Managing Medicaid Managed Care

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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.

Managing Medicaid Managed Care

Author : James W. Fossett
Publisher : Nelson a Rockefeller Inst
ISBN 13 : 9780914341949
Total Pages : 200 pages
Book Rating : 4.3/5 (419 download)

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Book Synopsis Managing Medicaid Managed Care by : James W. Fossett

Download or read book Managing Medicaid Managed Care written by James W. Fossett and published by Nelson a Rockefeller Inst. This book was released on 2004-05-01 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the last dozen years, states have dramatically increased the enrollment of Medicaid patients in managed care programs. As initially envisioned, managed care had broad political appeal to both conservatives because of its potential to reduce the growth in escalating Medicaid expenditures, and to liberals because of its promise to improve the quality of care and increase the accountability of the health care system for the care it provides to Iow income families and children. Based on intensive field research in ten states, this book examines state successes and failures in "managing" the complex and demanding, if promising, method of organizing and financing health care for Medicaid patients. It examines state performance in operating managed care programs across a wide spectrum of management issues, ranging from contracting with managed care plans to performance measurement. The contributors also indicate the political and market conditions under which states have been more or less successful in realizing managed care's potential advantages in providing health care for Iow income populations.

Remaking Medicaid

Author : Stephen Davidson
Publisher : Jossey-Bass
ISBN 13 :
Total Pages : 424 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Remaking Medicaid by : Stephen Davidson

Download or read book Remaking Medicaid written by Stephen Davidson and published by Jossey-Bass. This book was released on 1998-06-26 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written for health care executives, physicians, nurses, policymakers, health services researchers, and scholars, Remaking Medicaid offers a vision of the future to which conscientious policymakers and provider organizations, working together, can aspire.

Managing Medicaid Managed Care

Author : James W. Fossett
Publisher : Rockefeller Institute Press
ISBN 13 : 9780914341932
Total Pages : 200 pages
Book Rating : 4.3/5 (419 download)

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Book Synopsis Managing Medicaid Managed Care by : James W. Fossett

Download or read book Managing Medicaid Managed Care written by James W. Fossett and published by Rockefeller Institute Press. This book was released on 2002-12 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the last dozen years, states have dramatically increased the enrollment of Medicaid patients in managed care programs. As initially envisioned, managed care had broad political appeal to both conservatives because of its potential to reduce the growth in escalating Medicaid expenditures, and to liberals because of its promise to improve the quality of care and increase the accountability of the health care system for the care it provides to Iow income families and children. Based on intensive field research in ten states, this book examines state successes and failures in "managing" the complex and demanding, if promising, method of organizing and financing health care for Medicaid patients. It examines state performance in operating managed care programs across a wide spectrum of management issues, ranging from contracting with managed care plans to performance measurement. The contributors also indicate the political and market conditions under which states have been more or less successful in realizing managed care's potential advantages in providing health care for Iow income populations.

Managing Accountability in Medicaid Managed Care

Author :
Publisher :
ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Managing Accountability in Medicaid Managed Care by :

Download or read book Managing Accountability in Medicaid Managed Care written by and published by . This book was released on 1999 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:

National Summary of State Medicaid Managed Care Programs

Author :
Publisher :
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis National Summary of State Medicaid Managed Care Programs by :

Download or read book National Summary of State Medicaid Managed Care Programs written by and published by . This book was released on 1993 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

National Summary of State Medicaid Managed Care Programs

Author :
Publisher :
ISBN 13 :
Total Pages : 118 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis National Summary of State Medicaid Managed Care Programs by :

Download or read book National Summary of State Medicaid Managed Care Programs written by and published by . This book was released on 1993 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Essentials of Managed Health Care

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763739836
Total Pages : 874 pages
Book Rating : 4.7/5 (398 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 2007 with total page 874 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed Care

Guide to State Medicaid Managed Care Laws and Rules

Author : Jane M. Anderson
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834216068
Total Pages : 98 pages
Book Rating : 4.2/5 (16 download)

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Book Synopsis Guide to State Medicaid Managed Care Laws and Rules by : Jane M. Anderson

Download or read book Guide to State Medicaid Managed Care Laws and Rules written by Jane M. Anderson and published by Jones & Bartlett Learning. This book was released on 1999 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition reveals the current legislative and regulatory climate regarding Medicaid in every state, including federal waivers applied for and granted. It's the most complete and current information available on how you can maintain or increase your number of covered lives. In one easy-to-use guide you get specific details of each state's Medicaid laws and rules, including: * choice of physician, * provider reimbursement, * benefits packages, * quality assurance, * utilization management, and * names of contacts at state agencies, Best of all, you'll get the details on contracting with each state, as specified by the state Medicaid office itself. You'll also get hard-to-find answers to critical questions such as: * Which states allow Medicaid patients to choose their own physicians? * How do Medicaid provider reimbursement to choose their own physicians? * What are the rules on provider network development in states where you want to do business? Get the answer to these questions and many more in Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition.

Managed Care: What It Is and How It Works

Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449649823
Total Pages : 295 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Managed Care: What It Is and How It Works by : Peter R. Kongstvedt

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.

Medicaid Eligibility Quality Control

Author : United States. Social and Rehabilitation Service
Publisher :
ISBN 13 :
Total Pages : 462 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Medicaid Eligibility Quality Control by : United States. Social and Rehabilitation Service

Download or read book Medicaid Eligibility Quality Control written by United States. Social and Rehabilitation Service and published by . This book was released on 1975 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Care

Author : Peter Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763759112
Total Pages : 295 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Managed Care by : Peter Kongstvedt

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.

Mixed Methods in Health Sciences Research

Author : Leslie Curry
Publisher : SAGE Publications
ISBN 13 : 1483347141
Total Pages : 387 pages
Book Rating : 4.4/5 (833 download)

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Book Synopsis Mixed Methods in Health Sciences Research by : Leslie Curry

Download or read book Mixed Methods in Health Sciences Research written by Leslie Curry and published by SAGE Publications. This book was released on 2014-09-30 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mixed Methods in Health Sciences Research: A Practical Primer, by Leslie Curry and Marcella Nunez-Smith, presents key theories, concepts, and approaches in an accessible way. Packed with illustrations from the health sciences literature, this ready-to-use guidebook shows readers how to design, conduct, review, and use mixed methods research findings. Helpful checklists, figures, tables, templates, and much more give readers examples that will elevate the quality of their research, facilitate communication about their methods, and improve efficiency over the course of their projects. Real-world examples and insights from mixed methods researchers provide unique perspectives on every aspect of mixed methods research. This book successfully pulls together foundational mixed methods principles, synthesizes the knowledge base in the field, and translates it for a health science researcher audience. “The content is highly applicable to real life research teams in the areas of clinical research, health services research, and implementation science, providing sound content and practical advice. The authors have synthesized and pull key concepts from a variety of sources to provide a concise resource.” —Linda M. Herrick, South Dakota State University “Everything from the references, to the topics, checklists, conceptual graphic representations, and organizers, interviews, and resources, all contribute to the content and aid with understanding and/or application. … It addresses specific MM research as it pertains to health sciences in a way that other texts just do not even attempt.” —Denise L. Winsor, University of Memphis “[This text is] a very pragmatic approach to mixed methods research; excellent resources, tables, and figures [are] provided, along with cases and examples of value to researchers and grant reviewers. Its relevance to practice, education, and research, as well as to potential policy implications, is a strong focus that would make this a valued textbook for any researcher!” ? —Karen Devereaux Melillo, University of Massachusetts Lowell “The text is cutting edge. It leads the way with its focus on team dynamics. [The authors] succeed in making the book relevant and practical. They also articulate a number of key insights in the area of mixed methods that rarely get addressed, such as teams and conflict. Great read with a lot of good, practical information for mixed methods researchers at all levels. The practical approach of this text makes it an innovative and valuable resource.” —John G. Schumacher, University of Maryland

"Managing" Medicaid Managed-care

Author : Jocelyn M. Johnston
Publisher :
ISBN 13 : 9781930912007
Total Pages : 51 pages
Book Rating : 4.9/5 (12 download)

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Book Synopsis "Managing" Medicaid Managed-care by : Jocelyn M. Johnston

Download or read book "Managing" Medicaid Managed-care written by Jocelyn M. Johnston and published by . This book was released on 2002 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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.

A Management Success Story

Author : Jocelyn M. Johnston
Publisher :
ISBN 13 :
Total Pages : 50 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis A Management Success Story by : Jocelyn M. Johnston

Download or read book A Management Success Story written by Jocelyn M. Johnston and published by . This book was released on 2003 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Essentials of Managed Health Care

Author :
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449604641
Total Pages : 715 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Essentials of Managed Health Care by :

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.