meet assessment timelines, and ensure documentation accuracy * Downloadable chapter on hospice management * Survey preparation strategies under the revised survey process, including the necessary steps to prepare for a CMS audit. * A breakdown of the most common survey deficiencies, with insight into exactly what a surveyor will be looking for upon arriving at your agency Benefit from this manual by: * Giving staff a working knowledge of the current regulations * Implementing checks to ensure services are delivered according to regulations * Producing documentation that supports compliance and payment claims

The Beacon Guide to Medicare Service Delivery

Author : Beacon Health
Publisher : Healthleaders Media
ISBN 13 : 9781601467126
Total Pages : pages
Book Rating : 4.4/5 (671 download)

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Book Synopsis The Beacon Guide to Medicare Service Delivery by : Beacon Health

Download or read book The Beacon Guide to Medicare Service Delivery written by Beacon Health and published by Healthleaders Media. This book was released on 2010-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Beacon Guide to Medicare Service Delivery

Author : Beacon Health
Publisher : Healthleaders Media
ISBN 13 : 9781615691920
Total Pages : 0 pages
Book Rating : 4.6/5 (919 download)

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Book Synopsis The Beacon Guide to Medicare Service Delivery by : Beacon Health

Download or read book The Beacon Guide to Medicare Service Delivery written by Beacon Health and published by Healthleaders Media. This book was released on 2013-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to reflect the 2013 PPS Final Rule, The Beacon Guide to Medicare Service Delivery: 2013 Edition helps your staff understand how to deliver and document patient care in compliance with the Medicare rules. Newly-expanded to include care planning and navigating the CMS-485, the Beacon Guide remains the industry leader in providing complete interpretation and compliance guidelines on all PPS regulations. What's New in the 2013 Edition: * The Beacon Guide has been reviewed for accuracy and updated to reflect changes based on the 2013 PPS Final Rule. * Analysis of how to comply with the updated face-to-face physician encounter requirement, including strategies to complete required documentation * Guidance on new therapy coverage and reassessment changes, including tips on how to meet assessment timelines, and ensure documentation accuracy Survey preparation strategies under the revised survey process Benefit from this manual by: * Giving staff a working knowledge of the current regulations * Implementing checks to ensure services are delivered according to regulations * Producing documentation that supports compliance and payment claims

Beacon Guide to Medicare Service Delivery 2008

Author : Beacon
Publisher :
ISBN 13 : 9781601464323
Total Pages : pages
Book Rating : 4.4/5 (643 download)

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Book Synopsis Beacon Guide to Medicare Service Delivery 2008 by : Beacon

Download or read book Beacon Guide to Medicare Service Delivery 2008 written by Beacon and published by . This book was released on 2008-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Beacon Guide to Medicare Service Delivery 2009

Author : Diane J. Omdahl
Publisher :
ISBN 13 : 9781601465832
Total Pages : pages
Book Rating : 4.4/5 (658 download)

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Book Synopsis Beacon Guide to Medicare Service Delivery 2009 by : Diane J. Omdahl

Download or read book Beacon Guide to Medicare Service Delivery 2009 written by Diane J. Omdahl and published by . This book was released on 2009-02-15 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Beacon Guide to Medicare Service Delivery 2010

Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (646 download)

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Book Synopsis Beacon Guide to Medicare Service Delivery 2010 by :

Download or read book Beacon Guide to Medicare Service Delivery 2010 written by and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Beacon Guide to Medicare Service Delivery 2011

Author : Paula Long
Publisher :
ISBN 13 : 9781601468055
Total Pages : pages
Book Rating : 4.4/5 (68 download)

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Book Synopsis Beacon Guide to Medicare Service Delivery 2011 by : Paula Long

Download or read book Beacon Guide to Medicare Service Delivery 2011 written by Paula Long and published by . This book was released on 2011-03-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Beacon Guide to Medicare Service Delivery, 2014 Edition

Author : Annette Lee
Publisher : Beacon Health, a Division of Blr
ISBN 13 : 9781615693221
Total Pages : 0 pages
Book Rating : 4.6/5 (932 download)

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Book Synopsis The Beacon Guide to Medicare Service Delivery, 2014 Edition by : Annette Lee

Download or read book The Beacon Guide to Medicare Service Delivery, 2014 Edition written by Annette Lee and published by Beacon Health, a Division of Blr. This book was released on 2014-02-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Beacon Guide to Medicare Service Delivery, 2014 Edition Updated to reflect the 2014 PPS final rule, The Beacon Guide to Medicare Service Delivery, 2014 Edition helps your staff understand how to deliver and document patient care in compliance with Medicare rules. The 2014 edition has been revised to include HHABN updates, OASIS-C1, ICD-10, and the new alternative sanctions that home health agencies will face in 2014. The Beacon Guide remains the industry leader in providing complete interpretation and compliance guidelines on all PPS regulations and highlighting changes that will impact your outcomes. The 2014 edition features: Analysis of the new Home Health Advance Beneficiary Notice (HHABN), including a sample form Up-to-date OASIS-C1 guidance A detailed explanation of how the ICD-10 transition will affect your agency In-depth descriptions and interpretations of the new alternative sanctions coming in 2014 Home health prospective payment system 2014 final rule analysis This manual: Gives staff a working knowledge of the current regulations Enables agencies to implement checks to ensure services are delivered according to Medicare regulations Helps you produce documentation that supports compliance and payment claims Serves as a important agency resource that anyone can use when stumped by a regulatory or operational question Table of Contents: The Prospective Payment System (PPS): Gives an overview of critical concepts, including the Home Health Resource Group (HHRG), consolidated billing requirements, and clinical issues that impact billing. All About the OASIS: Discusses the fundamentals of the OASIS and assessments. Compliance and Care Delivery: Highlights issues related to visits, physician orders, and start of care, recertification, and discharge. Documentation Essentials: Looks at documentation fundamentals, the clinical record, diagnoses, and the plan of care. This includes a section related to the 485 and elements of content.

The Beacon Guide to Medicare Documentation

Author : Diane J. Omdahl
Publisher :
ISBN 13 :
Total Pages : 204 pages
Book Rating : 4.:/5 (463 download)

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Book Synopsis The Beacon Guide to Medicare Documentation by : Diane J. Omdahl

Download or read book The Beacon Guide to Medicare Documentation written by Diane J. Omdahl and published by . This book was released on 1988 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Home Health Guide to Medicare Service Delivery, 2015 Edition

Author : Annette Lee
Publisher : Beacon Health, a Division of Blr
ISBN 13 : 9781556452673
Total Pages : 0 pages
Book Rating : 4.4/5 (526 download)

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Book Synopsis The Home Health Guide to Medicare Service Delivery, 2015 Edition by : Annette Lee

Download or read book The Home Health Guide to Medicare Service Delivery, 2015 Edition written by Annette Lee and published by Beacon Health, a Division of Blr. This book was released on 2015-04-14 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to reflect the 2015 home health PPS final rule, The Beacon Guide to Medicare Service Delivery, 2015 Edition offers a one-stop solution for home health professionals that are looking for answers to their Medicare compliance questions. This book also enables agencies to ensure services are delivered according to current Medicare regulations and helps staff understand how to produce patient care documentation that supports compliance and proper payment claims. This manual is more valuable than the government's version because it provides: An overview of the upcoming sanctions that will impact home health agencies in 2015 Quick access to concise, up-to-date CMS regulations, CoP rules, and Interpretive Guidelines and analyses An all-in-one resource combining the CoPs and Interpretive Guidelines, usable for reference during care delivery as well as for orientation and staff training An easy-to-read, three-column format displaying G-tags, regulations, and Interpretive Guidelines An overview of the home health PPS final rule, featuring complete interpretation and compliance guidelines on all PPS regulations An overview of CMS' proposed Conditions of Participation and what they could mean for home health in the future A comprehensive index with frequently consulted sections presented in boldface type for easy use "Nuts and bolts" education--this book takes the most complicated aspects of Medicare healthcare services and explains them in an easy-to-understand way This annual product includes all up-to-date regulatory changes with a focus on the home health PPS final rule. Table of Contents: The Basics of Medicare Service Delivery: Presents the fundamentals of Medicare coverage criteria and the Conditions of Participation. Includes a section dedicated to survey preparation. The Prospective Payment System (PPS): Gives an overview of critical concepts, including the Home Health Resource Group (HHRG), consolidated billing requirements, and clinical issues with an impact on billing. All About the OASIS: Discusses the fundamentals of the OASIS and assessments. Compliance and Care Delivery: Highlights issues related to visits, physician orders, and start of care, recertification, and discharge. Documentation Essentials: Looks at documentation fundamentals, the clinical record, diagnoses, and the plan of care. Includes a section related to the 485 and elements of content. Overview of CMS' Proposed New Conditions of Participation Appendixes

CMS Home Health Billing Manual

Author : Beacon Health
Publisher : Healthleaders Media
ISBN 13 : 9781615690305
Total Pages : 136 pages
Book Rating : 4.6/5 (93 download)

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Book Synopsis CMS Home Health Billing Manual by : Beacon Health

Download or read book CMS Home Health Billing Manual written by Beacon Health and published by Healthleaders Media. This book was released on 2014-05-14 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handy manual-updated to reflect 2010 changes-is a great resource for finding answers quickly and easily when you're stumped with a home health billing question. Spend less time looking for answers while receiving the most appropriate payment allowed. It's the perfect supplementary guide to your billing and payment procedures. Packed with examples, definitions, and calculations from CMS, this helpful guide also provides a quick billing reference for services and supplies, as well as tips when billing for non-routine supplies. In addition, it identifies what has changed and what has been eliminated since the start of the revised PPS. This convenient manual will help you: * Understand the general guidelines for processing home health agency (HHA) claims, such as where and how to bill * Report non-routine supplies on the claim * Use the Common Working File (CWF) for the PPS * Meet provider and supplier responsibilities regarding services subject to consolidated billing * Submit requests for anticipated payment (RAPs) and claims * Become adept at completing form CMS-1450 (UB-04) * Identify required quality data and the payment reduction for submission failure * Explore special billing situations involving OASIS assessments, multiple agencies, and more

Improving Diagnosis in Health Care

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309377722
Total Pages : 473 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Improving Diagnosis in Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Primary Care Medicine

Author : Allan H. Goroll
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1469883694
Total Pages : 5495 pages
Book Rating : 4.4/5 (698 download)

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Book Synopsis Primary Care Medicine by : Allan H. Goroll

Download or read book Primary Care Medicine written by Allan H. Goroll and published by Lippincott Williams & Wilkins. This book was released on 2014-05-29 with total page 5495 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinicians and students at all levels and in all primary care disciplines will benefit from the clear, practical, evidence-based writing and recommendations that address the full spectrum of clinical problems encountered in the adult primary care practice. Whether it’s the answer to a screening, prevention, evaluation, or management question or a comprehensive approach to a complex condition, the reader will find a review of best evidence integrated with considerations of affordability, cost-effectiveness, convenience and patient preference. Chapters present actionable, scientifically validated guidance that allows physicians to go beyond standard consensus guidelines and provide highly personalized care. Special consideration is given to team-based approaches of primary care delivery, recognizing its increasing importance to achieving high levels of practice performance. Primary Care Medicine’s digital format and quarterly updates ensure current, point-of-care decision support. New, online resources include a recommended curriculum for trainees and faculty, emphasizing a core knowledge base needed for all members of the primary care team, and access to state-of-the-art, condition-specific decision grids to facilitate patient participation in shared decision-making.

Evaluation of Quality in Health Care for DNPs, Third Edition

Author : Joanne V. Hickey, PhD, RN, FAAN, FCCM
Publisher : Springer Publishing Company
ISBN 13 : 0826175236
Total Pages : 421 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Evaluation of Quality in Health Care for DNPs, Third Edition by : Joanne V. Hickey, PhD, RN, FAAN, FCCM

Download or read book Evaluation of Quality in Health Care for DNPs, Third Edition written by Joanne V. Hickey, PhD, RN, FAAN, FCCM and published by Springer Publishing Company. This book was released on 2021-07-06 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its third edition, this award-winning text work is the only advanced practice nursing text to present effective, systematic, and in-depth evaluations of all aspects of health care quality. Comprehensive in scope, it distills best practice information from numerous sources to facilitate utmost competency for APN and DNP graduates. The third edition keeps pace with the rapidly evolving healthcare market by presenting a more comprehensive range of evaluation strategies for analyzing quality, safety, and value in healthcare practice and programs. It provides a completely new chapter on evaluation of simulation programs to improve clinician competency and patient care technology. An increased focus on the application of quality improvement is woven throughout, including the quality improvement-research continuum and an emphasis on interdisciplinary collaboration and teamwork. New case studies, specific examples from a variety of QI projects, and content specifically geared to improve teamwork also add to the book’s outstanding value. The text also delves into the theoretical basis of evaluation and its application as an integral part of contemporary practice. It includes evaluation models that enable nurses to address economic and financial viability, and guides readers through the translation of outcomes from evaluation into health care policy. Additionally, the text now includes PowerPoints for instructors. New to the Third Edition: New chapter: Evaluation of Simulation to Support Ongoing Competency in the HC Workforce Additional case studies and specific examples from QI projects Increased focus on teamwork and collaboration Enhanced discussion of theoretical foundations of evaluation approaches New focus on program evaluation and dissemination of findings Key Features: Addresses AACN competencies and scope of practice Helps students integrate best and evidence-based practices into care Provides guidance on practical methods and tools for Quality Improvement Project Presents evaluation models enabling nurses to address economic and financial viability Includes evaluations of organizations, systems, standards for practice, health care redesign, and the challenges of electronic medical records

Overdiagnosed

Author : H. Gilbert Welch
Publisher : Beacon Press
ISBN 13 : 0807021997
Total Pages : 249 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis Overdiagnosed by : H. Gilbert Welch

Download or read book Overdiagnosed written by H. Gilbert Welch and published by Beacon Press. This book was released on 2012-01-03 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: An exposé on Big Pharma and the American healthcare system’s zeal for excessive medical testing, from a nationally recognized expert More screening doesn’t lead to better health—but can turn healthy people into patients. Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening. Drawing on 25 years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with “abnormal” test results have been drastically lowered just when technological advances have allowed us to see more and more “abnormalities,” many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10% of 2,000 healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers. With genetic and prenatal screening now common, patients are being diagnosed not with disease but with “pre-disease” or for being at “high risk” of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care.

Population Health Management for Poly Chronic Conditions

Author : Thomas T.H. Wan
Publisher : Springer
ISBN 13 : 3319680560
Total Pages : 200 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Population Health Management for Poly Chronic Conditions by : Thomas T.H. Wan

Download or read book Population Health Management for Poly Chronic Conditions written by Thomas T.H. Wan and published by Springer. This book was released on 2017-10-24 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to population health management and how it can be used to improve the health care and outcomes for patients with poly chronic conditions. The book uses an integrated approach guided by a transdisciplinary orientation that incorporates both a macro and a micro-theoretical framework for promoting population health management. Thus, policy decision makers can prioritize how limited resources can be used to optimize health service needs of the chronically ill and disabled in the nation as well as in the globe. The book also identifies appropriate applications of health information technology that can facilitate interoperability, data sharing and effective communication to ensure that applicable knowledge is derived from the available information. Multiple implications of population health management for poly chronic conditions suggest that concerted efforts in promoting preventive strategies can yield numerous benefits. Continuous improvement efforts through impact evaluation and a commitment to the adoption of the health information technology resources needed are also critical aspects of this process. Patients with poly chronic conditions have complex needs and are often high-utilizers of health services. Great potential exists to improve the health and health care of these individuals through improved coordination integrating multiple domains of the population health management approach. Population Health Management is needed now more than ever due to the current challenges facing the health care system that were not present in previous decades. This book points out strategic directions suggested by empirical evidence and experts’ opinions on innovative care management solutions observed in many advanced countries.