The Managed Health Care Handbook
The Managed Health Care Handbook

Author: Peter Reid Kongstvedt

Publisher: Jones & Bartlett Learning

Published: 2001

Total Pages: 1448

ISBN-13: 9780834217263

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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.

Managed Care
Managed Care

Author: Peter Kongstvedt

Publisher: Jones & Bartlett Learning

Published: 2009-10-07

Total Pages: 295

ISBN-13: 0763759112

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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.

Health Insurance and Managed Care
Health Insurance and Managed Care

Author: Peter R. Kongstvedt

Publisher: Jones & Bartlett Learning

Published: 2019-02-14

Total Pages: 355

ISBN-13: 128415209X

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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.

The Managed Health Care Handbook
The Managed Health Care Handbook

Author: Peter Reid Kongstvedt

Publisher:

Published: 1996

Total Pages: 1088

ISBN-13:

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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-- double the size of the last edition! the Managed Health Care Handbook is a key strategic and 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 payersfor everyone involved in the managed care industry.

The Managed Health Care Handbook
The Managed Health Care Handbook

Author: Peter R. Kongstvedt

Publisher: Aspen Pub

Published: 1997-01-01

Total Pages:

ISBN-13: 9780834208612

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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.

Managed Care Pharmacy Practice
Managed Care Pharmacy Practice

Author: Navarro

Publisher: Jones & Bartlett Publishers

Published: 2008-12-11

Total Pages: 659

ISBN-13: 076378883X

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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.

Managed Care
Managed Care

Author: Joe Barrett

Publisher:

Published: 2023-05-18

Total Pages: 0

ISBN-13: 9781685133184

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Is it too much to ask that a managed care facility refund a year's advance payment when your grandfather dies before he can move in?

Breaking Free of Managed Care
Breaking Free of Managed Care

Author: Dana C. Ackley

Publisher: Guilford Press

Published: 1999-08-01

Total Pages: 340

ISBN-13: 9781572305243

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Providing therapists practical solutions to managed care's erosion of their freedom to practice, this book presents a working blueprint for a private-pay psychotherapy practice. Dana C. Ackley casts out the distortions that have crept into many clinicians' thinking as a result of reliance on third-party reimbursement. Based on his own experience, he shows how you can serve clients--and yourself--better by developing real alternatives to the pressures and bureaucracy of managed care. In clear step-by-step detail, including practical exercises and checklists, sample marketing materials, and payment plans, the volume shows you how to: *Rediscover the economic and clinical value of your work *Discard assumptions that might block your progress *Educate yourself about the needs of potential clients *Market and sell your services effectively *Learn ethical, reasonable business-of-practice skills *Diversify into the rewarding area of psychological consultation to businesses. No matter what your clinical style, theoretical orientation, or practice history, you will benefit from the hard-won lessons Dr. Ackley shares in this book.