Essentials of Managed Health Care

Essentials of Managed Health Care
Author: Peter Reid Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 883
Release: 2003
Genre: Managed care plans (Medical care)
ISBN: 0763724963

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Essentials of Managed Health Care

Essentials of Managed Health Care
Author: Peter R. Kongstvedt
Publsiher: Jones & Bartlett Publishers
Total Pages: 883
Release: 2003-01-01
Genre: Medical
ISBN: 076372579X

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Essentials of Managed Health Care

Essentials of Managed Health Care
Author: Peter R. Kongstvedt
Publsiher: Jones & Bartlett Publishers
Total Pages: 694
Release: 2012-04-03
Genre: Medical
ISBN: 9781449604646

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Rev. ed. of: Essentials of managed health care / edited by Peter R. Kongstvedt. 5th ed. c2007.

Health Insurance and Managed Care

Health Insurance and Managed Care
Author: Peter R. Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 324
Release: 2019-02-14
Genre: Medical
ISBN: 9781284152098

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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.

Essentials of Health Care Finance

Essentials of Health Care Finance
Author: William O. Cleverley,Paula H. Song,James O. Cleverley
Publsiher: Jones & Bartlett Learning
Total Pages: 575
Release: 2010-10-22
Genre: Health & Fitness
ISBN: 9780763789299

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Health Sciences & Professions

Managed Care

Managed Care
Author: Peter R. Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 275
Release: 2009-10-07
Genre: Medical
ISBN: 9780763759117

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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.

Essentials of the US Health Care System

Essentials of the US Health Care System
Author: Leiyu Shi,Douglas A. Singh
Publsiher: Jones & Bartlett Learning
Total Pages: 351
Release: 2005
Genre: Health & Fitness
ISBN: 076373151X

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This book is intended for all medical professionals including doctors, nurses, physician assistants, nurse practitioners, paramedics, and emergency medical technicians. This book will be especially useful for any physician assistant educational programs as well as for nurse practitioner programs.

Essentials for the Improvement of Healthcare Using Lean Six Sigma

Essentials for the Improvement of Healthcare Using Lean   Six Sigma
Author: D.H. Stamatis
Publsiher: CRC Press
Total Pages: 463
Release: 2010-11-30
Genre: Business & Economics
ISBN: 9781439846025

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Essentials for the Improvement of Healthcare Using Lean & Six Sigma is all about real and immediate quality improvement. Written by D.H. Stamatis, a renowned expert in organizational development and quality, the book addresses concerns that can be ameliorated with minimal government intervention.Detailing immediate paths for improvement fundame

Managed Care Pharmacy Practice

Managed Care Pharmacy Practice
Author: Robert P. Navarro
Publsiher: Jones & Bartlett Publishers
Total Pages: 633
Release: 2009-10-01
Genre: Medical
ISBN: 9780763788834

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Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, as well as the evolving role of pharmacists.

The Managed Health Care Handbook

The Managed Health Care Handbook
Author: Peter R. Kongstvedt
Publsiher: Aspen Pub
Total Pages: 135
Release: 1997-01-01
Genre: Medical
ISBN: 083420861X

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Considered the "bible" of the managed care industry, this third edition is greatly expanded with 30 new chapters and extensively updated to double file size of the last edition! The Managed Health Care Handbook is a key strategic an operational resource for use in planning and decision-making. It includes first-hand advice from experienced managers on how to succeed in every aspect of managed care: quality management, claims and benefits administration, managing patient demand, as well as risk management, subacute care, physician compensation and much more! This seminal resource is a must for providers, purchasers, and payers for everyone involved in the managed care industry.

Essentials of Health Care Marketing

Essentials of Health Care Marketing
Author: Eric N. Berkowitz
Publsiher: Jones & Bartlett Publishers
Total Pages: 525
Release: 2016-08-15
Genre: Business & Economics
ISBN: 9781284094312

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Essentials of Health Care Marketing, Fourth Edition will provide your students with a foundational knowledge of the principles of marketing and their particular application in health care. Moreover, the text offers a perspective on how these principles must shift in response to the changing environmental forces that are unique to this market.

A Study Guide to Essentials of Managed Health Care

A Study Guide to Essentials of Managed Health Care
Author: Peter Reid Kongstvedt
Publsiher: Jones & Bartlett Learning
Total Pages: 85
Release: 2003
Genre: Political Science
ISBN: 076372534X

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Career Opportunities in Health Care Management

Career Opportunities in Health Care Management
Author: Sharon Buchbinder,Jon Thompson
Publsiher: Jones & Bartlett Learning
Total Pages: 252
Release: 2010-10-22
Genre: Medical
ISBN: 9780763759643

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Career Opportunities in Healthcare Management is a concise, reader-friendly, introductory healthcare management book that covers a wide variety of career opportunities in a broad range of direct healthcare settings--such as hospitals, physician practices, nursing homes, and clinics--and non-direct health care settings, such as associations, managed care and health insurance companies, consulting firms, and medical supplier firms. Filled with first person accounts from health care managers working in the field, these profiles will engage the reader’s imagination, inform them of key issues associated with these important roles, as well as what makes these health care managers happy and eager to go to work in the morning. Beginning with an individualized 'Health Care Management Talent Quotient Quiz' and ending with a guide to finding a job in healthcare management, this hands on student-friendly and teacher-friendly text is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health. Features: • The experienced authors use an active voice to grab the reader’s attention. • An individualized Health Care Management Talent Quotient Quiz to assess each student’s baseline aptitude and identify skills gaps that need to be addressed. • Over forty lively, first person profiles of health care managers working in the field covering everything from educational background and how they first became aware of health care management, through advice to future health care managers. • Detailed appendices that include: resources for learning more about health care management; sample programs of study; job hunting advice; frequently used terms in advertisements, sample position descriptions, do’s and don’ts of interviewing, and a sample cover letter and resume.

The Managed Care Contracting Handbook 2nd Edition

The Managed Care Contracting Handbook  2nd Edition
Author: Maria K. Todd
Publsiher: CRC Press
Total Pages: 300
Release: 2009-03-26
Genre: Medical
ISBN: 1439866570

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Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don’t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer for help. Decode and analyze reimbursement problems, loopholes, and contract stipulations you are likely to encounter Learn tried-and-true tricks, tools, shortcuts, and techniques to evaluate agreements Negotiate contracts that won’t leave you open to unanticipated expenses Written by Maria K. Todd, a seasoned professional in managed care contracting, this handbook is written for managers, analysts, and finance officers who have the daunting task of negotiating contracts for medical services. It offers an in-depth examination of managed care and its organizations and covers key areas, such as pay-for-performance initiatives, reimbursement methods, contract law basics, and negotiating strategies. The Managed Care Contracting Handbook offers critical details and strategic information as well as resources on everything from HMOs and PPOs to Consumer Driven Health Plans (CDHP), self-funded ERSIA payers, and Medicaid managed care. Fully updates the first edition, which was used widely in the U.S. and overseas. Designed to equip you with the confidence that comes with knowing the right questions to ask and more answers than you are supposed to know, this easy-access resource — Provides a complete overview of managed care organizations Covers contract law basics Presents material that can be used internationally Discusses Medicaid Managed Care Offers an operational evaluation of a typical managed care agreement Includes sample contracts and important checklists, as well as a glossary

Managed Care

Managed Care
Author: Margaret M. Conger
Publsiher: SAGE Publications
Total Pages: 304
Release: 1999-01-27
Genre: Medical
ISBN: 9781452221106

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Of all the recent changes in health care, none more dramatically affected both patients and care providers than managed care. Not only has it altered the way we pay for health care, but also it has compelled a change in the way we approach health care, focusing increasingly on preventive care to reduce costs. In this book, the author and her colleagues examine the impact of managed care on nursing as a profession and nurses as individual caregivers. Managed Care: Practice Strategies for Nursing will serve as an excellent course text on nursing and managed care, as well as a useful introduction and shelf reference for professional nurses at all levels of practice.