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Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 918 pages
File Size : 48,6 Mb
Release : 2003
Category : Medical
ISBN : 0763724963
Author : Peter Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 295 pages
File Size : 43,9 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 : Anonim
Publisher : Jones & Bartlett Publishers
Page : 715 pages
File Size : 42,5 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 R. Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 355 pages
File Size : 50,7 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 : 874 pages
File Size : 42,9 Mb
Release : 2007
Category : Managed Care Programs
ISBN : 0763739839
Managed Care
Author : Henry Mintzberg
Publisher : Berrett-Koehler Publishers
Page : 273 pages
File Size : 47,6 Mb
Release : 2017-05-15
Category : Business & Economics
ISBN : 9781626569065
With a focus on reframing the management and organization of healthcare, this thoughtful resource claims that care, cure, control, and community have to work together, within healthcare institutions and across them, to deliver quantity, quality, and equality simultaneously. --
Author : Kenneth Ray White,John R. Griffith
Publisher : Unknown
Page : 0 pages
File Size : 40,5 Mb
Release : 2010
Category : Health services administration
ISBN : 1567933572
Griffith's name appears first on the earlier ed.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 1448 pages
File Size : 51,7 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.
Author : David I. Samuels
Publisher : CRC Press
Page : 309 pages
File Size : 48,9 Mb
Release : 2011-12-05
Category : Business & Economics
ISBN : 9781439840306
David Samuels, a leading authority on financial models in healthcare, draws on his multidisciplinary background in all aspects of managed care to provide an expansive yet detailed perspective of this complex field. Grounded in evidence-based modeling, the book’s multidisciplinary focus puts the spotlight on core concepts from the standpoints of health plans, hospitals, physician practice, and their respective integrated network models. You’ll learn what happened when a country’s national health care plan is developed with problematic underwriting, why hospitals will always be victimized at their payer’s bargaining table, and even how to improve the current primary care shortage at both 50% less provider costs as well as with triple their members’ compliance in wellness care. The book gives you the critical tools to stay ahead of the learning curve, engage patients to take responsibility for their own and their family’s health status, and improve your differentiation in a RAPIDLY changing marketplace.
Author : A.C. Enthoven
Publisher : Elsevier
Page : 175 pages
File Size : 54,7 Mb
Release : 2014-04-23
Category : Medical
ISBN : 9781483292724
These lectures review the research and experience on the subject of health care economy. The author also sets down a moderately rigorous statement of the economic concepts underlying the kind of competition that he regards as the most promising way to achieve a reasonable degree of equity and efficiency in health care. The first lecture is on the public policy goals of health care financing and delivery and discusses efficiency in health care. The second presents an economic analysis of the systems for organizing and financing medical care systems in the United States. The third lecture is about ``managed competition'', and the fourth reviews American experience with efforts to convert from the traditional system to a competitive system. The book is addressed primarily to economists, health policy makers and health services researchers. It explains how market forces may be managed in pursuit of equity and efficiency in health care. It addresses systematically many of the causes of market failure and proposes a strategy (``managed competition'') for overcoming them. It should be of interest to policy makers in any country interested in incentives for more efficient health care delivery. It should also be very useful supplemental reading for courses in health care economics.
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Publishers
Page : 295 pages
File Size : 42,7 Mb
Release : 2008-09-19
Category : Medical
ISBN : 9781449649821
The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.
Author : David Dranove
Publisher : Princeton University Press
Page : 224 pages
File Size : 51,5 Mb
Release : 2009-01-10
Category : Medical
ISBN : 9781400824687
The American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960s television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCOs today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970s, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCOs have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCOs of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCOs must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCOs, but they will need to rely on both their individual doctors and their own consumer awareness.
Author : Institute of Medicine,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers
Publisher : National Academies Press
Page : 304 pages
File Size : 49,8 Mb
Release : 2000-09-04
Category : Medical
ISBN : 9780309064972
America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.
Author : Alan J. Kent,Michel Hersen
Publisher : Routledge
Page : 184 pages
File Size : 47,7 Mb
Release : 1999-12-01
Category : Psychology
ISBN : 9781135679781
A Psychologist's Proactive Guide to Managed Mental Health Care offers a concise overview of the evolution of managed mental health care and its impact on the working lives of clinical and counseling psychologists. Although many books explore the ramifications of managed care for psychotherapy, this is the first to take a broad perspective and examine the ways in which the new health care delivery system is affecting all aspects of practice--not just treatment but also assessment and training--as well as mental health research. The authors include some of the country's most noted psychologists with extensive experience in managed care. Their tone is optimistic rather than pessimistic; as they look at developments others have only deplored, they see potential roles and opportunities for growth for psychologists. In an era of dramatic health change, all those practitioners who are concerned about how to make managed care work for them rather than against them, will find this Guide essential reading. ALTERNATE BLURB A Psychologist's Proactive Guide to Managed Mental Health Care offers a concise overview of the evolution of managed mental health care and its impact on the working lives of clinical and counseling psychologists. While many books explore the ramifications of managed care for psychotherapy, this is the first to take a broad perspective and examine the ways in which the new health care delivery system is affecting all aspects of practice--not just treatment but also assessment and training--and mental health research as well.
Author : Richard Rognehaugh
Publisher : Jones & Bartlett Learning
Page : 328 pages
File Size : 53,5 Mb
Release : 1998
Category : Managed care plans (Medical care)
ISBN : 0834211440
The Managed Health Care Dictionary, Second Edition is an essential resource for both professionals and students. With more than 1,000 terms, this dictionary covers the language of every industry sector--purchaser, provider, and payer. The new edition highlights new terminology, current definitions, and an expanded listing of acronyms and abbreviations.