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Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 874 pages
File Size : 53,5 Mb
Release : 2007
Category : Managed Care Programs
ISBN : 0763739839
Managed Care
Author : Anonim
Publisher : Jones & Bartlett Publishers
Page : 715 pages
File Size : 41,7 Mb
Release : 2013
Category : Managed care plans (Medical care)
ISBN : 9781449604646
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.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 918 pages
File Size : 52,9 Mb
Release : 2003
Category : Medical
ISBN : 0763724963
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 355 pages
File Size : 46,7 Mb
Release : 2019-02-14
Category : Medical
ISBN : 9781284152098
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.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 96 pages
File Size : 51,7 Mb
Release : 2003
Category : Medical
ISBN : 076372534X
Author : William Cleverley,James Cleverley,Paula Song
Publisher : Jones & Bartlett Learning
Page : 590 pages
File Size : 40,8 Mb
Release : 2011
Category : Education
ISBN : 9780763789299
Essentials of Health Care Finance stands firmly in its place as the leading textbook on healthcare finance. No other text so completely blends the best of current finance theory with the tools needed in day-to-day practice. Useful for all course levels as well as a professional reference, this text offers a comprehensive introduction to the field. The Seventh Edition has been thoroughly revised to reflect the current economic environment in the healthcare industry, with thoughtful descriptions and ‘real-world’ examples. As the not-for-profit health care sector has increasingly come under attack by legislators seeking new sources of tax revenue, this edition also features a new chapter on assessing community benefits including an examination of the new Schedule H of the IRS 990 form. Ancillary instructor materials for the Seventh Edition have been significantly expanded and updated. PowerPoint lecture slides now include selected examples from the chapters. Electronic versions of many of the charts and tables in the chapters are provided to enable the instructor to re-create and modify existing examples. An expanded set of test questions with detailed answers will be provided for each chapter. New excel spreadsheets for selected chapters will be created to help both the students and the instructors perform a variety of financial analysis tasks with spreadsheet templates. The instructor’s manual has been revised to include key learning points, chapter overviews, and guidelines for class discussion.
Author : Peter Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 295 pages
File Size : 51,8 Mb
Release : 2009-10-07
Category : Education
ISBN : 9780763759117
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 : Sophie M. Korczyk,Hazel A. Witte
Publisher : Unknown
Page : 326 pages
File Size : 45,8 Mb
Release : 1997-12-11
Category : Managed care plans (Medical care)
ISBN : 0028621654
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.
Author : Anonim
Publisher : Unknown
Page : 128 pages
File Size : 53,9 Mb
Release : 2024-05-01
Category : Electronic
ISBN : 9781284156720
Author : Berkowitz
Publisher : Jones & Bartlett Publishers
Page : 609 pages
File Size : 54,7 Mb
Release : 2016-08-15
Category : Business & Economics
ISBN : 9781284094312
Essentials of Health Care Marketing, Fourth Edition will provide your students with a foundational knowledge of the principles of marketing and their particular application in health care. Moreover, the text offers a perspective on how these principles must shift in response to the changing environmental forces that are unique to this market.
Author : Peter Reid Kongstvedt
Publisher : Unknown
Page : 340 pages
File Size : 53,6 Mb
Release : 1997
Category : Business & Economics
ISBN : UOM:49015002389634
This collection of readings is a companion To The Essentials of Managed Health Care, Second Edition. These articles, taken from four Aspen journals (Managed Care Quarterly, Health Care Management Review, Journal of Health Care Finance, and Quarterly Management in Health Care) provide indepth coverage of key issues and topics in managed care.
Author : Kongstvedt
Publisher : Unknown
Page : 716 pages
File Size : 50,9 Mb
Release : 2012-04-06
Category : Electronic
ISBN : 1284132358
Author : Nancy J. Niles
Publisher : Jones & Bartlett Learning
Page : 449 pages
File Size : 47,9 Mb
Release : 2016-12-14
Category : Medical
ISBN : 9781284102888
Basics of the U.S. Health Care System, Third Edition provides students with a broad, fundamental introduction to the workings of the healthcare industry. Engaging and activities-oriented, the text offers an especially accessible overview of the major concepts of healthcare operations, the role of government, public and private financing, as well as ethical and legal issues. Each chapter features review exercises and Web resources that make studying this complex industry both enjoyable and easy. Students of various disciplines—including healthcare administration, business, nursing, public health, and others—will discover a practical guide that prepares them for professional opportunities in this rapidly growing sector.
Author : Michael K. Harrington
Publisher : Jones & Bartlett Learning
Page : 344 pages
File Size : 42,7 Mb
Release : 2019-10-01
Category : Medical
ISBN : 9781284169034
Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 1448 pages
File Size : 48,8 Mb
Release : 2001
Category : Medical
ISBN : 0834217260
This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.