Health Insurance and Managed Care: What They Are and How They Work

Health Insurance and Managed Care: What They Are and How They Work
ISBN-10
1284194639
ISBN-13
9781284194630
Series
Health Insurance and Managed Care
Category
Medical
Pages
355
Language
English
Published
2019-02-14
Publisher
Jones & Bartlett Learning
Author
Peter R. Kongstvedt

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.

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