Understanding Your Rights In Managed Care Health Plans

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Understanding Your Rights in Managed Care Health Plans

Author : Joint Commission Resources, Inc Staff,Joint Commission on Accreditation of Healthcare Organizations
Publisher : Unknown
Page : 16 pages
File Size : 43,8 Mb
Release : 1998-09-01
Category : Managed care plans (Medical care)
ISBN : 086688565X

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Understanding Your Rights in Managed Care Health Plans by Joint Commission Resources, Inc Staff,Joint Commission on Accreditation of Healthcare Organizations Pdf

Health Insurance and Managed Care

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Publishers
Page : 418 pages
File Size : 46,5 Mb
Release : 2016
Category : Health insurance
ISBN : 9781284087116

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Health Insurance and Managed Care by Peter Reid Kongstvedt Pdf

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 : 55,8 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.

Health Insurance and Managed Care

Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 355 pages
File Size : 52,9 Mb
Release : 2019-02-14
Category : Medical
ISBN : 9781284194630

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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.

Health-Care Utilization as a Proxy in Disability Determination

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 : 45,8 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.

Care Without Coverage

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 42,9 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430

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Care Without Coverage by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Complementary and Alternative Medicine for Health Professionals

Author : Linda Baily Synovitz,Karl L. Larson
Publisher : Jones & Bartlett Publishers
Page : 337 pages
File Size : 46,6 Mb
Release : 2013
Category : Health & Fitness
ISBN : 9780763765958

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Complementary and Alternative Medicine for Health Professionals by Linda Baily Synovitz,Karl L. Larson Pdf

Highly researched and referenced, Complementary and Alternative Medicine for Health Professionals: A Holistic Approach to Consumer Health educates students about the many complementary and alternative medicine (CAM) modalities that are available, in addition to the more traditional methods that exist. Early chapters provide an overview of both traditional and alternative medicine, scientific method and steps in scientific research, and look at the cost of health care in the U.S. Later chapters introduce students to integrative medicine and provide a thorough overview of CAM practices employed today. Topics that are covered include acupuncture, meditation, herbals and aromatherapy. By reading this text, students will become astute at distinguishing among those traditional and CAM health practices that are helpful, those that have been scientifically tested, and those that may offer no benefit. Case studies throughout the text give students an opportunity to apply material and ideas to real life situations.

Beneficiary Beware, Inadequate Review of Medicare Managed Care Plans Results in Incomplete Information for Consumers

Author : United States. Congress. Senate. Special Committee on Aging
Publisher : Unknown
Page : 176 pages
File Size : 49,8 Mb
Release : 1999
Category : Managed care plans (Medical care)
ISBN : PSU:000043052325

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Beneficiary Beware, Inadequate Review of Medicare Managed Care Plans Results in Incomplete Information for Consumers by United States. Congress. Senate. Special Committee on Aging Pdf

Law For Dummies

Author : John Ventura
Publisher : John Wiley & Sons
Page : 397 pages
File Size : 43,5 Mb
Release : 2011-03-04
Category : Law
ISBN : 9781118054086

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Law For Dummies by John Ventura Pdf

Get answers to your legal questions — in plain English! Find out how to protect your family, your money, your job, and your rights If you're like most people, you probably don't know much about your legal rights and responsibilities — until you run smack-dab into a messy legal problem. Now revised and updated, this friendly guide helps you get a handle on a wide range of everyday legal issues, decipher legal mumbo-jumbo — and come out on top. Discover how to: Protect your child support rights Arm yourself against identity theft Clean up your credit and improve your credit score Hire the right attorney for your needs Draw up wills and living wills

How to Use Your Health Plan English

Author : Anonim
Publisher : CA Patient Advocate
Page : 68 pages
File Size : 55,9 Mb
Release : 2024-06-03
Category : Electronic
ISBN : 8210379456XXX

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How to Use Your Health Plan English by Anonim Pdf

The ABA Complete and Easy Guide to Health Care Law

Author : American Bar Association
Publisher : Random House Reference
Page : 448 pages
File Size : 53,5 Mb
Release : 2001-10-02
Category : Law
ISBN : 9780676793994

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The ABA Complete and Easy Guide to Health Care Law by American Bar Association Pdf

The ABA Complete and Easy Guide to Health Care Law is a comprehensive guide to understanding your rights as a patient and knowing how to move through the health care system. This guide allows you to understand issues about health care to the fullest. Among the issues covered are: Patients’ Rights: Confidentiality, Privacy, and the Patient’s Bill of Rights; Emergency Care; Informed Consent Paying for Medical Care: Insurance and Managed Care; COBRA Reproduction: Assisted Reproductive Technology; Wrongful Birth and Wrongful Pregnancy; Sterilization; Abortion People with Disabilities: Pregnancy; Confidentiality and Disclosure; Vaccinations; Mandatory Testing; Denoting Tort Liability; Quarantine Nursing Homes: Choosing a Nursing Home; Paying for Long-Term Care; Medicaid Planning; Alternative Care and Living Regulating Medical Professionals: Licensing of Doctors, Nurses, and Hospitals; Medical Malpractice; Research on Humans Death and Dying: Right to Refuse Life-Sustaining Treatment; Hospices; Donating Your Organs; Assisted Suicid

Daredevils and Daydreamers

Author : Barbara Ingersoll
Publisher : Main Street Books
Page : 257 pages
File Size : 47,7 Mb
Release : 2010-12-29
Category : Family & Relationships
ISBN : 9780307768681

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Daredevils and Daydreamers by Barbara Ingersoll Pdf

Not so long ago, people thought attention deficit/hyperactivity disorder was a condition that only affected children-- whirling dervishes who careened through life leaving a path of destruction in their wake. We now know, however, that there is a sizeable group of quiet daydreamers whose inability to organize themselves and focus on the task at hand makes it impossible for them to meet the demands of everyday life. And we know that many children with ADHD continue to have symptoms as adults. But this increased knowledge has sometimes contributed more confusion than clarification. In Daredevils and Daydreamers, Ingersoll--one of the foremost clinicians and researchers in the field--looks at what we've learned in a decade. From obtaining a good diagnosis through the most recent, cutting edge medical and psychological solutions offered, Ingersoll's examples and research have an immediacy missing from the other books in the field. In addition, she tackles a number of peripheral issues other books ignore such as the problem of the ADHD child in adoptive families, divorced families and step-families, and she handles "real-world" issues (like soiling and bed-wetting) that others disregard.

Health and Wellness

Author : Gordon Edlin,Eric Golanty
Publisher : Jones & Bartlett Publishers
Page : 822 pages
File Size : 54,5 Mb
Release : 2015-08-04
Category : Health & Fitness
ISBN : 9781284067378

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Health and Wellness by Gordon Edlin,Eric Golanty Pdf

Health & Wellness, Twelfth Edition covers many facets of personal health, including physical, emotional, mental, social, environmental, and spritual perspectives. Written in a personal and engaging style, the Twelfth Edition encourages students to make the right health choices and gives them the tools and information they need to improve their health habits.

Contract Issues and Quality Standards for Managed Care

Author : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher : Unknown
Page : 324 pages
File Size : 53,5 Mb
Release : 1996
Category : Business & Economics
ISBN : UCR:31210010532040

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Contract Issues and Quality Standards for Managed Care by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment Pdf