Essentials of Managed Health Care

Name: Essentials of Managed Health Care
Price: 4.94 USD
Availability: InStock
ISBN: 9780763739836

ISBN-10: 0763739839

ISBN-13: 9780763739836

Edition: 5th 2007 (Revised)

Authors: Peter R. Kongstvedt

List price: $163.95

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Description:

This is the most comprehensive and widely-used textbook on managed care. The Fifth Edition of this authoritative text provides practical knowledge and advice to help you master the complexities of managed care today. With learning objectives for each chapter, a glossary of terms and common acronyms, study questions, tables and charts, and the expert guidance of Peter R. Kongstvedt, Essentials of Managed Health Care is a perfect introduction to the key concepts of managed care. This revision includes updates to all chapters, as well as new sections on the most relevant topics in managed care today such as: pay for performance, consumer-directed healthcare plans, payor/provider collaboration,…

Book details

List price: $163.95
Edition: 5th
Copyright year: 2007
Publisher: Jones & Bartlett Learning, LLC
Publication date: 3/6/2007
Binding: Paperback
Pages: 840
Size: 8.00" wide x 10.00" long x 1.75" tall
Weight: 3.278



Contributors


About the Author


Acknowledgments


Preface


Keeping Current



Introduction to Managed Health Care



The Origins of Managed Health Care




Types of Managed Care Plans and Integrated Healthcare Delivery Systems




Elements of the Management Control and Governance Structure




Common Myths and Assertions about Health Plans




The Healthcare Delivery System



Physician Networks in Managed Health Care




Basic Compensation of Physicians in Managed Health Care




Hospitals, Facilities, and Ancillary Services




Performance-Based Incentives in Managed Health Care: Pay-for-Performance




Medical Management



Managing Basic Medical-Surgical Utilization




Fundamentals and Core Competencies of Disease Management




Case Management




Prescription Drug Benefits in Managed Health Care




Introduction to Managed Behavioral Healthcare Organizations




The Role of Health Plans in Preventing Disease




Quality Management in Managed Care




Data Analysis and Profiling in Health Plans




Operational Management and Marketing



Information Technology in the Healthcare Organization




Claims Administration




Member Services




Healthcare Consumerism




Sales and Marketing




The Employer's View of Managed Health Care




Accreditation and Performance Measurement Programs for Managed Care Organizations




Operational Finance and Budgeting




Underwriting and Rating Functions




Special Markets



Medicare and Managed Care




Medicaid Managed Care




The Military Managed Healthcare System




Managed Care in a Global Context




Legal and Regulatory Issues



Legal Issues in Provider Contracting




ERISA




HIPAA




State Regulation of Managed Care



Glossary


Index