Managing Managed Care

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Author :
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.

The Provision of Mental Health Services in Managed Care Organizations

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Publisher :
ISBN 13 :
Total Pages : 84 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Provision of Mental Health Services in Managed Care Organizations by :

Download or read book The Provision of Mental Health Services in Managed Care Organizations written by and published by . This book was released on 2003 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Future of the Public's Health in the 21st Century

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Publisher : National Academies Press
ISBN 13 : 0309133181
Total Pages : 536 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Future of the Public's Health in the 21st Century by : Institute of Medicine

Download or read book The Future of the Public's Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Managed Behavioral Health Care Handbook

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834217270
Total Pages : 426 pages
Book Rating : 4.2/5 (172 download)

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Book Synopsis Managed Behavioral Health Care Handbook by : E. Clarke Ross

Download or read book Managed Behavioral Health Care Handbook written by E. Clarke Ross and published by Jones & Bartlett Learning. This book was released on 2001 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by a team of nationally recognized authorities on managed care, Managed Behavioral Health Care Handbook guides you through specific strategies that characterize contemporary efforts made at managing behavioral health care, building a clear understanding of their role, and their effect in improving the quality of behavioral health care today, and in the future. From beginning to end, you will learn the core components of the managed behavioral health care process and gain invaluable insight into the numerous controversies and public policy issues.

Managed Care Tracking System

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Publisher :
ISBN 13 :
Total Pages : 364 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Managed Care Tracking System by :

Download or read book Managed Care Tracking System written by and published by . This book was released on 2000 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Primary Care

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Publisher : National Academies Press
ISBN 13 : 0309175690
Total Pages : 411 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Primary Care by : Institute of Medicine

Download or read book Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1996-09-05 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

The Role of Telehealth in an Evolving Health Care Environment

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Publisher : National Academies Press
ISBN 13 : 0309262011
Total Pages : 159 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis The Role of Telehealth in an Evolving Health Care Environment by : Institute of Medicine

Download or read book The Role of Telehealth in an Evolving Health Care Environment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-12-20 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

Negotiating Managed Care

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1585627666
Total Pages : 129 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Negotiating Managed Care by : Michael A. Fauman

Download or read book Negotiating Managed Care written by Michael A. Fauman and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many psychiatrists and other mental health professionals, the clinical review is the most burdensome and disagreeable part of managed care. In that review they are asked, by a representative of the managed care company, to justify their patient's need for care and to defend the treatment they are providing. Clinicians usually feel at a disadvantage in these discussions because they are never quite sure what information the reviewer needs to approve the patient's care. This does not have to be the case. The goal of this book is to teach psychiatrists, mental health professionals, and administrators how reviewers think and how to conceptualize, present, and document clinical care in a manner that greatly increases the likelihood that reviewers will approve their request for care. Beginning with five questions that must be answered in every managed care review, the author discusses the following key topics and many others. Presenting your case to a reviewer -- How to effectively present requests for inpatient, partial hospital, and substance abuse care and avoid common mistakes that decrease the likelihood that your request will be approved. How to answer the four clinical questions that must be addressed in every review even if they are not asked by the reviewer. Negotiating with the reviewer -- How to negotiate with a reviewer who is reluctant to approve the care you request. Writing effective notes -- How to write effective clinical notes in the patient's record that substantiate your request for care and increase the likelihood that it will be approved. Dealing with unethical reviewers -- How to identify and take action against unethical reviewers and managed care companies that are insensitive to your patient's clinical needs. Appealing denials of care -- How to appeal denials of care when you do not agree with the reviewer's decision. These and many other important issues are highlighted in brief vignettes illustrating a clinician's presentation of a patient's case and a typical reviewer's comments. This tremendously useful volume will be welcomed by every mental health care practitioner who must negotiate the current managed care landscape.

Alcoholism

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Publisher : Springer Science & Business Media
ISBN 13 : 0306471930
Total Pages : 475 pages
Book Rating : 4.3/5 (64 download)

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Book Synopsis Alcoholism by : Marc Galanter

Download or read book Alcoholism written by Marc Galanter and published by Springer Science & Business Media. This book was released on 2008-04-08 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the President ofthe Research Society onAlcoholism - On behalf of the Research Society on Alcoholism I welcome the important contri bution that Volume 15 of this excellent series on Recent Developments in Alcoh- ism brings to our field. It is not enough for our scientists to develop effective and efficient methods to identify and treat alcohol abuse and alcohol dependence; the availability of these services is often limited and it is certainly nonexistent for the early problem drinker. In nineteen outstanding chapters, Volume 15 deals with organizational issues concerning access to and delivery of substance abuse treatment and the role of managed care. Several chapters deal with economic issues, cost-benefits, and - nancing of these services. Lastly, five address recent treatment outcome studies. Thus, this volume will be of great value to both scientists and practitioners. The Editor and Associate Editors are congratulated for this conceptual and organi- tional accomplishment. Yedy Israel, Ph.D.

Handbook of Mental Health Administration and Management

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Author :
Publisher : Routledge
ISBN 13 : 1134941013
Total Pages : 584 pages
Book Rating : 4.1/5 (349 download)

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Book Synopsis Handbook of Mental Health Administration and Management by : William H. Reid

Download or read book Handbook of Mental Health Administration and Management written by William H. Reid and published by Routledge. This book was released on 2013-08-21 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinicians who understand mental health care administration in addition to their clinical fields are likely to be valuable to the organizations in which they work. This handbook is an accessible source of information for professionals coming from either clinical or management backgrounds. Sections offer coverage in: mental health administrative principles, mental health care management, business, finance and funding of care, information technology, human resources and legal issues.

The Nation's Health

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Publisher : Jones & Bartlett Learning
ISBN 13 : 0763784575
Total Pages : 866 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis The Nation's Health by : Leiyu Shi

Download or read book The Nation's Health written by Leiyu Shi and published by Jones & Bartlett Learning. This book was released on 2011 with total page 866 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Nation's Health, Eighth Edition provides students with a comprehensive examination of the health of the U.S. population and the complex factors that contribute to it. --

Care Without Coverage

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Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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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.

Managing Managed Care

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Publisher : National Academies Press
ISBN 13 : 0309523680
Total Pages : 395 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Managing Managed Care by : Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care

Download or read book Managing Managed Care written by Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care and published by National Academies Press. This book was released on 1997-05-05 with total page 395 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 health--federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

A Public Health Perspective of Women’s Mental Health

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1441915265
Total Pages : 416 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis A Public Health Perspective of Women’s Mental Health by : Bruce Lubotsky Levin

Download or read book A Public Health Perspective of Women’s Mental Health written by Bruce Lubotsky Levin and published by Springer Science & Business Media. This book was released on 2010-03-10 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Public Health Perspective of Women’s Mental Health Edited by Bruce Lubotsky Levin and Marion Ann Becker As many as one-half of all women in the U.S. will experience some form of mental illness in their lives—an especially distressing fact when health care budgets are in flux, adding to existing disparities and unmet health needs. Written from a unique multidisciplinary framework, A Public Health Perspective of Women’s Mental Health addresses today’s most pressing mental health challenges: effective treatment, efficient prevention, equal access, improved service delivery, and stronger public policy. Eminent clinicians, researchers, academicians, and advocates examine the effects of mental illness on women’s lives and discuss the scope of clinical and service delivery issues affecting women, focusing on these major areas: Epidemiology of mental disorders in girls, female adolescents, adult women, and older women. Selected disorders of particular concern to women, including depression and postpartum depression, eating disorders, menopause, chemical dependence, and HIV/AIDS. Mental health needs of women in the workplace, rural areas, and prisons. Racial and ethnic disparities and their impact on service delivery. Parenting and recovery issues in mothers with mental illness. Women’s mental health services in an era of evidence-based medicine. Improving women’s health in today’s technological climate. A Public Health Perspective of Women’s Mental Health is a resource of immediate importance to professionals and graduate students in the public health, health administration, health disparities, social work, behavioral health, and health services research fields, as well as nursing, community/health psychology and community/public psychiatry.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

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Author :
Publisher : National Academies Press
ISBN 13 : 0309133661
Total Pages : 528 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Quality of Health Care for Mental and Substance-Use Conditions by : Institute of Medicine

Download or read book Improving the Quality of Health Care for Mental and Substance-Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations for 1999: Department of Health and Human Services, Public Health Service

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Publisher :
ISBN 13 :
Total Pages : 1428 pages
Book Rating : 4.0/5 (18 download)

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Book Synopsis Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations for 1999: Department of Health and Human Services, Public Health Service by : United States. Congress. House. Committee on Appropriations. Subcommittee on the Departments of Labor, Health and Human Services, Education, and Related Agencies

Download or read book Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations for 1999: Department of Health and Human Services, Public Health Service written by United States. Congress. House. Committee on Appropriations. Subcommittee on the Departments of Labor, Health and Human Services, Education, and Related Agencies and published by . This book was released on 1998 with total page 1428 pages. Available in PDF, EPUB and Kindle. Book excerpt:

SAMHSA News

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Publisher :
ISBN 13 :
Total Pages : 172 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis SAMHSA News by :

Download or read book SAMHSA News written by and published by . This book was released on 1995 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: