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Managing Managed Care II

Author : Michael Goodman
Publisher : American Psychiatric Pub
ISBN 13 : 9780880487726
Total Pages : 262 pages
Book Rating : 4.4/5 (877 download)

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Book Synopsis Managing Managed Care II by : Michael Goodman

Download or read book Managing Managed Care II written by Michael Goodman and published by American Psychiatric Pub. This book was released on 1996 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes. Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated. Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.

Managing Managed Care

Author : Institute of Medicine
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.

Managed Care Pharmacy Practice

Author : Navarro
Publisher : Jones & Bartlett Publishers
ISBN 13 : 076378883X
Total Pages : 659 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Managed Care Pharmacy Practice by : Navarro

Download or read book Managed Care Pharmacy Practice written by Navarro and published by Jones & Bartlett Publishers. This book was released on 2008-12-11 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, as well as the evolving role of pharmacists.

Essentials of Managed Health Care

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763724962
Total Pages : 918 pages
Book Rating : 4.7/5 (249 download)

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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:

Regulating Managed Care

Author : Stuart H. Altman
Publisher : Jossey-Bass
ISBN 13 :
Total Pages : 408 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Regulating Managed Care by : Stuart H. Altman

Download or read book Regulating Managed Care written by Stuart H. Altman and published by Jossey-Bass. This book was released on 1999-06-25 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: What should be government's role in a market-oriented health caresystem? What's the appropriate amount of regulation? Who should regulate-states, federal government, or marketforces? What role do the courts play in this regulation? Are there existing models that might guide leaders in designing aneffective regulatory structure? Welcome to the great managed care debate. In Regulating ManagedCare, twenty-six of the nation's leading health policy experts givehealth care administrators, clinicians, and policy makers insightinto the issues behind this critical exchange and provide leaderswith a road map to assess the policy options available to protectthe quality of our health care delivery system. "This collection of papers, from an extraordinary group of authors,makes a valuable contribution to the ongoing policy debate and willbe of interest to anyone concerned with the future of our healthcare system."---Charles A. Sanders, retired chairman and CEO GlaxoInc. and former general director, Massachusetts General Hospital

The Complete Idiot's Guide to Managed Health Care

Author : Sophie M. Korczyk
Publisher :
ISBN 13 : 9780028621654
Total Pages : 326 pages
Book Rating : 4.6/5 (216 download)

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Book Synopsis The Complete Idiot's Guide to Managed Health Care by : Sophie M. Korczyk

Download or read book The Complete Idiot's Guide to Managed Health Care written by Sophie M. Korczyk and published by . This book was released on 1997-12-11 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed health care is one of the most confusing areas any consumer can deal with. Rules and regulations are constantly changing, providers are always merging and changing their offerings, and paperwork abounds. In easy-to-understand language, this book explains how to understand options, how to get treatment for chronic and long-term illnesses, how to get the most care for the least cost, and more.

Managing Human Resources in Health Care Organizations

Author : Leiyu Shi
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763729973
Total Pages : 438 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Managing Human Resources in Health Care Organizations by : Leiyu Shi

Download or read book Managing Human Resources in Health Care Organizations written by Leiyu Shi and published by Jones & Bartlett Learning. This book was released on 2007 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: Light on complex theoretical language, this relevant, accessible text offers a hands-on approach to studying human resources in various healthcare systems such as hospitals, integrated healthcare systems, managed care settings, private practices, and public health clinics. The book can be used as a stand-alone textbook in undergraduate or graduate level courses on human resources. With its practice-oriented approach, it is also a valuable resource for current health care organizations.

Capitation

Author : David I. Samuels
Publisher : Irwin Professional Publishing
ISBN 13 :
Total Pages : 184 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Capitation by : David I. Samuels

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.

Handbook of Private Practice

Author : Steven Walfish
Publisher : Oxford University Press
ISBN 13 : 0190272163
Total Pages : 849 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Handbook of Private Practice by : Steven Walfish

Download or read book Handbook of Private Practice written by Steven Walfish and published by Oxford University Press. This book was released on 2017 with total page 849 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Private Practice is the premier resource for mental health clinicians, covering all aspects of developing and maintaining a successful private practice. Written for graduate students considering the career path of private practice, professionals wanting to transition into private practice, and current private practitioners who want to improve their practice, this book combines the overarching concepts needed to take a mental health practice (whether solo or in a group) from inception, through its lifespan. From envisioning your practice, to accounting and bookkeeping, hiring staff, managing the practice, and running the business of the practice, a diverse group of expert authors describe the practical considerations and steps to take to enhance your success. Chapters cover marketing, dealing with insurance and managed care, and how to choose your advisors. Ethics and risk management are integrated throughout the text with a special section also devoted to these issues and strategies. The last section features 26 niche practices in which expert practitioners describe their special area of practice and discuss important issues and aspects of their specialty practice. These areas include assessment and evaluation, specialized psychotherapy services, working with unique populations of clients, and more. Whether read cover-to-cover or used as a reference to repeatedly come back to when a question or challenge arises, this book is full of practical guidance directly geared to psychologists, counselors, social workers, and marriage and family therapists in independent practice.

Health Insurance and Managed Care

Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 128415209X
Total Pages : 355 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Health Insurance and Managed Care by : Peter R. Kongstvedt

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.

The Managed Health Care Handbook

Author : Peter Reid Kongstvedt
Publisher :
ISBN 13 :
Total Pages : 1088 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Managed Health Care Handbook by : Peter Reid Kongstvedt

Download or read book The Managed Health Care Handbook written by Peter Reid Kongstvedt and published by . This book was released on 1996 with total page 1088 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considered the 'bible' of the managed care industry, this third edition is greatly expanded with 30 new chapters and extensively updated-- double the size of the last edition! the Managed Health Care Handbook is a key strategic and operational resource for use in planning and decision-making. it includes first-hand advice from experienced managers on how to succeed in every aspect of managed care: quality management, claims and benefits administration, managing patient demand, As well as risk management, subacute care, physician compensation and much more! This seminal resource is a must for providers, purchasers, and payersfor everyone involved in the managed care industry.

Crossing the Quality Chasm

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309132967
Total Pages : 359 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Crossing the Quality Chasm by : Institute of Medicine

Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Successful Private Practice

Author : Susan Frager
Publisher : John Wiley & Sons
ISBN 13 :
Total Pages : 292 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Successful Private Practice by : Susan Frager

Download or read book Successful Private Practice written by Susan Frager and published by John Wiley & Sons. This book was released on 2000-03-03 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an industry insider, Managing Managed Care offers a candid and unprecedented behind-the-scenes view, with focus on issues of vital importance to today's practitioner: understanding the "participating-provider" contract; challenging fee reductions; writing treatment reports in "managed-care-friendly" language to enhance the likelihood of obtaining continued authorization; the nuts and bolts of "medical necessity"; effectively fighting denials of care; and getting claims paid."--BOOK JACKET.

Managed

Author : Kristen Callihan
Publisher : Plain Jane Books
ISBN 13 : 0990715736
Total Pages : 369 pages
Book Rating : 4.9/5 (97 download)

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Book Synopsis Managed by : Kristen Callihan

Download or read book Managed written by Kristen Callihan and published by Plain Jane Books. This book was released on 2016-11-14 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: It started off as a battle of wits. Me: the ordinary girl with a big mouth against Him: the sexy bastard with a big...ego. I thought I’d hit the jackpot when I was upgraded to first class on my flight to London. That is until HE sat next to me. Gabriel Scott: handsome as sin, cold as ice. Nothing and no one gets to him. Ever. He’s a legend in his own right, the manager of the biggest rock band in the world, and an arrogant ass who looks down his nose at me. I thought I’d give him hell for one, long flight. I didn’t expect to like him. I didn’t expect to want him. But the biggest surprise? He wants me too. Only in a way I didn’t see coming. If I accept his proposal,I leave myself open to falling for the one man I can’t manage. But I’m tempted to say yes. Because the real man beneath those perfect suits and that cool façade just might be the best thing that’s ever happened to me. And I just might be the only one who can melt the ice around his heart. Let the battle begin…

Definition of Serious and Complex Medical Conditions

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309172608
Total Pages : 127 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Definition of Serious and Complex Medical Conditions by : Institute of Medicine

Download or read book Definition of Serious and Complex Medical Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 1999-10-19 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.

Workplace Clinics and Employer Managed Healthcare

Author : A. Michael LaPenna
Publisher : CRC Press
ISBN 13 : 1040181244
Total Pages : 185 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis Workplace Clinics and Employer Managed Healthcare by : A. Michael LaPenna

Download or read book Workplace Clinics and Employer Managed Healthcare written by A. Michael LaPenna and published by CRC Press. This book was released on 2017-07-27 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: Workplace Clinics and Employer Managed Healthcare: A Catalyst for Cost Savings and Improved Productivity is not another diatribe on the national healthcare problem. Instead, it is a book about what is possible. Mike LaPenna shares with readers the actual experiences of those self-funded employers who are moving healthcare access on-site and directl

The Well-Managed Ambulatory Practice

Author : Elizabeth W Woodcock, MBA Facmpe Cpc
Publisher :
ISBN 13 : 9780826156624
Total Pages : 350 pages
Book Rating : 4.1/5 (566 download)

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Book Synopsis The Well-Managed Ambulatory Practice by : Elizabeth W Woodcock, MBA Facmpe Cpc

Download or read book The Well-Managed Ambulatory Practice written by Elizabeth W Woodcock, MBA Facmpe Cpc and published by . This book was released on 2021-12-28 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed for both the healthcare management student and the health professional entering or navigating a career in this growing sector of the U.S. health system, The Well-Managed Ambulatory Practice is a comprehensive yet practical resource covering the essentials of management unique and specific to the ambulatory setting. Written by leaders in the field with featured contributions from expert ambulatory care administrators and practicing physicians, this textbook offers tools, cases, and other applications to arm students of health administration, public health, business, medicine, and other health professions with the knowledge and skills for the delivery of more efficient and effective patient care. As the singular reference to managing ambulatory care in outpatient clinics, medical practices, community health centers, and other settings, the textbook describes the evolution of ambulatory care as a significant source of health care services delivery, its continued expansion in the marketplace, and its prominence in population health management, telemedicine, and other service delivery strategies. This text provides the reader with a thorough review of core functional areas of healthcare management through the lens of managing an ambulatory practice, including strategy and leadership; organizational structure; quality, safety, and patient experience; operations; financial management; and human resources. Chapters provide complementary teaching tools and case studies to highlight real-world examples that students and professionals may encounter in practice. Cases investigate topics such as preventive health, healthcare leadership, quality measurement, disruptive physicians, patient flow, operating procedures and metrics, and lessons from COVID-19 among many more. Key Features: Describes the core areas of health management through the lens of leading an ambulatory network or managing an ambulatory practice -- strategy and leadership; organizational structure; quality, safety, and experience; operations; financial management; and human resources Provides expert strategies and best practices for managing a diverse array of ambulatory care settings, including outpatient clinics, physician practices, community health centers, medical homes, and more Highlights real-world case studies that students and health professionals may encounter in practice Purchase includes digital access for use on most mobile devices or computers, as well as full suite of instructor resources with Instructor's Manual, PowerPoint slides, and test bank