Essentials of Managed Health Care
Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
Published: 2003
Total Pages: 918
ISBN-13: 9780763724962
DOWNLOAD EBOOK →Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
Published: 2003
Total Pages: 918
ISBN-13: 9780763724962
DOWNLOAD EBOOK →Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Learning
Published: 2019-02-14
Total Pages: 355
ISBN-13: 128415209X
DOWNLOAD EBOOK →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: Institute of Medicine
Publisher: National Academies Press
Published: 1997-04-21
Total Pages: 394
ISBN-13: 0309175054
DOWNLOAD EBOOK →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: Peter Kongstvedt
Publisher: Jones & Bartlett Learning
Published: 2009-10-07
Total Pages: 295
ISBN-13: 0763759112
DOWNLOAD EBOOK →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:
Publisher: Jones & Bartlett Publishers
Published: 2013
Total Pages: 715
ISBN-13: 1449604641
DOWNLOAD EBOOK →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 Reid Kongstvedt
Publisher: Jones & Bartlett Learning
Published: 2007
Total Pages: 874
ISBN-13: 9780763739836
DOWNLOAD EBOOK →Managed Care
Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
Published: 2001
Total Pages: 1448
ISBN-13: 9780834217263
DOWNLOAD EBOOK →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: Kenneth Ray White
Publisher:
Published: 2010
Total Pages: 0
ISBN-13: 9781567933574
DOWNLOAD EBOOK →Griffith's name appears first on the earlier ed.
Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Publishers
Published: 2008-09-19
Total Pages: 295
ISBN-13: 1449649823
DOWNLOAD EBOOK →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: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Publishers
Published: 2016
Total Pages: 418
ISBN-13: 1284087115
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