Managed Care Law And Liability

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Managed Care Law and Liability

Author : Sander Marc Rabin
Publisher : Aspen Publishers
ISBN 13 : 9780735520523
Total Pages : 0 pages
Book Rating : 4.5/5 (25 download)

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Book Synopsis Managed Care Law and Liability by : Sander Marc Rabin

Download or read book Managed Care Law and Liability written by Sander Marc Rabin and published by Aspen Publishers. This book was released on 2001 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an attorney-physician with years of experience in both the legal and patient care settings, Managed Care Law and Liability provides the first in-depth examination of the regulations, statutes, case law directed at the managed care industry, And The unique liability issues that affect MCOs, patients and providers. Whatever your level of experience in healthcare litigation, whatever side of the managed care dispute you represent, Managed Care Law and Liability provides essential guidance to help you efficiently evaluate, frame and litigate managed care liability claims. You'll have rapid access To The various theories of liability, As well as a detailed game plan for conducting a successful managed care lawsuit.

Law and Practice of Private Health Insurance and Managed Care

Author : Christian Funk
Publisher : diplom.de
ISBN 13 : 3832423214
Total Pages : 147 pages
Book Rating : 4.8/5 (324 download)

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Book Synopsis Law and Practice of Private Health Insurance and Managed Care by : Christian Funk

Download or read book Law and Practice of Private Health Insurance and Managed Care written by Christian Funk and published by diplom.de. This book was released on 2000-04-28 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inhaltsangabe:Abstract: A true revolution has taken place in the financing of health care in America. Today, managed care is dominating the way Americans receive and pay for their health care. With the rise of managed care medicine has been wrenched out of its atomized world of solo physician practices and community hospitals and has been transformed into a modern industry of giant for-profit companies traded on Wall Street. The current marketplace is characterized by mergers, acquisitions and the establishment of giant multi-billion dollar healthcare networks. Hospitals and managed care plans run big advertisement campaigns in the media, praising their products and services in order to get the biggest share possible of the $1.1 trillion America spends on health care each year. All parties involved in providing health care lobby for their interests at all levels of political decision-making in order to influence legislators and policymakers. Today s health care market changes quickly and at a high rate. New variations of managed care arise constantly making any analysis of managed care an ongoing game of "catch-up" with the marketplace. While writing this paper, for example, UnitedHealthcare dropped one of the major managed care instruments, utilization review, to address public s concerns and pending legislation. This paper will take a snapshot of managed care on the eve of the new millennium by using the most recent information available. After this introduction, the paper will give a description of the current American health care system in chapter two (The U.S. Health Care System). Then, the paper will focus on two aspects: A detailed description of managed care in chapter three (Managed Care) and an introduction of the main issues connected with this way of providing health care in chapter four (Managed Care issues). The paper will argue in chapter five (Results and Future Developments), that managed care of the future will be a light version of what is currently existing, resulting in less strict restrictions and more freedom for patients and doctors. Finally, the report will focus on recent developments in Germany, where policy-makers have started to adopt particular elements of managed care. In chapter six (Managed Care Approaches in Germany), the paper will argue, that Germany should pay more attention to the American experiences regarding managed care in order to prevent harm for patients in [...]

Strangers in the Night

Author : Peter D. Jacobson
Publisher : Oxford University Press
ISBN 13 : 0190288299
Total Pages : 497 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Strangers in the Night by : Peter D. Jacobson

Download or read book Strangers in the Night written by Peter D. Jacobson and published by Oxford University Press. This book was released on 2002-08-08 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than ever before, the legal system plays a vital role in virtually every aspect of the current health care system. From the congressional debate over patients' rights legislation to judicial rulings on the denial of health care services, the legal system is integrally involved in the organization, financing, and delivery of health care. This book explains how the legal system helps shape health care delivery and policy, explores new ways of looking at the relationship between law and medicine, and reflects on why it all matters. The story focuses on the judicial response to the advent of managed care, especially challenges to cost containment initiatives, and shows how the legal system has facilitated managed care's dominance over the health care system. An equally important part of the story is the evolution of the relationship between physicians and attorneys and how their mutual antagonism affects patient care. In the end, the stories come together around a strategy for reconciling the difficult health policy choices the country faces and for restoring the physician-patient relationship to the center of health care delivery.

Managed Care Liability

Author : David L. Leitner
Publisher : American Bar Association
ISBN 13 :
Total Pages : 496 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Managed Care Liability by : David L. Leitner

Download or read book Managed Care Liability written by David L. Leitner and published by American Bar Association. This book was released on 1997 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt:

State by State Guide to Managed Care Law, 2007 Edition

Author : John F. Buckley, IV
Publisher :
ISBN 13 : 9780735560291
Total Pages : 544 pages
Book Rating : 4.5/5 (62 download)

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Book Synopsis State by State Guide to Managed Care Law, 2007 Edition by : John F. Buckley, IV

Download or read book State by State Guide to Managed Care Law, 2007 Edition written by John F. Buckley, IV and published by . This book was released on 2006-11-22 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until now, the search for information on managed care was much more difficult than it had to be. Now you can examine and compare regulatory policies state by state. State-by-State Guide to Managed Care Law simplifies and expedites your research by giving you immediate access to key court decisions, state managed care policies and practices and extensive citations to codes and regulations -- for all 50 states. Identify your issue in the index and turn to the page indicated. You'll find current, authoritative information that can help you to: Evaluate baseline quality standards - Determine when managed care enrollees have access to providers - Establish guidelines for collection and disclosure of financial information - Arm yourself to tackle the complicated issue of prescription drugs - Ensure that the managed care organization recognizes patients' and providers' due process rights. Managed care is undeniably a permanent part of the health care landscape, so keep this portable and precise reference close at hand for daily consultation.

Healthcare Law and Ethics

Author : Dean M. Harris
Publisher :
ISBN 13 :
Total Pages : 342 pages
Book Rating : 4.:/5 (321 download)

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Book Synopsis Healthcare Law and Ethics by : Dean M. Harris

Download or read book Healthcare Law and Ethics written by Dean M. Harris and published by . This book was released on 1999 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Legal Issues Associated with Development and Implementation of Provider-sponsored Managed Care Organizations

Author :
Publisher :
ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Legal Issues Associated with Development and Implementation of Provider-sponsored Managed Care Organizations by :

Download or read book Legal Issues Associated with Development and Implementation of Provider-sponsored Managed Care Organizations written by and published by . This book was released on 1998 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Care and the Law

Author : Charles G. Benda
Publisher : Aspen Publishers
ISBN 13 : 9780316174084
Total Pages : 506 pages
Book Rating : 4.1/5 (74 download)

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Book Synopsis Managed Care and the Law by : Charles G. Benda

Download or read book Managed Care and the Law written by Charles G. Benda and published by Aspen Publishers. This book was released on with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Challenge of Regulating Managed Care

Author : John Eugene Billi
Publisher : University of Michigan Press
ISBN 13 : 0472023721
Total Pages : 307 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 2010-02-01 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room. Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources. The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care. John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan. Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.

Problems in Health Care Law

Author : Robert Miller
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763745553
Total Pages : 913 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Problems in Health Care Law by : Robert Miller

Download or read book Problems in Health Care Law written by Robert Miller and published by Jones & Bartlett Learning. This book was released on 2006 with total page 913 pages. Available in PDF, EPUB and Kindle. Book excerpt: This classic text has been extensively updated and restructured to use the "problems" approach which analyzes underlying, conflicting public policies and the legal solutions for those problems. It continues to be the helpful one-volume overview of healthcare law that it and its predecessor, Problems in Hospital Law, have been since 1968. Topics covered include: organizational, physical, and staffing resources; relationships with patients including both medical decision-making issues and the handling of medical information; financing of health care services; and liability issues.

Smarter Health Care Partnership for American Families

Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Publisher :
ISBN 13 :
Total Pages : 134 pages
Book Rating : 4.X/5 (5 download)

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Book Synopsis Smarter Health Care Partnership for American Families by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health

Download or read book Smarter Health Care Partnership for American Families written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2001 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Care

Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834211209
Total Pages : 184 pages
Book Rating : 4.2/5 (112 download)

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Book Synopsis Managed Care by :

Download or read book Managed Care written by and published by Jones & Bartlett Learning. This book was released on 1998 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a result of intense lobbying by consumers and health care providers, managed care organizations are under close scrutiny. More and more frequently, states are taking assertive roles in governing managed care operations, including monitoring how they contract with providers and what types of benefits they provide to enrollees. In this volume, you'll learn how MCOs nationwide are being held accountable to a complex array of new laws -- and what you can expect and demand from MCOs according to new laws.

The Law of Health Care Finance and Regulation

Author : Mark A. Hall
Publisher : Aspen Publishing
ISBN 13 : 154380473X
Total Pages : 907 pages
Book Rating : 4.5/5 (438 download)

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Book Synopsis The Law of Health Care Finance and Regulation by : Mark A. Hall

Download or read book The Law of Health Care Finance and Regulation written by Mark A. Hall and published by Aspen Publishing. This book was released on 2018-05-11 with total page 907 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Law of Health Care Finance and Regulation is based on Part III, “Institutions, Providers, and the State,” of parent book Health Care Law and Ethics and adds additional coverage of a variety of issues that have shaped health care finance law. Integrating public health, financial and ethical issues, this casebook uses compelling case law, clear notes and comprehensive background information to illuminate the complex and dynamic field of health care law. Key Features: Based on material in Part III of the popular parent book, “Institutions, Providers, and the State,” along with coverage of duty to treat, hospital liability, managed care liability, and regulating access to drugs. Includes cases and material not found in the parent book on: • Judicial and administrative review of Medicare decisions. Certificate of need laws. Review immunity. Integrates public health and ethics issues and features clear notes that provide context, smooth transitions between cases, and background information. Website provides background materials, updates of important events, additional relevant topics and links to other resources on the Internet.

Managed Care and the Law

Author : Charles G. Benda
Publisher : Aspen Publishers
ISBN 13 : 9780316088923
Total Pages : 400 pages
Book Rating : 4.0/5 (889 download)

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Book Synopsis Managed Care and the Law by : Charles G. Benda

Download or read book Managed Care and the Law written by Charles G. Benda and published by Aspen Publishers. This book was released on 1995 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Care Answer Book

Author : Sheryl Tatar Dacso
Publisher :
ISBN 13 :
Total Pages : 1142 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Managed Care Answer Book by : Sheryl Tatar Dacso

Download or read book Managed Care Answer Book written by Sheryl Tatar Dacso and published by . This book was released on 1999 with total page 1142 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program, written in the classic answer book format. You'll find extensive sections providing basic understanding of managed care, cost containment strategies, and advice on organization and implementation of programs. The topic is covered from the ground up, with crucial questions and authoritative, up-to-date answers on every facet of managed care, including such valuable features as: Contract negotiation strategies and dispute resolution techniques Maximizing utilazation review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; important issues covered from both purchaser's and provider's perspectives; and discussion on information technology and telemedicine.

Holding Health Care Accountable

Author : E. Haavi Morreim
Publisher : Oxford University Press
ISBN 13 : 0195141326
Total Pages : 337 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Holding Health Care Accountable by : E. Haavi Morreim

Download or read book Holding Health Care Accountable written by E. Haavi Morreim and published by Oxford University Press. This book was released on 2001-08-16 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care in the US and elsewhere has been rocked by economic upheaval. Cost-cuts, care-cuts, and confusion abound. Traditional tort and contract law have not kept pace. Physicians are still expected to deliver the same standard of care -- including costly resources - to everyone, regardless whether it is paid for. Health plans can now face litigation for virtually any unfortunate outcome, even those stemming from society's mandate to keep costs down while improving population health. This book cuts through the chaos and offers a clear, persuasive resolution. Part I explains why new economic realities have rendered prevailing malpractice and contract law largely anachronistic. Part II argues that pointing the legal finger of blame blindly or hastily can hinder good medical care. Instead of "whom do we want to hold liable," we should focus first on "who should be doing what, for the best delivery of health care." When things go wrong, each should be liable only for those aspects of care they could and should have controlled. Once a good division of labor is identified, what kind of liability should be imposed depends on what kind of mistake was made. Failures to exercise adequate expertise (knowledge, skill, care effort) should be addressed as torts, while failures to provide promised resources should be resolved under contract. Part III shows that this approach, though novel, fits remarkably well with basic common law doctrines, and can even enlighten ERISA issues. With extensive documentation from current case law, commentary, and empirical literature, the book will also serve as a comprehensive reference for attorneys, law professors, physicians, administrators, bioethicists, and students.

Liability and Managed Care

Author : American Medical Association
Publisher :
ISBN 13 : 9780899708690
Total Pages : 104 pages
Book Rating : 4.7/5 (86 download)

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Book Synopsis Liability and Managed Care by : American Medical Association

Download or read book Liability and Managed Care written by American Medical Association and published by . This book was released on 2000-10-01 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a logically organized approach to managed care liability issues that first addresses the heightened concern about the liability in managed care, the ethical "high ground", and the contractual obligations that may interfere with the physician's ethical and legal obligations to patients.