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Managing Managed Care Ii
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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.
Book Synopsis Managing Managed Care II by : Michael Goodman
Download or read book Managing Managed Care II written by Michael Goodman and published by American Psychiatric Pub. This book was released on 1996 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes. Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated. Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.
Book Synopsis Managed Care Pharmacy Practice by : Navarro
Download or read book Managed Care Pharmacy Practice written by Navarro and published by Jones & Bartlett Publishers. This book was released on 2008-12-11 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, as well as the evolving role of pharmacists.
Book Synopsis Regulating Managed Care by : Stuart H. Altman
Download or read book Regulating Managed Care written by Stuart H. Altman and published by Jossey-Bass. This book was released on 1999-06-25 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: What should be government's role in a market-oriented health caresystem? What's the appropriate amount of regulation? Who should regulate-states, federal government, or marketforces? What role do the courts play in this regulation? Are there existing models that might guide leaders in designing aneffective regulatory structure? Welcome to the great managed care debate. In Regulating ManagedCare, twenty-six of the nation's leading health policy experts givehealth care administrators, clinicians, and policy makers insightinto the issues behind this critical exchange and provide leaderswith a road map to assess the policy options available to protectthe quality of our health care delivery system. "This collection of papers, from an extraordinary group of authors,makes a valuable contribution to the ongoing policy debate and willbe of interest to anyone concerned with the future of our healthcare system."---Charles A. Sanders, retired chairman and CEO GlaxoInc. and former general director, Massachusetts General Hospital
Book Synopsis Essentials of Managed Health Care by : Peter Reid Kongstvedt
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 2003 with total page 918 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Complete Idiot's Guide to Managed Health Care by : Sophie M. Korczyk
Download or read book The Complete Idiot's Guide to Managed Health Care written by Sophie M. Korczyk and published by . This book was released on 1997-12-11 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed health care is one of the most confusing areas any consumer can deal with. Rules and regulations are constantly changing, providers are always merging and changing their offerings, and paperwork abounds. In easy-to-understand language, this book explains how to understand options, how to get treatment for chronic and long-term illnesses, how to get the most care for the least cost, and more.
Download or read book Capitation written by David I. Samuels and published by Irwin Professional Publishing. This book was released on 1996 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Capitation is defined as "a type of risk sharing reimbursement method whereby providers in a plan's network receive fixed periodic payments for health services rendered to plan members". This definition doesn't necessarily mean that hospitals need to lose money. This book provides the tools and techniques for minimizing the financial risk that is associated with this process while maintaining the bottom line.
Book Synopsis Managing Human Resources in Health Care Organizations by : Leiyu Shi
Download or read book Managing Human Resources in Health Care Organizations written by Leiyu Shi and published by Jones & Bartlett Learning. This book was released on 2007 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: Light on complex theoretical language, this relevant, accessible text offers a hands-on approach to studying human resources in various healthcare systems such as hospitals, integrated healthcare systems, managed care settings, private practices, and public health clinics. The book can be used as a stand-alone textbook in undergraduate or graduate level courses on human resources. With its practice-oriented approach, it is also a valuable resource for current health care organizations.
Book Synopsis Handbook of Private Practice by : Steven Walfish
Download or read book Handbook of Private Practice written by Steven Walfish and published by Oxford University Press. This book was released on 2017 with total page 849 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Private Practice is the premier resource for mental health clinicians, covering all aspects of developing and maintaining a successful private practice. Written for graduate students considering the career path of private practice, professionals wanting to transition into private practice, and current private practitioners who want to improve their practice, this book combines the overarching concepts needed to take a mental health practice (whether solo or in a group) from inception, through its lifespan. From envisioning your practice, to accounting and bookkeeping, hiring staff, managing the practice, and running the business of the practice, a diverse group of expert authors describe the practical considerations and steps to take to enhance your success. Chapters cover marketing, dealing with insurance and managed care, and how to choose your advisors. Ethics and risk management are integrated throughout the text with a special section also devoted to these issues and strategies. The last section features 26 niche practices in which expert practitioners describe their special area of practice and discuss important issues and aspects of their specialty practice. These areas include assessment and evaluation, specialized psychotherapy services, working with unique populations of clients, and more. Whether read cover-to-cover or used as a reference to repeatedly come back to when a question or challenge arises, this book is full of practical guidance directly geared to psychologists, counselors, social workers, and marriage and family therapists in independent practice.
Book Synopsis Health Insurance and Managed Care by : Peter R. Kongstvedt
Download or read book Health Insurance and Managed Care written by Peter R. Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2019-02-14 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Book Synopsis Crossing the Quality Chasm by : Institute of Medicine
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Download or read book Managed written by Kristen Callihan and published by Plain Jane Books. This book was released on 2016-11-14 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: It started off as a battle of wits. Me: the ordinary girl with a big mouth against Him: the sexy bastard with a big...ego. I thought I’d hit the jackpot when I was upgraded to first class on my flight to London. That is until HE sat next to me. Gabriel Scott: handsome as sin, cold as ice. Nothing and no one gets to him. Ever. He’s a legend in his own right, the manager of the biggest rock band in the world, and an arrogant ass who looks down his nose at me. I thought I’d give him hell for one, long flight. I didn’t expect to like him. I didn’t expect to want him. But the biggest surprise? He wants me too. Only in a way I didn’t see coming. If I accept his proposal,I leave myself open to falling for the one man I can’t manage. But I’m tempted to say yes. Because the real man beneath those perfect suits and that cool façade just might be the best thing that’s ever happened to me. And I just might be the only one who can melt the ice around his heart. Let the battle begin…
Book Synopsis Successful Private Practice by : Susan Frager
Download or read book Successful Private Practice written by Susan Frager and published by John Wiley & Sons. This book was released on 2000-03-03 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an industry insider, Managing Managed Care offers a candid and unprecedented behind-the-scenes view, with focus on issues of vital importance to today's practitioner: understanding the "participating-provider" contract; challenging fee reductions; writing treatment reports in "managed-care-friendly" language to enhance the likelihood of obtaining continued authorization; the nuts and bolts of "medical necessity"; effectively fighting denials of care; and getting claims paid."--BOOK JACKET.
Book Synopsis Definition of Serious and Complex Medical Conditions by : Institute of Medicine
Download or read book Definition of Serious and Complex Medical Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 1999-10-19 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.
Book Synopsis Workplace Clinics and Employer Managed Healthcare by : A. Michael LaPenna
Download or read book Workplace Clinics and Employer Managed Healthcare written by A. Michael LaPenna and published by CRC Press. This book was released on 2017-07-27 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: Workplace Clinics and Employer Managed Healthcare: A Catalyst for Cost Savings and Improved Productivity is not another diatribe on the national healthcare problem. Instead, it is a book about what is possible. Mike LaPenna shares with readers the actual experiences of those self-funded employers who are moving healthcare access on-site and directl
Book Synopsis Managing Diversity in Health Care by : Lee Gardenswartz
Download or read book Managing Diversity in Health Care written by Lee Gardenswartz and published by Jossey-Bass. This book was released on 1998-05-29 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cultural Diversity as a Strategic Advantage This insightful and practical work should be required reading formanagers, physicians, nurses, allied health caregivers, and supportstaff, in order to overcome barriers to communication and change indealing with an increasingly complex patient and employee base. Ihighly Andorse this excellent book written by these outstandingauthors. --Donald R. Oxley, vice president and executive director, KaiserPermanente As reflected in new cultural competency requirements for healthcare organizations, sensitivity to and understanding of culturaldiversity have become mandatory for health care professionals.However, most health care professionals have little or no trainingon how to deal with the challenges of cultural diversity. WithManaging Diversity in Health Care, you'll learn effectivestrategies fundamental to creating a culturally diverse health careorganization. This essential handbook provides you with the necessary knowledgeand tools to become more responsive to culturally diverse patientand staff populations. The authors show how to build diverse teams,deal with the thorny issues of prejudice and bias, and communicateeffectively within a diverse health care setting.
Book Synopsis The Well-managed Healthcare Organization by : Kenneth Ray White
Download or read book The Well-managed Healthcare Organization written by Kenneth Ray White and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Griffith's name appears first on the earlier ed.
