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Author: Barbara J. Youngberg Publisher: Jones & Bartlett Learning ISBN: 9780834207325 Category : Health facilities Languages : en Pages : 306
Book Description
The dominance of managed care is spreading quickly and risk managers are suddenly faced with major new challenges. With Managing the Risks of Managed Care, the risk manager will learn about risk management challenges in an integrated delivery system. The book also presents expert analysis on issues like contracting, peer review, ethical dilemmas, antitrust and more.
Author: Barbara J. Youngberg Publisher: Jones & Bartlett Learning ISBN: 9780834207325 Category : Health facilities Languages : en Pages : 306
Book Description
The dominance of managed care is spreading quickly and risk managers are suddenly faced with major new challenges. With Managing the Risks of Managed Care, the risk manager will learn about risk management challenges in an integrated delivery system. The book also presents expert analysis on issues like contracting, peer review, ethical dilemmas, antitrust and more.
Author: Bruce S. Pyenson Publisher: Jossey-Bass ISBN: 9781556482137 Category : Medical Languages : en Pages : 0
Book Description
Providers who ignore the fundamentals of risk management may be placing their organizations in peril. This book helps leaders of such organizations to develop systems that succeed in controlling managed care risk. Hospitals, physicians, integrated deliver systems (IDSs), and other providers that deliver care face unique challenges of risk that differ from those of most insurers and HMOs. Managing Risk addresses risk issues concerning these diverse provider groups and discusses: Quantifying risks of capitation and other managed care arrangements Using a funds flow model to spread risk How provider information systems (ISs) relate to an organization's ability to manage financial risk. Operational and clinical approaches to managing risk Financial incentive programs for physicians PSOs and the future of health care risk
Author: Maurice J. Penner Publisher: Maurice Penner ISBN: 9781567930511 Category : Capitation fees (Medical care) Languages : en Pages : 298
Book Description
This "from-the-trenches" guide can help you meet the challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, negotiating managed care contracts, & managing utilization & quality.
Author: Peter Reid Kongstvedt Publisher: Jones & Bartlett Learning ISBN: 9780834217263 Category : Medical Languages : en Pages : 1448
Book Description
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: Suzanne K. Powell Publisher: Lippincott Williams & Wilkins ISBN: 9780781718837 Category : Medical Languages : en Pages : 548
Book Description
The Second Edition of this comprehensive "how to" text has been completely revised and updated. This text outlines the basics of case management and illustrates some of the pitfalls encountered in the field of case management. The book provides information on the new Case Management Standards, supplies standard definitions and guidelines of case management for the practicing case manager, and presents information on caring for clients in a wide variety of health care settings. New to this edition--chapters focusing on Quality Reviews and Risk Management with a strong emphasis on Continuous Quality Improvement (CQI), ethical and legal issues, and various case studies.
Author: Kay Stanley Publisher: Amer Medical Assn ISBN: 9781579472931 Category : Medical Languages : en Pages : 158
Book Description
Now is the time to make sure managed care doesn't manage you. This resource provides an overview of today's concepts of managed care as they relate to the business aspects of medical practice. This updated guide relates the current mechanics of managed care and illustrates their application to medical practice management. Invaluable resources such as reviews of the fundamentals and concepts, terminology and definitions, a clarification of various roles of physicians in managed care, and tools for assessing plans and reviewing contracts are included. This book will keep you ahead of managed care trends and ensure that your practice remains fiscally solid while providing the highest quality care possible to patients.
Author: Peter Reid Kongstvedt Publisher: Jones & Bartlett Learning ISBN: 9780763724986 Category : Managed care plans (Medical care) Languages : en Pages : 348
Book Description
A managed care expert overviews the history, structure, regulation, and issues of the complex US health care system. This second edition work was originally published by Aspen in 2002. Much of the information is distilled from another of the doctor's books, The Managed Care Handbook, 4th ed. An extensive glossary is included, but there are no refer
Author: Barbara J. Youngberg
Author: Barbara J. Youngberg
Author: Bruce S. Pyenson
Author: Maurice J. Penner
Author: Anthony Broskowski
Author: 
Author: Peter Reid Kongstvedt
Author: 
Author: Suzanne K. Powell
Author: Kay Stanley
Author: Peter Reid Kongstvedt