Consumer Perspectives on Medicaid Managed Care

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Publisher :
ISBN 13 :
Total Pages : 46 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Consumer Perspectives on Medicaid Managed Care by : Roberta Riportella-Muller

Download or read book Consumer Perspectives on Medicaid Managed Care written by Roberta Riportella-Muller and published by . This book was released on 1998 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluating Medicaid Managed Care Through a Public-private Partnership

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Publisher :
ISBN 13 :
Total Pages : 34 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Evaluating Medicaid Managed Care Through a Public-private Partnership by : Roberta Riportella-Muller

Download or read book Evaluating Medicaid Managed Care Through a Public-private Partnership written by Roberta Riportella-Muller and published by . This book was released on 1998 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluation of Iowa's Medicaid Managed Care Program

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (263 download)

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Book Synopsis Evaluation of Iowa's Medicaid Managed Care Program by : Margaret C. Tyler

Download or read book Evaluation of Iowa's Medicaid Managed Care Program written by Margaret C. Tyler and published by . This book was released on 2006 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Leading Medicaid Managed Care Plans

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Publisher : Taylor & Francis
ISBN 13 : 1351398423
Total Pages : 101 pages
Book Rating : 4.3/5 (513 download)

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Book Synopsis Leading Medicaid Managed Care Plans by : Arlene Davidson

Download or read book Leading Medicaid Managed Care Plans written by Arlene Davidson and published by Taylor & Francis. This book was released on 2017-10-19 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading Medicaid Managed Care Plans examines leadership actions necessary to successfully operate a Medicaid managed care plan with emphasis on the relationship with the state Medicaid agency the health plan is contracted with. With appropriate operational and governance oversight, and with solid mutually respectful relationships with the state agency, Medicaid health plans are more likely to sustain success and prosperity for the long term. The approach of Leading Medicaid Managed Care Plans builds on key infrastructure elements that need to be in place when contracting with a state agency, and for overall success of the organization. It takes a pragmatic and methodical approach, interspersed with real-life examples of what to do for success and what actions to avoid that frequently lead to failure. This approach is different from most managed care books (Medicaid or otherwise) as those mostly focus on the process of the business (such as details around claims payment, or provider contracting) and ignore the role of the state Medicaid agency and its importance in retaining the contractual relationship. This book differs also on its emphasis on organizational foundational elements and strategic leadership skills necessary to sustain success. The author has years of experience in turning around failing Medicaid managed care plans and observing what they all had in common that contributed to those failures. One common feature was the deterioration of the relationship with the state Medicaid agency they were contracted with, and how close they all came to losing their multi-million dollar businesses. The purpose of this book is to educate and inspire managed care executives and senior leaders who operate Medicaid health plans and to help them understand what elements are needed for successful health plans and a sustainable relationship with the people directing the state Medicaid agency.

Anticipating the Move to Managed Care

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Publisher :
ISBN 13 :
Total Pages : 23 pages
Book Rating : 4.:/5 (551 download)

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Book Synopsis Anticipating the Move to Managed Care by : HealthVisions, Inc

Download or read book Anticipating the Move to Managed Care written by HealthVisions, Inc and published by . This book was released on 1994 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managing Managed Care

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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.

Evaluating the Iowa Medicaid Managed Care Plans

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (263 download)

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Book Synopsis Evaluating the Iowa Medicaid Managed Care Plans by : Peter C. Damiano

Download or read book Evaluating the Iowa Medicaid Managed Care Plans written by Peter C. Damiano and published by . This book was released on 2002 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluating the Iowa Medicaid Managed Care Plans

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (263 download)

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Book Synopsis Evaluating the Iowa Medicaid Managed Care Plans by : Margaret C. Tyler

Download or read book Evaluating the Iowa Medicaid Managed Care Plans written by Margaret C. Tyler and published by . This book was released on 2004 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Beyond Managed Care

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Publisher : Jossey-Bass
ISBN 13 :
Total Pages : 376 pages
Book Rating : 4.:/5 (321 download)

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Book Synopsis Beyond Managed Care by : Dean C. Coddington

Download or read book Beyond Managed Care written by Dean C. Coddington and published by Jossey-Bass. This book was released on 2000-08-04 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written for health care leaders at all levels, Beyond Managed Care identifies and assesses the key factors most likely to influence the future market for health care services-such as consumer empowerment through the Internet and the increasing demands of the aging baby boomer population-and shows providers what adjustments can be made in order to thrive in this emerging environment. The authors analyze the factors driving health care costs such as changing demographics, new medical technology, genetic and new drug research, and payment system models. The book clearly shows that organizations that are able to take organizations to the next value-added level--by providing quality, access, service, innovation, and lower costs--will be the winners.

The Great American Rip-Off

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Publisher : Dog Ear Publishing
ISBN 13 : 1598585746
Total Pages : 170 pages
Book Rating : 4.5/5 (985 download)

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Book Synopsis The Great American Rip-Off by : Susan M. Finley

Download or read book The Great American Rip-Off written by Susan M. Finley and published by Dog Ear Publishing. This book was released on 2008 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book gives the reader a look at the complicated U.S. health care system through the eyes of a consumer. It explores two key questions: Why, with all of the resources that have been devoted to solving the health care crisis, does the situation continue to deteriorate? And, what, exactly, could be done differently this time to turn the situation around? The author examines obstacles that have stood in the way of health care reform in the past - including politics, government red tape, profit-driven providers, moneyed lobbyists and special interest groups and even, our own consumer "entitlement mentality" - and challenges the reader to envision a scenario in which innovation in health care might be possible. The author argues that consumers are the key to forward progress on health care: we'll only see consumer-driven solutions when enough people demand them. This book is a challenge to consumers to speak up and hold our leaders in the medical community, the government and corporate America accountable for developing solutions that work for us. Susan M. Finley is a small business owner and marketing strategist. She began her career as a bank product manager, and in 1994 co-founded Michaelson Kelbick Partners Inc. (MKP), a firm specializing in marketing and communications for the financial services industry. Over the course of a decade, the agency managed marketing communications for some of the largest bank mergers in recent history. In 2003, she left MKP (now renamed mkp communications, inc.). Her knowledge and understanding of the complicated U.S. health care financing system comes from a three-year research and consulting project, started in the hopes of serving as a catalyst for consumer-driven changes in health care. She lives in North Carolina, where she and her husband have recently founded Finley and Finley, LLC, to continue their research on potential avenues for innovation in the health care and financial services industries.

The Challenge of Regulating Managed Care

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Publisher : University of Michigan Press
ISBN 13 : 0472097784
Total Pages : 220 pages
Book Rating : 4.4/5 (72 download)

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Book Synopsis The Challenge of Regulating Managed Care by : John Eugene Billi

Download or read book The Challenge of Regulating Managed Care written by John Eugene Billi and published by University of Michigan Press. This book was released on 2001-11-08 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: DIVA rare insight into the views of major stakeholders in the debate about oversight of the managed-care industry /div

Improving the Medicare Market

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Publisher : National Academies Press
ISBN 13 : 0309175364
Total Pages : 384 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Medicare Market by : Institute of Medicine

Download or read book Improving the Medicare Market written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.

Consumer Information in a Changing Health Care System

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Publisher : DIANE Publishing
ISBN 13 : 0788142143
Total Pages : 299 pages
Book Rating : 4.7/5 (881 download)

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Book Synopsis Consumer Information in a Changing Health Care System by : Judith A. Sangl

Download or read book Consumer Information in a Changing Health Care System written by Judith A. Sangl and published by DIANE Publishing. This book was released on 1996 with total page 299 pages. Available in PDF, EPUB and Kindle. Book excerpt: Describes several trends promoting more active consumer participation in health decisions & how consumer info. facilitates that role. Major issues in developing consumer info. are presented, stressing how orientation to consumer needs & use of social marketing techniques can yield improvement. Discusses different aspects of info. for choice of health plan, ranging form consumer perspectives on their info. needs & their comprehension of quality indicators, to methods used for providing such info., such as direct counseling & comparative health plan performance data. Charts, tables & graphs.

Discussion Papers

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Publisher :
ISBN 13 :
Total Pages : 32 pages
Book Rating : 4.3/5 (243 download)

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Book Synopsis Discussion Papers by : Roberta Riportella-Muller

Download or read book Discussion Papers written by Roberta Riportella-Muller and published by . This book was released on 1998 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Care Without Coverage

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Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Effective Public Management of Mental Health Care

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Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Effective Public Management of Mental Health Care by :

Download or read book Effective Public Management of Mental Health Care written by and published by . This book was released on 2000 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Consumer Voice in Medicaid Managed Care

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Publisher :
ISBN 13 :
Total Pages : 4 pages
Book Rating : 4.:/5 (127 download)

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Book Synopsis The Consumer Voice in Medicaid Managed Care by : John Barth

Download or read book The Consumer Voice in Medicaid Managed Care written by John Barth and published by . This book was released on 2007 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt: