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Blueprints for Managed Care

Blueprints for Managed Care PDF Author: Frank D. McGuirk
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 79

Book Description


Blueprints for Managed Care

Blueprints for Managed Care PDF Author: Frank D. McGuirk
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 79

Book Description


Blueprints for Managed Care

Blueprints for Managed Care PDF Author: Frank D. McGuirk
Publisher: DIANE Publishing
ISBN: 0788136917
Category :
Languages : en
Pages : 84

Book Description
Considers three models: consumer flow, dollar flow, and full model in generic system without at-risk contracting; generic system with full capitation and full transfer of utilization risk; and generic system with partial case-rate funding, shared utilization risk and centralized utilization management. The blueprints of state systems covers: consumer flow, dollar flow and full model in Arizona pre- and post-reform systems; Oregon pre- and post-reform systems; and Washington State pre- and post-reform systems, and a comparison of the three state systems.

Health Insurance and Managed Care

Health Insurance and Managed Care PDF Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Publishers
ISBN: 1284087115
Category : Health insurance
Languages : en
Pages : 418

Book Description


Practice Guidelines

Practice Guidelines PDF Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 20

Book Description


Contemporary Managed Care

Contemporary Managed Care PDF Author: Marsha R. Gold
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 388

Book Description
Look inside the "black box" of managed care. This compilation provides a wealth of recent research & analysis on such topics as the evolution & shape of managed care, managed care & the market, managed care & public programs, & public policy. Also discusses possible future trends for managed care.

Managed Care Plans

Managed Care Plans PDF Author:
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 20

Book Description


A Study Guide to Essentials of Managed Health Care

A Study Guide to Essentials of Managed Health Care PDF Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
ISBN: 9780763725341
Category : Medical
Languages : en
Pages : 96

Book Description


Health Insurance and Managed Care

Health Insurance and Managed Care PDF Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Learning
ISBN: 1284194639
Category : Medical
Languages : en
Pages : 355

Book Description
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 Plan Requirements Guide for Managed Care and Other Health Plans

Health Plan Requirements Guide for Managed Care and Other Health Plans PDF Author:
Publisher:
ISBN: 9780929156057
Category : Health insurance
Languages : en
Pages : 1875

Book Description


Essentials of Managed Health Care

Essentials of Managed Health Care PDF Author:
Publisher: Jones & Bartlett Publishers
ISBN: 1449604641
Category : Managed care plans (Medical care)
Languages : en
Pages : 715

Book Description
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.