Dictionary of Health Insurance and Managed Care

Dictionary of Health Insurance and Managed Care

Author: Hope Rachel Hetico, RN, MHA, CMPTM

Publisher: Springer Publishing Company

Published: 2006-03-22

Total Pages: 373

ISBN-13: 0826149936

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Designated a Doody's Core Title! To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today.


Dictionary of Health Insurance and Managed Care

Dictionary of Health Insurance and Managed Care

Author: David E. Marcinko, MBA, CFP, CMP

Publisher: Springer Publishing Company

Published: 2006-03-22

Total Pages: 372

ISBN-13: 0826149944

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Designated a Doody's Core Title! To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today. For Further Information, Please Click Here!


Definition of Serious and Complex Medical Conditions

Definition of Serious and Complex Medical Conditions

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1999-10-19

Total Pages: 127

ISBN-13: 0309172608

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In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.


The Managed Health Care Dictionary

The Managed Health Care Dictionary

Author: Richard Rognehaugh

Publisher: Jones & Bartlett Learning

Published: 1998

Total Pages: 328

ISBN-13: 9780834211445

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The Managed Health Care Dictionary, Second Edition is an essential resource for both professionals and students. With more than 1,000 terms, this dictionary covers the language of every industry sector--purchaser, provider, and payer. The new edition highlights new terminology, current definitions, and an expanded listing of acronyms and abbreviations.


Guide to Reference in Medicine and Health

Guide to Reference in Medicine and Health

Author: Denise Beaubien Bennett

Publisher: American Library Association

Published: 2014-04-26

Total Pages: 488

ISBN-13: 0838919839

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Drawn from the extensive database of Guide to Reference, this up-to-date resource provides an annotated list of print and electronic biomedical and health-related reference sources, including internet resources and digital image collections.


Dictionary of Health Economics and Finance

Dictionary of Health Economics and Finance

Author: David E. Marcinko, MBA, CFP, CMP

Publisher: Springer Publishing Company

Published: 2006-08-21

Total Pages: 374

ISBN-13: 0826103391

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Designated a Doody's Core Title! "Medical economics and finance is an integral component of the health care industrial complex. Its language is a diverse and broad-based concept covering many other industries: accounting, insurance, mathematics and statistics, public health, provider recruitment and retention, Medicare, health policy, forecasting, aging and long-term care, are all commingled arenas....The Dictionary of Health Economics and Finance will be an essential tool for doctors, nurses and clinicians, benefits managers, executives and health care administrators, as well as graduate students and patientsÖ With more than 5,000 definitions, 3,000 abbreviations and acronyms, and a 2,000 item oeuvre of resources, readings, and nomenclature derivativesÖ it covers the financial and economics language of every health care industry sector." - From the Preface by David Edward Marcinko


Healthcare Management

Healthcare Management

Author: Volker Eric Amelung

Publisher: Springer Nature

Published: 2019-10-10

Total Pages: 265

ISBN-13: 3662595680

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This textbook on Healthcare Management provides a systematic and comprehensive overview of the organisational forms and management instruments implemented in managed care. Within the international discussion on the structure of healthcare systems, managed care is an increasingly important topic. Over more than twenty years managed care approaches have fundamentally influenced healthcare systems in terms of patient orientation, efficiency, and quality. Experts assume that up to 20% of healthcare expenses can be saved by applying high-quality managed care approaches. By using suitable organisational forms and management principles, not only can costs be reduced, but the quality of medical service provision can be augmented. Managed care is therefore much more than a cost-cutting strategy. Advocates consider managed care to be a logical and necessary developmental step in modern healthcare systems. An increase in quality and at the same time a reduction of costs is not seen as contradictory but rather as consistent. Therefore, managed care is a response to changed challenges in the provision of healthcare.​


Healthcare Valuation, The Financial Appraisal of Enterprises, Assets, and Services

Healthcare Valuation, The Financial Appraisal of Enterprises, Assets, and Services

Author: Robert James Cimasi

Publisher: John Wiley & Sons

Published: 2014-03-24

Total Pages: 1098

ISBN-13: 1118844033

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A timely look at the healthcare valuation process in an era of dynamic healthcare reform, including theory, methodology, and professional standards In light of the dynamic nature of the healthcare industry sector, the analysis supporting business valuation engagements for healthcare enterprises, assets, and services must address the expected economic conditions and events resulting from the four pillars of the healthcare industry: Reimbursement, Regulation, Competition, and Technology. Healthcare Valuation presents specific attributes of each of these enterprises, assets, and services and how research needs and valuation processes differentiate depending on the subject of the appraisal, the environment the property interest exists, and the nature of the practices. Includes theory, methodology, and professional standards as well as requisite research, analytical, and reporting functions in delivering healthcare valuation services Provides useful process tools such as worksheets and checklists, relevant case studies, plus a website that will include comprehensive glossaries and topical bibliographies Read Healthcare Valuation for a comprehensive treatise of valuation issues in the healthcare field including trends of compensation and reimbursement, technology and intellectual property, and newly emerging healthcare entities.


Encyclopedia of Health Services Research

Encyclopedia of Health Services Research

Author: Ross M. Mullner

Publisher: SAGE Publications

Published: 2009-05-15

Total Pages: 1457

ISBN-13: 1452266115

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Today, as never before, healthcare has the ability to enhance the quality and duration of life. At the same time, healthcare has become so costly that it can easily bankrupt governments and impoverish individuals and families. Health services research is a highly multidisciplinary field, including such areas as health administration, health economics, medical sociology, medicine, , political science, public health, and public policy. The Encyclopedia of Health Services Research is the first single reference source to capture the diversity and complexity of the field. With more than 400 entries, these two volumes investigate the relationship between the factors of cost, quality, and access to healthcare and their impact upon medical outcomes such as death, disability, disease, discomfort, and dissatisfaction with care. Key Features Examines the growing healthcare crisis facing the United States Encompasses the structure, process, and outcomes of healthcare Aims to improve the equity, efficiency, effectiveness, and safety of healthcare by influencing and developing public policies Describes healthcare systems and issues from around the globe Key Themes Access to Care Accreditation, Associations, Foundations, and Research Organizations Biographies of Current and Past Leaders Cost of Care, Economics, Finance, and Payment Mechanisms Disease, Disability, Health, and Health Behavior Government and International Healthcare Organizations Health Insurance Health Professionals and Healthcare Organizations Health Services Research Laws, Regulations, and Ethics Measurement; Data Sources and Coding; and Research Methods Outcomes of Care Policy Issues, Healthcare Reform, and International Comparisons Public Health Quality and Safety of Care Special and Vulnerable Groups The Encyclopedia is designed to be an introduction to the various topics of health services research for an audience including undergraduate students, graduate students, andgeneral readers seeking non-technical descriptions of the field and its practices. It is also useful for healthcare practitioners wishing to stay abreast of the changes and updates in the field.