Author: Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 60
Book Description
The Medicare Handbook
Author: Improving the Medicare Market
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309175364
Category : Medical
Languages : en
Pages : 384
Book Description
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
Medicare Managed Care Resource Information Directory
Author: Publisher:
ISBN:
Category : Insurance commissioners
Languages : en
Pages : 122
Book Description
Medicare Hospice Benefits
Author: United States. Health Care Financing AdministrationPublisher:
ISBN:
Category : Hospice care
Languages : en
Pages : 6
Book Description
Managed Care: What It Is and How It Works
Author: Peter R. KongstvedtPublisher: Jones & Bartlett Publishers
ISBN: 1449649823
Category : Medical
Languages : en
Pages : 295
Book Description
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.
Managed Care
Author: Peter KongstvedtPublisher: Jones & Bartlett Learning
ISBN: 0763759112
Category : Education
Languages : en
Pages : 295
Book Description
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.
Medicare Managed Care
Author: William ScanlonPublisher:
ISBN:
Category : Health maintenance organizations
Languages : en
Pages : 24
Book Description
Health Insurance and Managed Care
Author: Peter R. KongstvedtPublisher: Jones & Bartlett Learning
ISBN: 128415209X
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.
Understanding Medicare Managed Care
Author: Louis F. RossiterPublisher:
ISBN:
Category : Medical
Languages : en
Pages : 408
Book Description
A reference for health-care executives and physicians as well as managers, administrators, and staff of Medicare managed-care plans, providing a structure for plotting a long-term plan to compete in this market. In addition to describing the economics of the current system, including trends and key players, the book covers strategic planning and marketing, including issues such as pricing and the capitation dollar, benefit design, and techniques of quality and cost control. Finally, the work speculates about future changes in the system and the health-care marketplace and their implications for health plan participation. The author is deputy secretary for Health and Human Resources, Commonwealth of Virginia, and previously was a member of the health economics faculty of Virginia Commonwealth U. Annotation copyrighted by Book News, Inc., Portland, OR
Health Insurance and Managed Care
Author: Peter Reid KongstvedtPublisher: Jones & Bartlett Publishers
ISBN: 1284087115
Category : Health insurance
Languages : en
Pages : 418
Book Description