Managing Managed Care

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 : 50,9 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 : Michael Goodman,Janet Brown,Pamela Deitz
Publisher : American Psychiatric Pub
Page : 262 pages
File Size : 49,6 Mb
Release : 1996
Category : Medical
ISBN : 0880487720

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Managing Managed Care II by Michael Goodman,Janet Brown,Pamela Deitz Pdf

Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes. Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated. Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 918 pages
File Size : 45,5 Mb
Release : 2003
Category : Medical
ISBN : 0763724963

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Essentials of Managed Health Care by Peter Reid Kongstvedt Pdf

Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 355 pages
File Size : 51,9 Mb
Release : 2019-02-14
Category : Medical
ISBN : 9781284152098

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Health Insurance and Managed Care by Peter R. Kongstvedt Pdf

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 Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 295 pages
File Size : 52,8 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 : Kay Stanley
Publisher : American Medical Association Press
Page : 180 pages
File Size : 53,5 Mb
Release : 2004
Category : Managed care plans (Medical care)
ISBN : UOM:39015061091974

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Managing Managed Care in the Medical Practice by Kay Stanley Pdf

Provides an overview of today's concepts of managed care as they relate to the business aspects of medical practice. This updated guide relates the current mechanics of managed care and illustrates their application to medical practice management. Invaluable resources such as reviews of the fundamentals and concepts, terminology and definitions, a clarification of various roles of physicians in managed care, and tools for assessing plans and reviewing contracts are included. This book will keep the reader ahead of managed care trends and ensure that the readers' practice remains fiscally solid while providing the highest quality care possible to patients.

Author : Roey Kirk
Publisher : Jones & Bartlett Learning
Page : 302 pages
File Size : 40,6 Mb
Release : 1997
Category : Medical
ISBN : 0834209128

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Managing Outcomes, Process and Cost in a Managed Care Environment by Roey Kirk Pdf

Nursing

Author : Navarro
Publisher : Jones & Bartlett Publishers
Page : 659 pages
File Size : 45,8 Mb
Release : 2008-12-11
Category : Medical
ISBN : 9780763788834

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Managed Care Pharmacy Practice by Navarro Pdf

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.

Author : Joseph L. Verheijde
Publisher : Springer Science & Business Media
Page : 218 pages
File Size : 40,9 Mb
Release : 2006-01-07
Category : Medical
ISBN : 9781402041853

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Managing Care: A Shared Responsibility by Joseph L. Verheijde Pdf

This book traces the growth of managed care as a mechanism for curbing excessive growth in health costs, and the controversies that have risen around for-profit health care. Also examined are decentralization in US health care, and the absence of comprehensive health care planning, access rules, and minimum health care benefit standards. Finally, the author proposes a framework for improving access to quality, affordable health care in a competitive market environment.

Author : Michael C. Roberts,Linda K. Hurley
Publisher : Springer Science & Business Media
Page : 201 pages
File Size : 41,7 Mb
Release : 2012-11-19
Category : Psychology
ISBN : 9781461559290

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Managing Managed Care by Michael C. Roberts,Linda K. Hurley Pdf

The introduction of the concept of managed care into mental and physical health care appears to be a juggernaut of unparalleled impact. The two extremes of thought about this impact are (I) that managed care is a villainous foe to be resisted in order to bring back the earlier halcyon years of independence in practice decisions with greater reimbursement for psychologists' services or (2) that managed care is a laudatory attempt to restrain health care costs that are out of control and spiraling upward by rooting out mismanagement and reversing financial incentives to provide unnecessary care. The former view calls managed health care such names as "mangled care" and distributes bumper stickers stating "Just Say No to HMOs. " The latter view points to the slowdown of increases in health care expenditures and the enhancement of health care affordability and appropriateness for greater numbers of persons resulting from managed care cost-containment strategies and service review procedures. Mental or behavioral health care has been as strongly impacted as medical care under managed care. Where managed care has forced practitioners' attention to validated procedures and to examining previous wasteful practices, we ap plaud the movement. Where managed care has had adverse impact, we think there needs to be greater public, legal, and regulatory attention to its excesses and abuses.

Author : Margaret Edmunds
Publisher : Unknown
Page : 69 pages
File Size : 40,5 Mb
Release : 1997
Category : Electronic books
ISBN : OCLC:1090208192

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Managing Managed Care by Margaret Edmunds Pdf

Author : Robert Langs
Publisher : Jason Aronson
Page : 156 pages
File Size : 45,7 Mb
Release : 2009-02-19
Category : Psychology
ISBN : 9780765706515

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Managing Managed Care by Robert Langs Pdf

Managing Managed Care is the first comprehensive exploration of the many issues and challenges faced by both providers and patients who work under the auspices of managed care insurers. The distinctive conditions of managed care treatment are scrutinized in detail and their effects and optimal management are carefully presented. The book makes extensive use of the author's unique, in-depth understanding of the human mind and pays attention to both the consciously mediated effects of the conditions of managed care treatment and to the especially powerful, largely unappreciated effects that are mediated unconsciously. The result is a well grounded, extensive, practical guide to dealing effectively with the inevitable intrusions into the therapeutic relationship and with other common issues that are characteristic of managed care therapy. The recommendations proposed by the author can turn a failing treatment experience into one that brings symptom relief to the patient and satisfaction to the therapist. While the author is critical of many practices endorsed by managed care insurers and in use by their providers, he takes pains to propose basic improvements in these areas. In addition, the positive features of this treatment modality are given full consideration, including ways to enhance their favorable effects. The book uniquely provides critical insights for therapists and psychiatrists of all backgrounds and all levels of clinical experience in ways that will greatly enhance their work with managed care patients.

Author : Anonim
Publisher : Unknown
Page : 113 pages
File Size : 50,9 Mb
Release : 2000
Category : Emerging infectious diseases
ISBN : LCCN:99069869

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Managed Care Systems and Emerging Infections by Anonim Pdf

Author : Steven Walfish,Jeffrey E. Barnett,Jeffrey Zimmerman
Publisher : Oxford University Press
Page : 849 pages
File Size : 42,6 Mb
Release : 2017
Category : Psychology
ISBN : 9780190272166

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Handbook of Private Practice by Steven Walfish,Jeffrey E. Barnett,Jeffrey Zimmerman Pdf

Handbook of Private Practice is the premier resource for mental health clinicians, covering all aspects of developing and maintaining a successful private practice. Written for graduate students considering the career path of private practice, professionals wanting to transition into private practice, and current private practitioners who want to improve their practice, this book combines the overarching concepts needed to take a mental health practice (whether solo or in a group) from inception, through its lifespan. From envisioning your practice, to accounting and bookkeeping, hiring staff, managing the practice, and running the business of the practice, a diverse group of expert authors describe the practical considerations and steps to take to enhance your success. Chapters cover marketing, dealing with insurance and managed care, and how to choose your advisors. Ethics and risk management are integrated throughout the text with a special section also devoted to these issues and strategies. The last section features 26 niche practices in which expert practitioners describe their special area of practice and discuss important issues and aspects of their specialty practice. These areas include assessment and evaluation, specialized psychotherapy services, working with unique populations of clients, and more. Whether read cover-to-cover or used as a reference to repeatedly come back to when a question or challenge arises, this book is full of practical guidance directly geared to psychologists, counselors, social workers, and marriage and family therapists in independent practice.

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 874 pages
File Size : 48,8 Mb
Release : 2007
Category : Managed Care Programs
ISBN : 0763739839

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Essentials of Managed Health Care by Peter Reid Kongstvedt Pdf

Managed Care