Managed Care: What It Is and How It Works, the title says it all! This introduction to managed care is a must have for managed care professionals new to the industry, health care professionals who traditionally have had limited exposure to managed care, and professionals in other industries eager to capitalize on the business opportunities generated by managed care. It also serves as a textbook or supplemental reading for health-related courses in public health, medical, nursing, allied health, business, and public policy schools and programs. This book provides the reader with the basic structures, concepts, and practices of managed care in a concise, easy-to-read format. Winner of the 1998 AJN Book of the Year Award in the Managed Care category.
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.
Health Insurance and Managed Care: What They Are and How They Work (formerly titled Managed Care: What It Is and How It Works) is a concise introduction to the foundations...
With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care.
Managed Care
You'll take a broad look at the challenges involved in providing effective, ethical services in a revolutionised system. You'll find proposed solutions for changing and shaping the evolving system. And...
The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care.
Transition from options to guidelines as a practice policy creates a natural by-product in the adherence to evidence-based medicine. It is important to understand the distinction between boundaries and pathways as they relate to ...
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
Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition.
Industry Insiders Reveal how to Successfully Participate and Profit in Today's System Leonard Hugh Reich, ... Another example is the Joint Commission on Accreditation of Healthcare Organizations ( JCAHO , pronounced “ jay - co ” ) .