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Provider Sponsored Organization
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Book Synopsis Provider Sponsored Organizations by : Allan Fine
Download or read book Provider Sponsored Organizations written by Allan Fine and published by Jones & Bartlett Learning. This book was released on 1998 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provider Sponsored Organizations: Emerging Opportunities for Growth is a comprehensive, practitioner-oriented source addressing strategic, operational, financial, structural, legislative, marketing, legal, actuarial, & medical management issues germane to PSO development & implementation.
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:
Book Synopsis Provider Sponsored Organizations for Medicare Managed Care by : Keith J. Mueller
Download or read book Provider Sponsored Organizations for Medicare Managed Care written by Keith J. Mueller and published by . This book was released on 1998 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Provider-Sponsored Organizations by : Peter N. Grant
Download or read book Medicare Provider-Sponsored Organizations written by Peter N. Grant and published by Jossey-Bass. This book was released on 1998-08-29 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Congress has adopted sweeping changes to the Medicare program that will have a significant impact on integrated delivery systems, physicians, IPA's, medical groups, hospitals, and health plans. This legislation is a significant step by the federal government as it provides the framework to transition the Medicare program from an open access fee-for-service system to a managed care-oriented program. This concise guide to developing and achieving certifications will be invaluable to understanding the new PSO regulations.
Book Synopsis Provider Sponsored Organization by :
Download or read book Provider Sponsored Organization written by and published by . This book was released on 1999-06-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :128 pages Book Rating :4.0/5 ( download)
Book Synopsis Medicare Provider-sponsored Organizations by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Medicare Provider-sponsored Organizations written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1999 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis New Century Healthcare by : Russell C. Coile
Download or read book New Century Healthcare written by Russell C. Coile and published by . This book was released on 2000 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Predicts the future of the American healthcare industry. The author argues that managed care organizations (HMOs) are risking a backlash if they don't address consumer and provider concerns. Clearly enamored of the corrective benefits of the capitalist market, the author of The Five Stages of Managed Care (1997) argues for the emergence of a sixth phase, in which managed care evolves a new set of cost-control processes that will focus on the consumer as "the last frontier" of cost management. Details of this future phase will include risk-sharing with providers, reduction of regional and provider variation in clinical care, disease management programs for chronically ill enrollees, and "empowered" consumers through Internet-enabled information access.
Book Synopsis Provider Sponsored Organizations by : John Kasprak
Download or read book Provider Sponsored Organizations written by John Kasprak and published by . This book was released on 1997 with total page 1 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses federal activity concerning the regulation or oversight of provider-sponsored organizations ("PSOs", also known as provider-service networks, "PSNs").
Book Synopsis America's Health Care Safety Net by : Institute of Medicine
Download or read book America's Health Care Safety Net written by Institute of Medicine and published by National Academies Press. This book was released on 2000-09-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.
Book Synopsis Provider-Sponsored Organizations by : Paul Fronstin
Download or read book Provider-Sponsored Organizations written by Paul Fronstin and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The health care financing and delivery systems have experienced dramatic change in the last decade in response to ever-increasing health care costs. The increased use of managed care is one of the most significant changes. It is estimated that nearly 75 percent of all insured workers in the United States are enrolled in managed care plans. In addition, the percentage of Medicaid and Medicare beneficiaries enrolled in health maintenance organizations (HMOs) has increased dramatically.
Book Synopsis Managed Care Organizations by : Colodia Owens
Download or read book Managed Care Organizations written by Colodia Owens and published by McGraw-Hill Companies. This book was released on 1995 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Book Synopsis Preferred Provider Organizations by : Dale H. Cowan
Download or read book Preferred Provider Organizations written by Dale H. Cowan and published by Aspen Publishers. This book was released on 1984 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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)
Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine
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.
Book Synopsis Coverage Matters by : Institute of Medicine
Download or read book Coverage Matters written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-27 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Book Synopsis The Role of Managed Care Organizations within the Healthcare Industry by : Patrick Kimuyu
Download or read book The Role of Managed Care Organizations within the Healthcare Industry written by Patrick Kimuyu and published by GRIN Verlag. This book was released on 2018-02-01 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt: Seminar paper from the year 2018 in the subject Medicine - Medical Frontiers and Special Areas, grade: 1, Egerton University, language: English, abstract: This paper will provide a comprehensive overview of managed care, primarily on the advantages and disadvantages of managed care organizations. Over the decades, the United States’ healthcare system has been experiencing challenges. In general, the cost and quality of care has always been considered as the most critical factors that influence healthcare sustainability in the United States and the world, as a whole. As a result, a series of value-based payment reforms have been introduced. For instance, the Affordable Care Act (ACA) of 2010 introduced payment and delivery system reforms. From a critical perspective, the reforms introduced by the ACA have addressed the long-standing problems which have been posing enormous hindrances to the development of the U.S. healthcare system. Above all, it has enhanced managed care through consolidating care, as well as, addressing the problem of unsustainable costs and uneven quality of care. However, managed care seems to exhibit some drawbacks too.
