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Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Publishers
Page : 418 pages
File Size : 53,9 Mb
Release : 2016
Category : Health insurance
ISBN : 9781284087116
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 355 pages
File Size : 51,5 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 Publishers
Page : 715 pages
File Size : 53,6 Mb
Release : 2013
Category : Medical
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 : 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
Publisher : National Academies Press
Page : 161 pages
File Size : 53,5 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210
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.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 874 pages
File Size : 47,6 Mb
Release : 2007
Category : Managed Care Programs
ISBN : 0763739839
Managed Care
Author : Anonim
Publisher : DIANE Publishing
Page : 120 pages
File Size : 52,7 Mb
Release : 1993-07
Category : Managed care plans (Medical care)
ISBN : 0788100262
Pamphlet from the vertical file.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 918 pages
File Size : 41,5 Mb
Release : 2003
Category : Medical
ISBN : 0763724963
Author : Peter Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 295 pages
File Size : 45,5 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 : David E. Marcinko, MBA, CFP, CMP
Publisher : Springer Publishing Company
Page : 372 pages
File Size : 43,7 Mb
Release : 2006-03-22
Category : Medical
ISBN : 9780826149947
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!
Author : Institute of Medicine,Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care
Publisher : National Academies Press
Page : 394 pages
File Size : 54,9 Mb
Release : 1997-04-21
Category : Medical
ISBN : 9780309175050
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.
Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 53,6 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430
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.
Author : David E. Marcinko, MBA, CFP, CMP
Publisher : Springer Publishing Company
Page : 372 pages
File Size : 51,9 Mb
Release : 2006-03-22
Category : Medical
ISBN : 0826149936
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!
Author : Marianne Lamb
Publisher : Unknown
Page : 158 pages
File Size : 42,6 Mb
Release : 1991
Category : Managed care plans (Medical care)
ISBN : UCAL:B4527035
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 96 pages
File Size : 45,7 Mb
Release : 2003
Category : Medical
ISBN : 076372534X
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 348 pages
File Size : 42,7 Mb
Release : 2004
Category : Managed care plans (Medical care)
ISBN : 076372498X
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