Managed Care

Managed Care
Author: Joe Barrett
Publsiher: Unknown
Total Pages: 0
Release: 2023-05-18
Genre: Electronic Book
ISBN: 1685133185

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Is it too much to ask that a managed care facility refund a year's advance payment when your grandfather dies before he can move in?

Managed Care

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

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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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.

Managed Care

Managed Care
Author: Peter Reid Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 348
Release: 2004
Genre: Managed care plans (Medical care)
ISBN: 076372498X

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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

Managing Managed Care

Managing Managed Care
Author: Institute of Medicine,Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care
Publsiher: National Academies Press
Total Pages: 394
Release: 1997-04-21
Genre: Medical
ISBN: 9780309175050

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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.

Understanding Managed Care

Understanding Managed Care
Author: Annette U. Rickel,Thomas N. Wise
Publsiher: Karger Medical and Scientific Publishers
Total Pages: 125
Release: 2000
Genre: Health & Fitness
ISBN: 9783805569606

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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.

Managed Care Pharmacy Practice

Managed Care Pharmacy Practice
Author: Navarro
Publsiher: Jones & Bartlett Publishers
Total Pages: 659
Release: 2008-12-11
Genre: Medical
ISBN: 9780763788834

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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.