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Author : Christine A. Varney
Publisher :
ISBN 13 :
Total Pages : 16 pages
Book Rating : 4.:/5 (326 download)
Download or read book Responses to the Managed Care Revolution written by Christine A. Varney and published by . This book was released on 1995 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : John Eugene Billi
Publisher : University of Michigan Press
ISBN 13 : 0472023721
Total Pages : 307 pages
Book Rating : 4.4/5 (72 download)
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.
Author : Project Hope
Publisher :
ISBN 13 :
Total Pages : 240 pages
Book Rating : 4.:/5 (354 download)
Download or read book The Managed Care Revolution written by Project Hope and published by . This book was released on 1988 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Ben Hickman
Publisher : Vantage Press, Inc
ISBN 13 : 9780533155606
Total Pages : 100 pages
Book Rating : 4.1/5 (556 download)
Download or read book The Managed Care Revolution written by Ben Hickman and published by Vantage Press, Inc. This book was released on 2007 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: Writing from forty-six years of experience, Dr. Ben Hickman, author of The Managed Care Revolution, endeavors to examine the impact of managed care on the nursing profession. Since the inception of managed care, hospitals, in competition with HMOs, have reduced patients' lengths of stay. Consequently, the roles and requirements of registered nurses have diminished considerably. The findings and conclusions from the author's thoughtful and exacting study of nurses at a leading New York City hospital are useful to hospital administrators seeking solutions to a shortage of nurses and provide critical information for resolving nurses' conflicts. Dr. Hickman cautions that managed care must be improved or replaced by another system if nurses are to remain in their profession and if young people are to be attracted to this noble career. Book jacket.
Author : Kimball Austin Miller
Publisher : Jossey-Bass
ISBN 13 :
Total Pages : 222 pages
Book Rating : 4.:/5 (5 download)
Download or read book Making Sense of Managed Care: Operational issues and practical answers written by Kimball Austin Miller and published by Jossey-Bass. This book was released on 1997 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Dennis P. Andrulis
Publisher : Jossey-Bass
ISBN 13 :
Total Pages : 232 pages
Book Rating : 4.:/5 (321 download)
Download or read book Managed Care in the Inner City written by Dennis P. Andrulis and published by Jossey-Bass. This book was released on 1999-05-07 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: This seminal book for managed care and health care executives addresses the issues of managed care among low-income and other vulnerable populations. Andrulis and his colleagues show how we can create programs that succeed, from a policy and a health care management perspective.
Author : Peter Foreman
Publisher :
ISBN 13 :
Total Pages : 446 pages
Book Rating : 4.:/5 (484 download)
Download or read book Managing Identities in Managed Care written by Peter Foreman and published by . This book was released on 2001 with total page 446 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Michael C. Roberts
Publisher : Springer Science & Business Media
ISBN 13 : 1461559294
Total Pages : 201 pages
Book Rating : 4.4/5 (615 download)
Download or read book Managing Managed Care written by Michael C. Roberts and published by Springer Science & Business Media. This book was released on 2012-11-19 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of the concept of managed care into mental and physical health care appears to be a juggernaut of unparalleled impact. The two extremes of thought about this impact are (I) that managed care is a villainous foe to be resisted in order to bring back the earlier halcyon years of independence in practice decisions with greater reimbursement for psychologists' services or (2) that managed care is a laudatory attempt to restrain health care costs that are out of control and spiraling upward by rooting out mismanagement and reversing financial incentives to provide unnecessary care. The former view calls managed health care such names as "mangled care" and distributes bumper stickers stating "Just Say No to HMOs. " The latter view points to the slowdown of increases in health care expenditures and the enhancement of health care affordability and appropriateness for greater numbers of persons resulting from managed care cost-containment strategies and service review procedures. Mental or behavioral health care has been as strongly impacted as medical care under managed care. Where managed care has forced practitioners' attention to validated procedures and to examining previous wasteful practices, we ap plaud the movement. Where managed care has had adverse impact, we think there needs to be greater public, legal, and regulatory attention to its excesses and abuses.
Author : James R. Lyle
Publisher :
ISBN 13 :
Total Pages : 436 pages
Book Rating : 4.3/5 (91 download)
Download or read book The Managed Care Handbook written by James R. Lyle and published by . This book was released on 1996 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Junlin Liao
Publisher : LAP Lambert Academic Publishing
ISBN 13 : 9783838311333
Total Pages : 116 pages
Book Rating : 4.3/5 (113 download)
Download or read book Managed Care and Physicians written by Junlin Liao and published by LAP Lambert Academic Publishing. This book was released on 2009-09 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the last two decades, managed care has overtaken the traditional fee for service insurance structures. By 1998, fee for service business had become almost a novelty. Managed care, with its aggressive utilization management techniques and added paperwork requirements, had not been embraced by physicians and consumers. There came the managed care backlash. The assault by physicians and patients on managed care did not halt the growth of managed care, but it did change the composition of the managed care market. The most aggressive form of managed care, HMO, retracted while the less restrictive forms of managed care, such as PPO and POS, flourished. How do physicians personally respond to managed care? This research utilizes large scale national survey data to look into physicians' work effort within a managed care environment. The information should be useful for considering physician response and work force issues in policy changes that could potentially change existing market structure, especially for national policy makers as well as citizens participating in discussions on health care reform in the United States.
Author : Steven F. Isenberg
Publisher : Thieme
ISBN 13 : 9780865776876
Total Pages : 374 pages
Book Rating : 4.7/5 (768 download)
Download or read book Managed Care, Outcomes, and Quality written by Steven F. Isenberg and published by Thieme. This book was released on 1998 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first section leads us through the complicated and risky business of capitation and examines reimbursement in a managed care environment. The idiosyncrasies of managed care contracts are detailed and you will learn how to negotiate with managed care companies. There is a focus on practice profiling and the presentation of an expertise on referral guidelines. The final chapter explores the ethical issues of managed care. In section II you will find a description of outcome research and youseful information for the implementation of outcomes research in community-based office practices. The third section begins with two chapters on improving office efficiency and managing staff in a managed care environment. The next chapter leads us through the important and complicated software selection process for the individual practitioner's needs. A private practitioner offers his insight into managing a medical practice and the section completes with some helpful pointers to avoid malpractice claims. Section IV provides the physicians' response to managed care. The legal issues of mergers and networks are discussed. Several practicing physicians outline their personal experiences in the rapidly changing world of physician network development. The book's final chapter leaves us with an expertise on how physicians can take back healthcare
Author : Sheryl Tatar Dacso
Publisher : Panel Pub
ISBN 13 : 9780735521063
Total Pages : 1064 pages
Book Rating : 4.5/5 (21 download)
Download or read book Managed Care Answer Book written by Sheryl Tatar Dacso and published by Panel Pub. This book was released on 2002 with total page 1064 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 techniquesMaximizing utilization review and outcomes assessmentTechniques for managed care implementation and administrationPayer and provider contractingAdvice on legal and regulatory considerationsImportant issues covered from both purchaser's and provider's perspectivesDiscussion on information technology and telemedicine
Author : Pam Silberman
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (469 download)
Download or read book Understanding Managed Care written by Pam Silberman and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :
Publisher :
ISBN 13 :
Total Pages : 44 pages
Book Rating : 4.:/5 (86 download)
Download or read book Strategic Responses to the Managed Care Explosion for the Medical Device and Diagnostic Industry written by and published by . This book was released on 1986 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Sheryl Tatar Dacso
Publisher : Aspen Publishers
ISBN 13 : 9781567063981
Total Pages : 536 pages
Book Rating : 4.0/5 (639 download)
Download or read book Managed Care Answer Book written by Sheryl Tatar Dacso and published by Aspen Publishers. This book was released on 1995-12-31 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the fundamentals to detailed strategies for managed care product design and execution, Panel's comprehensive Managed Care Answer Book covers the fast-evolving world of managed care in 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 utilization review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; and important issues covered from both purchaser's and provider's perspectives. This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program.
Author : Carl F. Ameringer
Publisher : Univ of California Press
ISBN 13 : 0520934687
Total Pages : 271 pages
Book Rating : 4.5/5 (29 download)
Download or read book The Health Care Revolution written by Carl F. Ameringer and published by Univ of California Press. This book was released on 2008-04-09 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's market-based health care system, unique among the nations of the world, is in large part the product of an obscure, yet profound, revolution that overthrew the medical monopoly in the late 1970s. In this lucid, balanced account, Carl F. Ameringer tells how this revolution came into being when the U.S. Supreme Court and Congress prompted the antitrust agencies of the federal government—the Federal Trade Commission and the Justice Department—to change the rules of the health care system. Ameringer lays out the key events that led up to this regime change; explores its broader social, political, and economic contexts; examines the views of both its proponents and opponents; and considers its current trajectory.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309113695
Total Pages : 202 pages
Book Rating : 4.3/5 (91 download)
Download or read book Evidence-Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
