Medicaid Eligibility Quality Control
Author: United States. Social and Rehabilitation Service
Publisher:
Published: 1975
Total Pages: 460
ISBN-13:
DOWNLOAD EBOOK →Author: United States. Social and Rehabilitation Service
Publisher:
Published: 1975
Total Pages: 460
ISBN-13:
DOWNLOAD EBOOK →Author: United States. General Accounting Office
Publisher:
Published: 1995
Total Pages: 44
ISBN-13:
DOWNLOAD EBOOK →Author: Arlene Davidson
Publisher: Taylor & Francis
Published: 2017-10-19
Total Pages: 85
ISBN-13: 1351398423
DOWNLOAD EBOOK →Leading Medicaid Managed Care Plans examines leadership actions necessary to successfully operate a Medicaid managed care plan with emphasis on the relationship with the state Medicaid agency the health plan is contracted with. With appropriate operational and governance oversight, and with solid mutually respectful relationships with the state agency, Medicaid health plans are more likely to sustain success and prosperity for the long term. The approach of Leading Medicaid Managed Care Plans builds on key infrastructure elements that need to be in place when contracting with a state agency, and for overall success of the organization. It takes a pragmatic and methodical approach, interspersed with real-life examples of what to do for success and what actions to avoid that frequently lead to failure. This approach is different from most managed care books (Medicaid or otherwise) as those mostly focus on the process of the business (such as details around claims payment, or provider contracting) and ignore the role of the state Medicaid agency and its importance in retaining the contractual relationship. This book differs also on its emphasis on organizational foundational elements and strategic leadership skills necessary to sustain success. The author has years of experience in turning around failing Medicaid managed care plans and observing what they all had in common that contributed to those failures. One common feature was the deterioration of the relationship with the state Medicaid agency they were contracted with, and how close they all came to losing their multi-million dollar businesses. The purpose of this book is to educate and inspire managed care executives and senior leaders who operate Medicaid health plans and to help them understand what elements are needed for successful health plans and a sustainable relationship with the people directing the state Medicaid agency.
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: United States. General Accounting Office
Publisher:
Published: 1997
Total Pages: 36
ISBN-13:
DOWNLOAD EBOOK →Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Publishers
Published: 2016
Total Pages: 418
ISBN-13: 1284087115
DOWNLOAD EBOOK →Author: Stephen Davidson
Publisher: Jossey-Bass
Published: 1998-06-26
Total Pages: 424
ISBN-13:
DOWNLOAD EBOOK →Written for health care executives, physicians, nurses, policymakers, health services researchers, and scholars, Remaking Medicaid offers a vision of the future to which conscientious policymakers and provider organizations, working together, can aspire.
Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
Published: 2003
Total Pages: 918
ISBN-13: 9780763724962
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