Strategic Contracting For Health Systems And Services

Author : Eric de Roodenbeke
Publisher : Routledge
Page : 560 pages
File Size : 48,6 Mb
Release : 2017-07-05
Category : Medical
ISBN : 9781351487993

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Strategic Contracting for Health Systems and Services by Eric de Roodenbeke Pdf

Until the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system.This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation.The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.

Author : Benjamin Loevinsohn
Publisher : World Bank Publications
Page : 226 pages
File Size : 44,6 Mb
Release : 2008-01-01
Category : Medical
ISBN : 9780821375372

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Performance-based Contracting for Health Services in Developing Countries by Benjamin Loevinsohn Pdf

Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Contracting is a mechanism for a financing entity to procure a defined set of services from a non-state provider. Performance-based contracting is a type of contracting with: (a) a clear set of objectives and indicators; (b) systematic efforts to collect data to judge contractor performance; and (c) some consequences for the contractor, either rewards or sanctions, based on performance. Effective contracting for health services can be facilitated by using a systematic approach, described in this toolkit, that addresses key issues, including how to: 1. have a constructive dialogue with all stakeholders; 2. define the health services in terms of what services are to be delivered, where, the quantity of beneficiaries to be served, equity, and quality of care; 3. design the monitoring and evaluation to judge the performance of contractors; 4. select the contractors in a fair and transparent way; 5. arrange for effective contract management; 6. draft the contract and bidding documents; and 7. carry out the bidding process and successfully manage the contracts. The toolkit also includes a review of 14 evaluated examples of contracting in developing countries which concludes that the current weight of evidence indicates that contracting improves the coverage and quality of services rapidly. The six cases with controlled, before and after evaluations demonstrated large impact with themedian double difference (follow-up minus baseline in the experimental group minus follow-up minus baseline in the control) ranging from 9 to 26 percentage points.

Author : Peter M. Ginter
Publisher : John Wiley & Sons
Page : 504 pages
File Size : 51,9 Mb
Release : 2013-03-05
Category : Medical
ISBN : 9781118466728

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The Strategic Management of Health Care Organizations by Peter M. Ginter Pdf

A structured strategic management approach is what’s needed to tackle the revolutionary change the health care system has been experiencing. Today, health care organizations have almost universally embraced the strategic perspective first developed in the business sector and now have developed strategic management processes that are uniquely their own. Health care leaders have found that strategic thinking, planning, and managing strategic momentum are essential for coping with the dynamics of the health care industry. Strategic Management has become the single clearest manifestation of effective leadership of health care organizations. The 7th edition of this leading text has been revised and updated to include a greater focus on the global analysis of industry and competition; and analysis of the internal environment. It provides guidance on strategic planning, analysis of the health services environment (both internal and external) and lessons on implementation. It also looks at organizational capability, sustainability, CSR and the sources of organizational inertia and competency traps.

Author : Rockwell Schulz,Alton Cornelius Johnson
Publisher : Beard Books
Page : 352 pages
File Size : 43,6 Mb
Release : 2003
Category : Medical
ISBN : 1587981742

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Management of Hospitals and Health Services by Rockwell Schulz,Alton Cornelius Johnson Pdf

"It is a provocative and useful compendium of ideas and historic perspectives that are current and applicable. It is a worthy contribution to the health care literature."

Author : William Winston,Robert L Goldman,Sanjib K Mukherjee
Publisher : Routledge
Page : 126 pages
File Size : 43,7 Mb
Release : 2019-05-20
Category : Business & Economics
ISBN : 9781317939085

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Managed Service Restructuring in Health Care by William Winston,Robert L Goldman,Sanjib K Mukherjee Pdf

Survival in the growing managed care environment requires the integration of financial analysis, market appraisal, and administrative management. The authors of Managed Service Restructuring in Health Care provide a unique tool for readers to enable them to make these successful management decisions in restructuring services. The unique approach in this book assists health care managers and prospective managers as they seek to solve the problem of how to deal with health care services that appear to be no longer productive. In Managed Service Restructuring in Health Care, the authors provide a solid theoretical base for what they have developed in MSR (Managed Service Restructuring)--a conscious--not crisis--management tool. They prepare readers for implementing MSR techniques by describing them in detail for their application to readers’situations. MSR approaches to planned health care management, as introduced in this book, help administrators channel scarce resources to the services the community wants and needs most. Facts and cases are offered as examples of when and how MSR techniques have been applied successfully. The authors also include failure cases where, if MSR techniques had been followed, health care providers would have survived in several communities. Incorporate the information in this book to enhance long-range planning and prevent closure of health care services needed by the community. Along with financial and marketing tools necessary for long-range planning, Goldman and Mukherjee list warning signals that alert professionals to the need to review the services and products offered. They also fully explore these areas: Product Life Cycle Boston Consulting Group’s Portfolio of Business (Growth Share Matrix) Product Development Product Planning Public Service of Health Care Providers Centers of Excellence Service Diversification/Consolidation Investment/Disinvestment Criteria Marketing in Competitive Environment for Health Services Health care managers, hospital administrators, and students in health services management programs can benefit from the focus on conscious planning in Managed Service Restructuring in Health Care. While many of the examples take place within acute care hospitals, the MSR approach and this book are designed to assist any health care administrator or manager. With knowledge of when and how services can be prolonged, professionals can more effectively lead their health care provider into a more competitive environment. The analyses used in the book should enhance many readers’knowledge of basic marketing and financial principles and theories important to restructuring and providing health services today.

Author : OECD
Publisher : OECD Publishing
Page : 136 pages
File Size : 45,9 Mb
Release : 2016-09-21
Category : Electronic
ISBN : 9789264262782

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OECD Reviews of Health Systems: Latvia 2016 by OECD Pdf

This review aims to support Latvia in continuing reform of its health system, informed by international best practice.

Author : Reed Tinsley
Publisher : American Medical Association Press
Page : 132 pages
File Size : 53,7 Mb
Release : 1999
Category : Medical
ISBN : PSU:000047285583

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Managed Care Contracting by Reed Tinsley Pdf

This book provides thorough guidance on how to successfully negotiate both discounted fee-for-service and capitated managed care contracts and offers strategies designed to improve managed care contracting relationships.

Author : William A. Garofalo,Eve T. Horowitz,Thomas M. Reardon
Publisher : Jossey-Bass
Page : 0 pages
File Size : 45,6 Mb
Release : 1999-01-06
Category : Health & Fitness
ISBN : 0787945811

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Managed Care Contracting by William A. Garofalo,Eve T. Horowitz,Thomas M. Reardon Pdf

Today's heath care marketplace is highly competitive, requiring managed care providers to contract with dozens of insurers to survive. Each of these contracts comes with their its unique terms and conditions-making the contracting process overwhelmingly complex and giving many health care executives major headaches. Written by three of the country's leading health care consultants and attorneys, Managed Care Contracting is the first book to offer executives with no legal background practical, step-by-step advice on how to create winning contracts between health care organizations, payers, and employers. In straightforward language, free of legalese and jargon, this much-needed resource demystifies managed care contracting and prescribes some critical advice for hospital and physician group practice executives. The authors present helpful guidelines for evaluating the various types of managed care contracts and explain the most significant terms and concepts executives are likely to encounter. A treasure trove of information for health care executives no matter what their experience level, Managed Care Contracting Examines how to develop a contracting strategy Reviews the fundamentals of negotiating the contract Frames the key steps in the contracting process Provides a managed care contract negotiations checklist Dissects sample hospital and physician contracts Analyzes the contract risk factors by the type of payment explores the implications of changing financial incentives Outlines the most up-to-date information in the regulatory environment Includes illustrative examples and helpful tables and chartsFor health care executives who are just beginning the complex contracting process and for the more experienced who require the most current information on the topic, Managed Care Contracting provides the knowledge and tools they need to succeed. "Managed Care Contracting is a very timely

Author : Anonim
Publisher : Unknown
Page : 128 pages
File Size : 55,8 Mb
Release : 1992
Category : Health insurance
ISBN : 0937925942

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The Direct Contracting Manual by Anonim Pdf

Author : Hossein Jalilian,Vicheth Sen
Publisher : Institute of Southeast Asian
Page : 451 pages
File Size : 43,5 Mb
Release : 2011
Category : Medical
ISBN : 9789814345521

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Improving Health Sector Performance by Hossein Jalilian,Vicheth Sen Pdf

There is growing international evidence that the effectiveness of health services stems primarily from the extent to which the incentives facing providers and consumers are aligned with ""better health"" objectives. Efficiency in health service provision requires that providers and consumers have incentives to use healthcare resources in ways that generate the maximum health gains. Equity in at least one sense requires that consumers requiring the same care are treated equally, irrespective of their ability to pay. Efficiency in the use of health services requires that consumers are knowledgeable about the services on offer and which are most appropriate to their needs. The papers in this volume are selected from an international conference organised by the CDRI, Cambodia, that tried to deal with some of these issues. With participation of international and local experts, it aimed at collecting major experiences and innovative solutions from inside and outside the country to improve health sector performance, with particular focus on institutions, motivations and incentives.

Author : Farhad Simyar,Joseph Lloyd-Jones
Publisher : Unknown
Page : 264 pages
File Size : 50,8 Mb
Release : 1988
Category : Health planning
ISBN : UOM:49015000577396

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Strategic Management in the Health Care Sector by Farhad Simyar,Joseph Lloyd-Jones Pdf

Author : U.s. Government Accountability Office
Publisher : Createspace Independent Publishing Platform
Page : 56 pages
File Size : 41,9 Mb
Release : 2017-08-08
Category : Electronic
ISBN : 1974199517

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Defense Health Care by U.s. Government Accountability Office Pdf

" DOD operates a large and complex health care system that employs more than 150,000 military, civilian, and contract personnel working in military treatment facilities. Each military department operates its own facilities, and contracts separately for health care professionals to supplement care provided within these facilities. In fiscal year 2011, these contracts totaled $1.14 billion. In the National Defense Authorization Act for Fiscal Year 2012, Congress mandated that GAO review the military departments' acquisition of health care professional services. This report examines (1) the contracting practices used by the departments and their cost effectiveness; (2) the extent to which the departments consolidate health care staffing requirements; (3) the percentage and associated costs of contract health care professionals working at on-base facilities versus offbase; (4) the training requirements for and experience of medical services contracting personnel; and (5) the extent to which the departments' policies address legislated quality standards for contract civilian health care professionals and for staffing companies that provide these professionals. To conduct this review, GAO reviewed military health care policies, analyzed DOD's fiscal year 2011 procurement and staffing data, and interviewed DOD military health system officials. "

Author : Montague Brown
Publisher : Jones & Bartlett Learning
Page : 236 pages
File Size : 50,7 Mb
Release : 1992
Category : Hastahaneler- Yönetim
ISBN : 0834202999

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Health Care Management by Montague Brown Pdf

This volume offers the insights of management experts on options such as diversification, mergers and acquisitions, vertical integration, wh at total quality management is all about, and how it fits into the org anizational structure. Health care managers will find proven methods f or planning for future growth and fostering good relationships with cu stomers, government agencies, and suppliers.

Author : Josep Figueras,Ray Robinson,Elke Jakubowski
Publisher : McGraw-Hill Education (UK)
Page : 322 pages
File Size : 42,6 Mb
Release : 2005-03-16
Category : Medical
ISBN : 9780335225002

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EBOOK: Purchasing to Improve Health Systems Performance by Josep Figueras,Ray Robinson,Elke Jakubowski Pdf

Purchasing is championed as key to improving health systems performance. However, despite the central role the purchasing function plays in many health system reforms, there is very little evidence about its development or its real impact on societal objectives. This book addresses this gap and provides: ·A comprehensive account of the theory and practice of purchasing for health services across Europe ·An up-to-date analysis of the evidence on different approaches to purchasing ·Support for policy-makers and practitioners as they formulate purchasing strategies so that they can increase effectiveness and improve performance in their own national context ·An assessment of the intersecting roles of citizens, the government and the providers Written by leading health policy analysts, this book is essential reading for health policy makers, planners and managers as well as researchers and students in the field of health studies. Contributors: Toni Ashton, Philip Berman, Michael Borowitz, Helmut Brand, Reinhard Busse, Andrea Donatini, Martin Dlouhy, Antonio Duran, Tamás Evetovits, André P. van den Exter, Josep Figueras, Nick Freemantle, Julian Forder, Péter Gaál, Chris Ham, Brian Hardy, Petr Hava, David Hunter, Danguole Jankauskiene, Maris Jesse, Ninel Kadyrova, Joe Kutzin, John Langenbrunner, Donald W. Light, Hans Maarse, Nicholas Mays, Martin McKee, Eva Orosz, John Øvretveit, Dominique Polton, Alexander S. Preker, Thomas A. Rathwell, Sabine Richard, Ray Robinson, Andrei Rys, Constantino Sakellarides, Sergey Shishkin, Peter C. Smith, Markus Schneider, Francesco Taroni, Marcial Velasco-Garrido, Miriam Wiley

Author : Scott Becker
Publisher : Unknown
Page : 420 pages
File Size : 49,7 Mb
Release : 1999
Category : Managed care plans (Medical care)
ISBN : UOM:39015043276297

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Physician's Managed Care Success Manual by Scott Becker Pdf

Broad changes in the methods of paying for health care services have led to vast changes in the practice of medicine. This book provides the basic tools, including checklists, sample contracts, and key terms a physician needs to take charge of his or her future in the evolving health care system. It explains models and concepts that are available from market to market. More important, this book provides numerous tested strategies for responding to opportunities and the basic principles and means by which to judge situations and proposals. It will guide today's physicians through the managed care maze as they develop business plans and negotiate contracts. * Helps you take and maintain control over patient care by maximizing your autonomy. * Outlines differences in practice type and summarizes the pros and cons of your various options within the managed care environment. * Uses real-life examples throughout, discussing both successes and failures of other entrepreneurial physicians.