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Author : George B. Moseley, III
Publisher :
ISBN 13 : 9780076007875
Total Pages : 350 pages
Book Rating : 4.0/5 (78 download)
Download or read book The Physician's Legal Guide to Managed Care written by George B. Moseley, III and published by . This book was released on 1996-04-01 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Jane M. Anderson
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834216068
Total Pages : 98 pages
Book Rating : 4.2/5 (16 download)
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.
Author : Patricia A. Younger
Publisher : Aspen Publishers
ISBN 13 : 9780834205239
Total Pages : pages
Book Rating : 4.2/5 (52 download)
Download or read book Managed Care Law Manual written by Patricia A. Younger and published by Aspen Publishers. This book was released on 1994-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual is a unique legal guide specific to managed care filled with the facts health care attorneys, managed care organizations, & health care administrators need to make informed choices. This legal guide will help you know not only your legal obligations, but also those of your contracting partners employers, third-party payers, physicians, & others so you can form the joint alliances that will be essential in the health care reform days ahead. This manual is always current with twice a year updates.
Author : Peter D. Jacobson
Publisher : Oxford University Press
ISBN 13 : 0190288299
Total Pages : 497 pages
Book Rating : 4.1/5 (92 download)
Download or read book Strangers in the Night written by Peter D. Jacobson and published by Oxford University Press. This book was released on 2002-08-08 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than ever before, the legal system plays a vital role in virtually every aspect of the current health care system. From the congressional debate over patients' rights legislation to judicial rulings on the denial of health care services, the legal system is integrally involved in the organization, financing, and delivery of health care. This book explains how the legal system helps shape health care delivery and policy, explores new ways of looking at the relationship between law and medicine, and reflects on why it all matters. The story focuses on the judicial response to the advent of managed care, especially challenges to cost containment initiatives, and shows how the legal system has facilitated managed care's dominance over the health care system. An equally important part of the story is the evolution of the relationship between physicians and attorneys and how their mutual antagonism affects patient care. In the end, the stories come together around a strategy for reconciling the difficult health policy choices the country faces and for restoring the physician-patient relationship to the center of health care delivery.
Author : William N. Tindall
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834217652
Total Pages : 322 pages
Book Rating : 4.2/5 (176 download)
Download or read book A Guide to Managed Care Medicine written by William N. Tindall and published by Jones & Bartlett Learning. This book was released on 2000 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides physicians, administrators, and other health professionals with information on managed care, from its history, forms and practices to detailed information on managed care contracting, physician compensation, monitoring, reporting, management, risk, productivity, and accountability. Annotati
Author : Patricia A. Younger
Publisher :
ISBN 13 : 9780834205413
Total Pages : pages
Book Rating : 4.2/5 (54 download)
Download or read book Managed Care Law Manual written by Patricia A. Younger and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : James J. Unland
Publisher : American Medical Association Press
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.3/5 (91 download)
Download or read book A Guide to Forming Physician-directed Managed Care Networks written by James J. Unland and published by American Medical Association Press. This book was released on 1995 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed for physicians who are interested in exploring the formation of physician-directed managed care networks, this indispensable resource provides answers to questions about size, scope, incorporation, marketing, staffing, and more. This easy-to-read, comprehensive text includes charts, graphs, and a resource list of capital funding programs.
Author : David B. Nash
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834203938
Total Pages : 280 pages
Book Rating : 4.2/5 (39 download)
Download or read book The Physician's Guide to Managed Care written by David B. Nash and published by Jones & Bartlett Learning. This book was released on 1994 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: You'll find the practical guidance you need to transition smoothly int o the managed care environment. You'll learn the pros and cons of prac ticing in a managed care setting, the daily life of managed care physi cians, the role of managed care in medical education and health care r eform. Discover how to take advantage of new opportunities and avoid p itfalls, balance cost consideration with clinical decision-making, and understand the case mix systems most frequently used in managed care. Written almost entirely by physicians, The Physician's Guide to Manag ed Care is a must for any physician interested in meeting future chall enges.
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 : Richard V. Stenson
Publisher : Bookpartners
ISBN 13 : 9781581510300
Total Pages : 386 pages
Book Rating : 4.5/5 (13 download)
Download or read book A Physician's Guide to Thriving in the New Managed Care Environment written by Richard V. Stenson and published by Bookpartners. This book was released on 2000 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: Options for physicians working within the prepaid medicine system make sense when you understand the pros and cons, strategies, and structures analyzed in this guide to the new managed care environment. -- Evolution of the managed care movement -- Myths about organizational requirements for managed care success -- Pros and cons of solo practice versus IPA, PHO, or group practice -- Working for a hospital or HMO -- Entrepreneurial, legal, and regulatory characteristics of each model -- Best opportunities for primary care and specialist physicians -- The ideal physician organization for managed care -- Future winners and losers, quality of care, reform, and Wall Street Analyze the cost and benefits of practice and managed care proposals, because an informed choice makes good medicine work.
Author : Donald R. Levy
Publisher : Aspen Publishers
ISBN 13 : 9780735518445
Total Pages : 560 pages
Book Rating : 4.5/5 (184 download)
Download or read book State by State Guide to Managed Care Law written by Donald R. Levy and published by Aspen Publishers. This book was released on 2000-12 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until now, the search for information on managed care was 5 times as difficult as it had to be. Now, you can examine & compare regulatory policies state by state. The State by State Guide to Managed Care Law simplifies & expediates your research by giving you immediate access to key court decisions, state managed care policies & practices, & extensive citations to codes & regulations for all 50 states. Identify your issue in the index & turn to the page indicated. You'll find current, authoritative information that can help you: Evaluate baseline quality standards, determine when managed care enrollees have access to providers Establish guidelines for collection & disclosure of financial information Arm yourself to tackle the complicated issue of prescription drugs Ensure the managed care organization recognizes patients' & providers' due process rights. Whether you are involved in the design, delivery, or regulation of managed care, you can count on State by State Guide to Managed Care Law for a valuable national snapshot. Managed care is undeniably a permanent part of the health care landscape, so keep this portable & precise reference close at hand for daily consultation.
Author : John F. Buckley
Publisher : Wolters Kluwer Law & Business
ISBN 13 : 9781454825807
Total Pages : 548 pages
Book Rating : 4.8/5 (258 download)
Download or read book State by State Guide to Managed Care Law, 2014 Edition written by John F. Buckley and published by Wolters Kluwer Law & Business. This book was released on 2013-11-12 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: State by State Guide to Managed Care Law simplifies and expedites your research by giving you immediate access to key court decisions, state managed care policies and practices, and extensive citations to codes and regulations - for all 50 states. Identify your issue in the index and turn to the page indicated. You'll find current, authoritative information that can help you to: Evaluate baseline quality standards Determine when managed care enrollees have access to providers Establish guidelines for collection and disclosure of financial information Arm yourself to tackle the complicated issue of prescription drugs Ensure that the managed care organization recognizes patients' and providers' due process rights The 2014 Edition has been updated to include: Changes to administrative requirements for HMOs for five states, including preexisting condition provisions and anti-discrimination provisions Updates to provider access laws for six states Revisions to coverage of Rhode Island and Virginia clinical trial protocol requirements for coverage by HMOs Revised requirements for coverage of drugs and prostheses for nine states, including new oral cancer drug requirements for six states Updates to prompt payment requirements in five states Changes to consumer assistance laws for three states
Author : John F. Buckley
Publisher : Aspen Publishers
ISBN 13 : 9780735574267
Total Pages : 0 pages
Book Rating : 4.5/5 (742 download)
Download or read book State by State Guide to Managed Care Law, 2009 Edition written by John F. Buckley and published by Aspen Publishers. This book was released on 2008-11-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: State by State Guide to Managed Care Law simplifies and expedites your research by giving you immediate access to key court decisions, state managed care policies and practices, and extensive citations to codes and regulations - for all 50 states. Identify your issue in the index and turn to the page indicated. You'll find current, authoritative information that can help you to: Evaluate baseline quality standards Determine when managed care enrollees have access to providers Establish guidelines for collection and disclosure of financial information Arm yourself to tackle the complicated issue of prescription drugs Ensure that the managed care organization recognizes patients' and providers' due process rights
Author : Daniel M. Albert
Publisher : Wiley-Blackwell
ISBN 13 : 9780632045815
Total Pages : 240 pages
Book Rating : 4.0/5 (458 download)
Download or read book A Physicians Guide to Healthcare Management written by Daniel M. Albert and published by Wiley-Blackwell. This book was released on 2002-05-24 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book answers the growing need for concise, practical information about the business aspects of medicine. Written for medical students, residents, and physicians interested in medical management, it covers issues such as the forces shaping health care delivery, physician management skills, economic aspects of managed care, medical, scientific and legal considerations in health care delivery and business aspects of medical management. With a focus on the skills and theory behind medical management, rather than on specifics, this book is a must-have primer for medical trainees and professionals.
Author : John F. Buckley
Publisher : Aspen Publishers
ISBN 13 : 9780735591646
Total Pages : 530 pages
Book Rating : 4.5/5 (916 download)
Download or read book State by State Guide to Managed Care Law written by John F. Buckley and published by Aspen Publishers. This book was released on 2010-12-06 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt: State by State Guide to Managed Care Law simplifies and expedites your research by giving you immediate access to key court decisions, state managed care policies and practices, and extensive citations to codes and regulations - for all 50 states. Identify your issue in the index and turn to the page indicated. You'll find current, authoritative information that can help you to: Evaluate baseline quality standards Determine when managed care enrollees have access to providers Establish guidelines for collection and disclosure of financial information Arm yourself to tackle the complicated issue of prescription drugs Ensure that the managed care organization recognizes patients' and providers' due process rights
Author : Bruce A. Johnson
Publisher :
ISBN 13 : 9781568290768
Total Pages : 260 pages
Book Rating : 4.2/5 (97 download)
Download or read book Managed Care Legal Issues written by Bruce A. Johnson and published by . This book was released on 1996 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Alice G. Gosfield
Publisher : Faulkner & Gray, Incorporated
ISBN 13 : 9781881393719
Total Pages : 253 pages
Book Rating : 4.3/5 (937 download)
Download or read book Guide to Key Legal Issues in Managed Care Quality written by Alice G. Gosfield and published by Faulkner & Gray, Incorporated. This book was released on 1996-01-01 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt:
