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Author : Diane R. Rittenhouse
Publisher :
ISBN 13 :
Total Pages : 52 pages
Book Rating : 4.:/5 (585 download)
Download or read book The Role of Provider Organizations in Medi-Cal Managed Care written by Diane R. Rittenhouse and published by . This book was released on 2004 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Patrick Kimuyu
Publisher : GRIN Verlag
ISBN 13 : 3668627614
Total Pages : 19 pages
Book Rating : 4.6/5 (686 download)
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.
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449649823
Total Pages : 295 pages
Book Rating : 4.4/5 (496 download)
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.
Author : Colodia Owens
Publisher : McGraw-Hill Companies
ISBN 13 :
Total Pages : 198 pages
Book Rating : 4.3/5 (91 download)
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:
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1284087115
Total Pages : 418 pages
Book Rating : 4.2/5 (84 download)
Download or read book Health Insurance and Managed Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2016 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Peter Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763759112
Total Pages : 295 pages
Book Rating : 4.7/5 (637 download)
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.
Author : Robert G. Shouldice
Publisher :
ISBN 13 :
Total Pages : 584 pages
Book Rating : 4.E/5 ( download)
Download or read book Introduction to Managed Care written by Robert G. Shouldice and published by . This book was released on 1991 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Main topics: HMO and alternative delivery systems; history, philosophy and legislative activities; Preferred providers organisations; organizational structure of HMOs; competitive medical plans and government contracting; the providers; consumers and purchasers of managed care; Control, quality and utilization of services and accountability; Development and expansion activities; marketing; financial management
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763739836
Total Pages : 874 pages
Book Rating : 4.7/5 (398 download)
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
Author : Montague Brown
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834205048
Total Pages : 286 pages
Book Rating : 4.2/5 (5 download)
Download or read book Managed Care written by Montague Brown and published by Jones & Bartlett Learning. This book was released on 1994 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here in 25 authoritative articles drawn from the highly respected journal Health Care Management Review, you'll discover what you'll need to lead your organization into the generation of managed care. From short range issues like making existing product lines efficient to the policy logic of building comprehensive, integrated systems, this reference will help managers in a provider, insurer, buyer, or government organization create a successfully integrated organization.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763724986
Total Pages : 348 pages
Book Rating : 4.7/5 (249 download)
Download or read book Managed Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2004 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: A managed care expert overviews the history, structure, regulation, and issues of the complex US health care system. This second edition work was originally published by Aspen in 2002. Much of the information is distilled from another of the doctor's books, The Managed Care Handbook, 4th ed. An extensive glossary is included, but there are no refer
Author : Maurice J. Penner
Publisher : Maurice Penner
ISBN 13 : 9781567930511
Total Pages : 298 pages
Book Rating : 4.9/5 (35 download)
Download or read book Capitation in California written by Maurice J. Penner and published by Maurice Penner. This book was released on 1997 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This "from-the-trenches" guide can help you meet the challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, negotiating managed care contracts, & managing utilization & quality.
Author : George B. Moseley
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834207356
Total Pages : 644 pages
Book Rating : 4.2/5 (73 download)
Download or read book Managed Care Strategies written by George B. Moseley and published by Jones & Bartlett Learning. This book was released on 1999 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems. The second half of the book covers a variety of key topics such as credentialing, reimbursement systems, and utilization management.
Author : United States. General Accounting Office
Publisher :
ISBN 13 :
Total Pages : 44 pages
Book Rating : 4.3/5 (91 download)
Download or read book Medicaid Managed Care written by United States. General Accounting Office and published by . This book was released on 1995 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : John D. Wilkerson
Publisher : Jossey-Bass
ISBN 13 :
Total Pages : 438 pages
Book Rating : 4.:/5 (321 download)
Download or read book Competitive Managed Care written by John D. Wilkerson and published by Jossey-Bass. This book was released on 1997 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited collection--written by the movers and shakers in the industry--provides a "big picture" look at the rapidly changing health care environment. The book explores the important issues affecting the move to a managed care such as measuring and monitoring quality, mergers, the physician-patient relations, , and reconfiguring the work force.
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 : Kay Stanley
Publisher : Amer Medical Assn
ISBN 13 : 9781579472931
Total Pages : 158 pages
Book Rating : 4.4/5 (729 download)
Download or read book Managing Managed Care in the Medical Practice written by Kay Stanley and published by Amer Medical Assn. This book was released on 2004-01-01 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now is the time to make sure managed care doesn't manage you. This resource provides an overview of today's concepts of managed care as they relate to the business aspects of medical practice. This updated guide relates the current mechanics of managed care and illustrates their application to medical practice management. Invaluable resources such as reviews of the fundamentals and concepts, terminology and definitions, a clarification of various roles of physicians in managed care, and tools for assessing plans and reviewing contracts are included. This book will keep you ahead of managed care trends and ensure that your practice remains fiscally solid while providing the highest quality care possible to patients.
Author : Annette U. Rickel
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805569602
Total Pages : 125 pages
Book Rating : 4.8/5 (55 download)
Download or read book Understanding Managed Care written by Annette U. Rickel and published by Karger Medical and Scientific Publishers. This book was released on 2000 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: A unique series of cases based on a fictional family selecting and using a health plan is presented and a glossary is provided which defines basic concepts frequently encountered in the managed care field.
