Health Insurance and Managed Care

Health Insurance and Managed Care
Author: Peter R. Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 355
Release: 2019-02-14
Genre: Medical
ISBN: 9781284152098

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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.

Health Insurance and Managed Care

Health Insurance and Managed Care
Author: Peter Reid Kongstvedt
Publsiher: Jones & Bartlett Publishers
Total Pages: 418
Release: 2016
Genre: Health insurance
ISBN: 9781284087116

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Essentials of Managed Health Care

Essentials of Managed Health Care
Author: Peter Reid Kongstvedt
Publsiher: Jones & Bartlett Publishers
Total Pages: 715
Release: 2013
Genre: Medical
ISBN: 9781449604646

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Peter Kongstvedt provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well.

Essentials of Managed Health Care

Essentials of Managed Health Care
Author: Peter Reid Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 918
Release: 2003
Genre: Medical
ISBN: 0763724963

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Essentials of Managed Health Care

Essentials of Managed Health Care
Author: Peter Reid Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 874
Release: 2007
Genre: Managed Care Programs
ISBN: 0763739839

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Managed Care

Health Care Utilization as a Proxy in Disability Determination

Health Care Utilization as a Proxy in Disability Determination
Author: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publsiher: National Academies Press
Total Pages: 161
Release: 2018-04-02
Genre: Medical
ISBN: 9780309469210

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Dictionary of Health Insurance and Managed Care

Dictionary of Health Insurance and Managed Care
Author: David E. Marcinko, MBA, CFP, CMP
Publsiher: Springer Publishing Company
Total Pages: 372
Release: 2006-03-22
Genre: Medical
ISBN: 9780826149947

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Designated a Doody's Core Title! To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today. For Further Information, Please Click Here!

Managed Care

Managed Care
Author: Peter Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 295
Release: 2009-10-07
Genre: Medical
ISBN: 9780763759117

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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.