The Physician's Guide to Managed Care

The Physician's Guide to Managed Care

Author: David B. Nash

Publisher: Jones & Bartlett Learning

Published: 1994

Total Pages: 280

ISBN-13: 9780834203938

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You'll find the practical guidance you need to transition smoothly int o the managed care environment. You'll learn the pros and cons of prac ticing in a managed care setting, the daily life of managed care physi cians, the role of managed care in medical education and health care r eform. Discover how to take advantage of new opportunities and avoid p itfalls, balance cost consideration with clinical decision-making, and understand the case mix systems most frequently used in managed care. Written almost entirely by physicians, The Physician's Guide to Manag ed Care is a must for any physician interested in meeting future chall enges.


A Physician's Guide to Thriving in the New Managed Care Environment

A Physician's Guide to Thriving in the New Managed Care Environment

Author: Richard V. Stenson

Publisher: Bookpartners

Published: 2000

Total Pages: 386

ISBN-13: 9781581510300

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Options for physicians working within the prepaid medicine system make sense when you understand the pros and cons, strategies, and structures analyzed in this guide to the new managed care environment. -- Evolution of the managed care movement -- Myths about organizational requirements for managed care success -- Pros and cons of solo practice versus IPA, PHO, or group practice -- Working for a hospital or HMO -- Entrepreneurial, legal, and regulatory characteristics of each model -- Best opportunities for primary care and specialist physicians -- The ideal physician organization for managed care -- Future winners and losers, quality of care, reform, and Wall Street Analyze the cost and benefits of practice and managed care proposals, because an informed choice makes good medicine work.


A Physicians Guide to Healthcare Management

A Physicians Guide to Healthcare Management

Author: Daniel M. Albert

Publisher: Wiley-Blackwell

Published: 2002-05-24

Total Pages: 240

ISBN-13: 9780632045815

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This book answers the growing need for concise, practical information about the business aspects of medicine. Written for medical students, residents, and physicians interested in medical management, it covers issues such as the forces shaping health care delivery, physician management skills, economic aspects of managed care, medical, scientific and legal considerations in health care delivery and business aspects of medical management. With a focus on the skills and theory behind medical management, rather than on specifics, this book is a must-have primer for medical trainees and professionals.


A Guide to Managed Care Medicine

A Guide to Managed Care Medicine

Author: William N. Tindall

Publisher: Jones & Bartlett Learning

Published: 2000

Total Pages: 322

ISBN-13: 9780834217652

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Provides physicians, administrators, and other health professionals with information on managed care, from its history, forms and practices to detailed information on managed care contracting, physician compensation, monitoring, reporting, management, risk, productivity, and accountability. Annotati


Managed Care Strategies

Managed Care Strategies

Author: George B. Moseley

Publisher: Jones & Bartlett Learning

Published: 1999

Total Pages: 644

ISBN-13: 9780834207356

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This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems. The second half of the book covers a variety of key topics such as credentialing, reimbursement systems, and utilization management.


Managed Care, Outcomes, and Quality

Managed Care, Outcomes, and Quality

Author: Steven F. Isenberg

Publisher: Thieme

Published: 1998

Total Pages: 374

ISBN-13: 9780865776876

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The first section leads us through the complicated and risky business of capitation and examines reimbursement in a managed care environment. The idiosyncrasies of managed care contracts are detailed and you will learn how to negotiate with managed care companies. There is a focus on practice profiling and the presentation of an expertise on referral guidelines. The final chapter explores the ethical issues of managed care. In section II you will find a description of outcome research and youseful information for the implementation of outcomes research in community-based office practices. The third section begins with two chapters on improving office efficiency and managing staff in a managed care environment. The next chapter leads us through the important and complicated software selection process for the individual practitioner's needs. A private practitioner offers his insight into managing a medical practice and the section completes with some helpful pointers to avoid malpractice claims. Section IV provides the physicians' response to managed care. The legal issues of mergers and networks are discussed. Several practicing physicians outline their personal experiences in the rapidly changing world of physician network development. The book's final chapter leaves us with an expertise on how physicians can take back healthcare