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Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763724962
Total Pages : 918 pages
Book Rating : 4.7/5 (249 download)
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:
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 128415209X
Total Pages : 355 pages
Book Rating : 4.2/5 (841 download)
Download or read book Health Insurance and Managed Care written by Peter R. Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2019-02-14 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Author :
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449604641
Total Pages : 715 pages
Book Rating : 4.4/5 (496 download)
Download or read book Essentials of Managed Health Care written by and published by Jones & Bartlett Publishers. This book was released on 2013 with total page 715 pages. Available in PDF, EPUB and Kindle. Book excerpt: Peter Kongstvedt provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834217263
Total Pages : 1448 pages
Book Rating : 4.2/5 (172 download)
Download or read book The Managed Health Care Handbook written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2001 with total page 1448 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.
Author : Peter Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763759112
Total Pages : 295 pages
Book Rating : 4.7/5 (637 download)
Download or read book Managed Care written by Peter Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2009-10-07 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309175054
Total Pages : 394 pages
Book Rating : 4.3/5 (91 download)
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.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133181
Total Pages : 536 pages
Book Rating : 4.3/5 (91 download)
Download or read book The Future of the Public's Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763725341
Total Pages : 96 pages
Book Rating : 4.7/5 (253 download)
Download or read book A Study Guide to 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 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Karen A. Wager
Publisher : John Wiley & Sons
ISBN 13 : 0470451734
Total Pages : 769 pages
Book Rating : 4.4/5 (74 download)
Download or read book Health Care Information Systems written by Karen A. Wager and published by John Wiley & Sons. This book was released on 2009-06-24 with total page 769 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Best Selling Text in the Field Updated for the New Era of Health Care IT "This is the most comprehensive and authoritative book available for the field today." —Mark L. Diana, PhD, assistant professor and MHA program director, School of Public Health and Tropical Medicine, Tulane University "With health care information technology now in the national policy spotlight, this book should be required reading for every health care administrator and student." —Mark Leavitt, MD, PhD, chairman, Certification Commission for Healthcare Information Technology "The book provides an excellent overview of foundational principles and practical strategies—a valuable reference for health administration and health informatics students and professionals." —Eta S. Berner, EdD, professor, Department of Health Services Administration, University of Alabama, Birmingham "The authors skillfully provide the tools necessary to facilitate movement from a paper-based to an electronic health record environment while championing the importance of managing in such an environment." — Melanie S. Brodnik, PhD, director and associate professor, School of Allied Medical Professions, Ohio State University "Deploying health care information technology today is like navigating whitewater in the midst of a raging storm. Leveraging investments while introducing significant change is no easy task. It requires focused attention, a spirit of collaboration, and a willingness to learn from others. This book is written for the IT leader who is willing to tackle these challenges." —Stephanie Reel, CIO and vice provost for Information Technologies, Johns Hopkins University
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449649823
Total Pages : 295 pages
Book Rating : 4.4/5 (496 download)
Download or read book Managed Care: What It Is and How It Works written by Peter R. Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2008-09-19 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.
Author : Peter Reid Kongstvedt
Publisher :
ISBN 13 :
Total Pages : 340 pages
Book Rating : 4.4/5 (91 download)
Download or read book Readings in Managed Health Care written by Peter Reid Kongstvedt and published by . This book was released on 1997 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of readings is a companion To The Essentials of Managed Health Care, Second Edition. These articles, taken from four Aspen journals (Managed Care Quarterly, Health Care Management Review, Journal of Health Care Finance, and Quarterly Management in Health Care) provide indepth coverage of key issues and topics in managed care.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)
Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Author : Volker Eric Amelung
Publisher : Springer Nature
ISBN 13 : 3662595680
Total Pages : 265 pages
Book Rating : 4.6/5 (625 download)
Download or read book Healthcare Management written by Volker Eric Amelung and published by Springer Nature. This book was released on 2019-10-10 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook on Healthcare Management provides a systematic and comprehensive overview of the organisational forms and management instruments implemented in managed care. Within the international discussion on the structure of healthcare systems, managed care is an increasingly important topic. Over more than twenty years managed care approaches have fundamentally influenced healthcare systems in terms of patient orientation, efficiency, and quality. Experts assume that up to 20% of healthcare expenses can be saved by applying high-quality managed care approaches. By using suitable organisational forms and management principles, not only can costs be reduced, but the quality of medical service provision can be augmented. Managed care is therefore much more than a cost-cutting strategy. Advocates consider managed care to be a logical and necessary developmental step in modern healthcare systems. An increase in quality and at the same time a reduction of costs is not seen as contradictory but rather as consistent. Therefore, managed care is a response to changed challenges in the provision of healthcare.
Author : Joseph L. Verheijde
Publisher : Springer Science & Business Media
ISBN 13 : 1402041853
Total Pages : 231 pages
Book Rating : 4.4/5 (2 download)
Download or read book Managing Care: A Shared Responsibility written by Joseph L. Verheijde and published by Springer Science & Business Media. This book was released on 2006-01-07 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book traces the growth of managed care as a mechanism for curbing excessive growth in health costs, and the controversies that have risen around for-profit health care. Also examined are decentralization in US health care, and the absence of comprehensive health care planning, access rules, and minimum health care benefit standards. Finally, the author proposes a framework for improving access to quality, affordable health care in a competitive market environment.
Author : Ronald M. Andersen
Publisher : John Wiley & Sons
ISBN 13 : 1118047192
Total Pages : 743 pages
Book Rating : 4.1/5 (18 download)
Download or read book Changing the U.S. Health Care System written by Ronald M. Andersen and published by John Wiley & Sons. This book was released on 2011-02-15 with total page 743 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of Changing the U.S. Health Care System is a thoroughly revised and updated compendium of the most current thought on three key components of health care policy—improving access, ensuring quality, and controlling costs. Written by a panel of health care policy experts, this third edition highlights the most recent research relevant to health policy and management issues. New chapters address topics such as the disparities in health and in health care, information systems, and performance in the area of nursing. Revisions to chapters from the previous edition emphasize the most recent developments in the field.
Author : Peter Reid Kongstvedt
Publisher :
ISBN 13 :
Total Pages : 340 pages
Book Rating : 4.4/5 (91 download)
Download or read book Essentials of Managed Health Care written by Peter Reid Kongstvedt and published by . This book was released on 1995 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: An introductory textbook derived from the bestseller the Managed Health Care Handbook, Second Edition, this text provides all the basic information needed to learn critical concepts of managed care. Everything from types of managed care organizations, negotiating and contracting to controlling utilization and using data reports in medical management. An instructor's manual is available upon request.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309056837
Total Pages : 253 pages
Book Rating : 4.3/5 (9 download)
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?
