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Author : Anonim
Publisher : Unknown
Page : 120 pages
File Size : 52,8 Mb
Release : 1993
Category : Health insurance
ISBN : IND:30000145063545
Author : Anonim
Publisher : Unknown
Page : 118 pages
File Size : 43,9 Mb
Release : 1993
Category : Health insurance
ISBN : MINN:31951D01039978J
Author : United States Government Printing Office
Publisher : Unknown
Page : 432 pages
File Size : 44,9 Mb
Release : 1999-04
Category : Health insurance
ISBN : 0160499720
Author : Jane M. Anderson
Publisher : Jones & Bartlett Learning
Page : 98 pages
File Size : 51,9 Mb
Release : 1999
Category : Law
ISBN : 083421606X
Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition reveals the current legislative and regulatory climate regarding Medicaid in every state, including federal waivers applied for and granted. It's the most complete and current information available on how you can maintain or increase your number of covered lives. In one easy-to-use guide you get specific details of each state's Medicaid laws and rules, including: * choice of physician, * provider reimbursement, * benefits packages, * quality assurance, * utilization management, and * names of contacts at state agencies, Best of all, you'll get the details on contracting with each state, as specified by the state Medicaid office itself. You'll also get hard-to-find answers to critical questions such as: * Which states allow Medicaid patients to choose their own physicians? * How do Medicaid provider reimbursement to choose their own physicians? * What are the rules on provider network development in states where you want to do business? Get the answer to these questions and many more in Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition.
Author : United States. General Accounting Office
Publisher : Unknown
Page : 44 pages
File Size : 50,7 Mb
Release : 1995
Category : Managed care plans (Medical care)
ISBN : UOM:39015048589900
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 : 41,9 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,Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers
Publisher : National Academies Press
Page : 304 pages
File Size : 41,5 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 : Anonim
Publisher : DIANE Publishing
Page : 120 pages
File Size : 43,9 Mb
Release : 1993-07
Category : Managed care plans (Medical care)
ISBN : 0788100262
Pamphlet from the vertical file.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Publishers
Page : 418 pages
File Size : 43,8 Mb
Release : 2016
Category : Health insurance
ISBN : 9781284087116
Author : United States. General Accounting Office
Publisher : Unknown
Page : 36 pages
File Size : 43,9 Mb
Release : 1997
Category : Managed care plans (Medical care)
ISBN : UIUC:30112027359857
Author : Anonim
Publisher : Unknown
Page : 114 pages
File Size : 55,8 Mb
Release : 1993
Category : Government publications
ISBN : IND:30000038624981
Author : James W. Fossett
Publisher : Rockefeller Institute Press
Page : 200 pages
File Size : 46,7 Mb
Release : 2002-12
Category : Managed care plans (Medical care)
ISBN : 0914341936
Over the last dozen years, states have dramatically increased the enrollment of Medicaid patients in managed care programs. As initially envisioned, managed care had broad political appeal to both conservatives because of its potential to reduce the growth in escalating Medicaid expenditures, and to liberals because of its promise to improve the quality of care and increase the accountability of the health care system for the care it provides to Iow income families and children. Based on intensive field research in ten states, this book examines state successes and failures in "managing" the complex and demanding, if promising, method of organizing and financing health care for Medicaid patients. It examines state performance in operating managed care programs across a wide spectrum of management issues, ranging from contracting with managed care plans to performance measurement. The contributors also indicate the political and market conditions under which states have been more or less successful in realizing managed care's potential advantages in providing health care for Iow income populations.
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 355 pages
File Size : 46,6 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 : Anonim
Publisher : Jones & Bartlett Publishers
Page : 715 pages
File Size : 52,7 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 : United States. Social and Rehabilitation Service
Publisher : Unknown
Page : 132 pages
File Size : 41,9 Mb
Release : 1975
Category : Medicaid
ISBN : MINN:31951D00623361Q