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Capitation In California
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Book Synopsis Capitation in California by : Maurice J. Penner
Download or read book Capitation in California written by Maurice J. Penner and published by Maurice Penner. This book was released on 1997 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This "from-the-trenches" guide can help you meet the challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, negotiating managed care contracts, & managing utilization & quality.
Download or read book Capitation written by David I. Samuels and published by Irwin Professional Publishing. This book was released on 1996 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Capitation is defined as "a type of risk sharing reimbursement method whereby providers in a plan's network receive fixed periodic payments for health services rendered to plan members". This definition doesn't necessarily mean that hospitals need to lose money. This book provides the tools and techniques for minimizing the financial risk that is associated with this process while maintaining the bottom line.
Book Synopsis Capitation Rates in the Medi-Cal Managed Care Program by : Sandra Hunt
Download or read book Capitation Rates in the Medi-Cal Managed Care Program written by Sandra Hunt and published by California Healthcare Foundation. This book was released on 1999-05-01 with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Capitation Sourcebook by : Peter Boland
Download or read book The Capitation Sourcebook written by Peter Boland and published by Jones & Bartlett Learning. This book was released on 1996 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here's a challenge to conventional wisdom that will change the way you think about capitation. This hands-on resource is a collection of articles detailing the most advanced methods used by leading healthcare operational experts on how to provide high-quality care at less cost; manage financial risk more efficiently; design operational, clinical and information systems to meet the needs of patients, practitioners and managed care organizations; structure financial incentives to promote successful collaborations and make the transition from fee-for-service to risk-sharing arrangements. You'll find practical examples of how to build the trust necessary to create win-win solutions to problems that arise between competing yet interdependent interests of the various stakeholders. Edited by Peter Boland, PhD, and based on a "best practices" approach, each of the articles in the book illustrate compensation methodologies that have been successfully implemented with the support of physicians and hospitals.
Book Synopsis The Evolution of Medical Groups and Capitation in California by : Lawrence Casalino
Download or read book The Evolution of Medical Groups and Capitation in California written by Lawrence Casalino and published by . This book was released on 1997 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Medi-Cal Program and Care for the Indigent in California by : Elizabeth A. McGlynn
Download or read book The Medi-Cal Program and Care for the Indigent in California written by Elizabeth A. McGlynn and published by . This book was released on 1985 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Strategies for Containing the Costs of the Medi-Cal Program by : California. Department of Health Services
Download or read book Strategies for Containing the Costs of the Medi-Cal Program written by California. Department of Health Services and published by . This book was released on 1980 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Left Shift by : David N. Armstrong, MD
Download or read book Left Shift written by David N. Armstrong, MD and published by Archway Publishing. This book was released on 2016-10-05 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: As US healthcare delivery is in flux, an international surgeon dissects and scrutinizes the performance of socialized medicine in Britain vs the free market healthcare system in the US. The results are sobering. Lacking funds, resources and personnel, socialized medicine results in almost twice the death rate from breast and colon cancer and 50 percent higher mortality from heart attack (myocardial infarction). The high intensity, fast paced US healthcare can presently afford such luxuries as aggressive intervention for cardiac disease, technology-laden surgical procedures and intensive screening for cancer. Meanwhile Britains cash-strapped NHS is over-stretched in keeping up with todays emergencies, with precious few resources to avert tomorrows tragedies. As the Affordable Care Act becomes a reality, US health care delivery takes a sharp turn leftward, following the same trajectory as Britain. Underfunded and overwhelmed, only seven of the original twenty-three health care co-operatives remain open, leaving the US taxpayer with a $1.7 billion dollar bill, and almost one million Americans uninsured, again. Health care is on a fast track to a Lehman Brothers 2.0, when the health care sector will be on life support from the US taxpayer, and a single payer system will emerge, with its second rate outcomes. When this day dawns, a US national health service will surface, just like Britains: Free for all, from cradle to grave. And accountable to none.
Book Synopsis Changing Health Care Systems and Rheumatic Disease by : Institute of Medicine
Download or read book Changing Health Care Systems and Rheumatic Disease written by Institute of Medicine and published by National Academies Press. This book was released on 1997-02-09 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will be excluded from or underserved by the integrated health care delivery networks now emerging. Responding to a request from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, this book reflects the results of a workshop that focused on the following questions: Does the model of managed care or an integrated delivery system influence the types of interventions provided to patients with chronic conditions and the clinical and health status outcomes resulting from those interventions? If so, are these effects quantitatively and clinically significant, as compared to the effects that other variables (e.g., income, education, ethnicity) have on patient outcomes? If the type of health care delivery system appears to be related to patient care and outcomes, can specific organizational, financial, or other variables be identified that account for the relationships? If not, what type of research should be pursued to provide the information needed about the relationship between types of health care systems and the processes and outcomes of care provided to people with serious chronic conditions?
Book Synopsis Medicare Laboratory Payment Policy by : Institute of Medicine
Download or read book Medicare Laboratory Payment Policy written by Institute of Medicine and published by National Academies Press. This book was released on 2000-12-04 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.
Book Synopsis Medi-Cal Rate Development and Review by : California. Department of Finance. Program Evaluation Unit
Download or read book Medi-Cal Rate Development and Review written by California. Department of Finance. Program Evaluation Unit and published by . This book was released on 1977 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Essentials of Managed Health Care by : Peter Reid Kongstvedt
Download or read book Essentials of Managed Health Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2003 with total page 918 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis America's Health Care Safety Net by : Institute of Medicine
Download or read book America's Health Care Safety Net written by Institute of Medicine and published by National Academies Press. This book was released on 2000-09-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.
Book Synopsis Big Doctoring in America by : fitzhugh Mullan
Download or read book Big Doctoring in America written by fitzhugh Mullan and published by Univ of California Press. This book was released on 2002-10-01 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: The general practitioner was once America's doctor. The GP delivered babies, removed gallbladders, and sat by the bedsides of the dying. But as the twentieth century progressed, the pattern of medical care in the United States changed dramatically. By the 1960s, the GP was almost extinct. The later part of the twentieth century, however, saw a rebirth of the idea of the GP in the form of primary care practitioners. In this engrossing collection of oral histories and provocative essays about the past and future of generalism in health care, Fitzhugh Mullan—a pediatrician, writer, and historian—argues that primary care is a fascinating, important, and still endangered calling. In conveying the personal voices of primary care practitioners, Mullan sheds light on the political and economic contradictions that confront American medicine. Mullan interviewed dozens of primary care practitioners—family physicians, internists, pediatricians, nurse practitioners, and physician assistants—asking them about their lives and their work. He explains how, during the last forty years, the primary care movement has emerged built on the principles of "big doctoring"--coordinated, comprehensive care over time. This book is essential reading for understanding core issues of the current health care dilemma. As our country struggles with managed care, market reforms, and cost containment strategies in medicine, Big Doctoring in America provides an engrossing and illuminating look at those in the trenches of the profession.
Book Synopsis Journal of the Assembly, Legislature of the State of California by : California. Legislature. Assembly
Download or read book Journal of the Assembly, Legislature of the State of California written by California. Legislature. Assembly and published by . This book was released on 1983 with total page 1996 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Medi-Cal Program by : California. Medi-Cal Division
Download or read book The Medi-Cal Program written by California. Medi-Cal Division and published by . This book was released on 1974 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :132 pages Book Rating :4.:/5 (327 download)
Book Synopsis Teaching Hospitals and Medicare Disproportionate Share Hospital Payments by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Teaching Hospitals and Medicare Disproportionate Share Hospital Payments written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1997 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:
