Managed Care Services

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 : 41,6 Mb
Release : 1997-04-21
Category : Medical
ISBN : 9780309175050

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Managing Managed Care by Institute of Medicine,Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care Pdf

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 : Marianne Lamb
Publisher : Unknown
Page : 158 pages
File Size : 51,7 Mb
Release : 1991
Category : Managed care plans (Medical care)
ISBN : UCAL:B4527035

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Managed Care in Canada by Marianne Lamb Pdf

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 918 pages
File Size : 43,7 Mb
Release : 2003
Category : Medical
ISBN : 0763724963

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Essentials of Managed Health Care by Peter Reid Kongstvedt Pdf

Author : Anonim
Publisher : Unknown
Page : 113 pages
File Size : 43,5 Mb
Release : 2000
Category : Emerging infectious diseases
ISBN : LCCN:99069869

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Managed Care Systems and Emerging Infections by Anonim Pdf

Author : Anonim
Publisher : DIANE Publishing
Page : 120 pages
File Size : 42,6 Mb
Release : 1993-07
Category : Managed care plans (Medical care)
ISBN : 0788100262

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Managed Competition by Anonim Pdf

Pamphlet from the vertical file.

Author : Montague Brown
Publisher : Jones & Bartlett Learning
Page : 286 pages
File Size : 43,8 Mb
Release : 1994
Category : Managed care plans (Medical care)
ISBN : 0834205041

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Managed Care by Montague Brown Pdf

Here in 25 authoritative articles drawn from the highly respected journal Health Care Management Review, you'll discover what you'll need to lead your organization into the generation of managed care. From short range issues like making existing product lines efficient to the policy logic of building comprehensive, integrated systems, this reference will help managers in a provider, insurer, buyer, or government organization create a successfully integrated organization.

Author : Nancy W. Veeder,Wilma Cecelia Peebles-Wilkins
Publisher : Oxford University Press, USA
Page : 304 pages
File Size : 53,5 Mb
Release : 2001
Category : Community mental health services
ISBN : 9780195134292

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Managed Care Services by Nancy W. Veeder,Wilma Cecelia Peebles-Wilkins Pdf

This volume explores policy, programmatic, and research issues in the health and behavioural health care system known as managed care. Discussions include such areas as the evolution of health care from essential social good to a commodity, cost of and access to care, parity of behavioural health services reimbursement and more.

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 : 49,5 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by 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 Pdf

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 : A. F. Al-Assaf,R. Robyn Assaf
Publisher : CRC Press
Page : 294 pages
File Size : 41,8 Mb
Release : 2020-07-26
Category : Law
ISBN : 9781000162141

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Managed Care Quality by A. F. Al-Assaf,R. Robyn Assaf Pdf

Managed care organizations are paving the way to the future of health care delivery in the United States and countries around the world. As managed care systems evolve, a major concern is quality. Managed Care Quality: A Practical Guide is a collection of applications and experiences gathered from practicing health professionals in the field of managed care. This first "how to" guide was written to help managed care organizations meet the common objective of ensuring the best quality of services and care. Managed Care Quality: A Practical Guide presents successive steps in implementing quality in health care organizations. It introduces the methods, skills, and practices involved in quality health care programs and offers solutions to problems typically encountered in managed care.

Author : Henk ten Have,Maria do Céu Patrão Neves
Publisher : Springer Nature
Page : 1063 pages
File Size : 47,5 Mb
Release : 2021-05-26
Category : Philosophy
ISBN : 9783030541613

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Dictionary of Global Bioethics by Henk ten Have,Maria do Céu Patrão Neves Pdf

This Dictionary presents a broad range of topics relevant in present-day global bioethics. With more than 500 entries, this dictionary covers organizations working in the field of global bioethics, international documents concerning bioethics, personalities that have played a role in the development of global bioethics, as well as specific topics in the field.The book is not only useful for students and professionals in global health activities, but can also serve as a basic tool that explains relevant ethical notions and terms. The dictionary furthers the ideals of cosmopolitanism: solidarity, equality, respect for difference and concern with what human beings- and specifically patients - have in common, regardless of their backgrounds, hometowns, religions, gender, etc. Global problems such as pandemic diseases, disasters, lack of care and medication, homelessness and displacement call for global responses.This book demonstrates that a moral vision of global health is necessary and it helps to quickly understand the basic ideas of global bioethics.

Author : Peter Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 295 pages
File Size : 42,5 Mb
Release : 2009-10-07
Category : Education
ISBN : 9780763759117

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Managed Care by Peter Kongstvedt Pdf

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 : Wendy Knight
Publisher : Unknown
Page : 292 pages
File Size : 45,8 Mb
Release : 1998
Category : Business & Economics
ISBN : UCSC:32106014043555

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Managed Care by Wendy Knight Pdf

Managed Care: What It Is and How It Works, the title says it all! This introduction to managed care is a must have for managed care professionals new to the industry, health care professionals who traditionally have had limited exposure to managed care, and professionals in other industries eager to capitalize on the business opportunities generated by managed care. It also serves as a textbook or supplemental reading for health-related courses in public health, medical, nursing, allied health, business, and public policy schools and programs. This book provides the reader with the basic structures, concepts, and practices of managed care in a concise, easy-to-read format. Winner of the 1998 AJN Book of the Year Award in the Managed Care category.

Author : Institute of Medicine,Committee on Choice and Managed Care: Assuring Public Accountability and Information for Informed Purchasing by and on Behalf of Medicare Beneficiaries
Publisher : National Academies Press
Page : 384 pages
File Size : 51,7 Mb
Release : 1996-11-01
Category : Medical
ISBN : 9780309175364

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Improving the Medicare Market by Institute of Medicine,Committee on Choice and Managed Care: Assuring Public Accountability and Information for Informed Purchasing by and on Behalf of Medicare Beneficiaries Pdf

Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.

Author : Stephen P. Wernet
Publisher : Unknown
Page : 244 pages
File Size : 43,9 Mb
Release : 1999
Category : Child health services
ISBN : UOM:39015043791949

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Managed Care in Human Services by Stephen P. Wernet Pdf

The unique contribution of this book is its exclusive focus on the current impact of managed care on social service organisations and delivery systems, public sector systems, and professional practice. It is one of the only books to address managed care from a social work perspective. And it is the first to address the impact of managed care on services to children.

Author : Patrick Kimuyu
Publisher : GRIN Verlag
Page : 19 pages
File Size : 48,5 Mb
Release : 2018-02-01
Category : Medical
ISBN : 9783668627611

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The Role of Managed Care Organizations within the Healthcare Industry by Patrick Kimuyu Pdf

Seminar paper from the year 2018 in the subject Medicine - Medical Frontiers and Special Areas, grade: 1, Egerton University, language: English, abstract: This paper will provide a comprehensive overview of managed care, primarily on the advantages and disadvantages of managed care organizations. Over the decades, the United States’ healthcare system has been experiencing challenges. In general, the cost and quality of care has always been considered as the most critical factors that influence healthcare sustainability in the United States and the world, as a whole. As a result, a series of value-based payment reforms have been introduced. For instance, the Affordable Care Act (ACA) of 2010 introduced payment and delivery system reforms. From a critical perspective, the reforms introduced by the ACA have addressed the long-standing problems which have been posing enormous hindrances to the development of the U.S. healthcare system. Above all, it has enhanced managed care through consolidating care, as well as, addressing the problem of unsustainable costs and uneven quality of care. However, managed care seems to exhibit some drawbacks too.