A Comparison of the Medicaid Managed Care Programs Based on Quality PDF Download
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Author: Colorado. Department of Health Care Policy and Financing
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 5
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Book Description
Author: Colorado. Department of Health Care Policy and Financing
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 5
Get Book Here
Book Description
Author: Colorado. Department of Health Care Policy and Financing
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 4
Get Book Here
Book Description
Author: Colorado. Department of Health Care Policy and Financing
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 5
Get Book Here
Book Description
Author: Colorado. Department of Health Care Policy and Financing
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 8
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Book Description
Author: Michele R. Solloway
Publisher:
ISBN:
Category :
Languages : en
Pages : 148
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175054
Category : Medical
Languages : en
Pages : 394
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Book Description
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Author: A. F. Al-Assaf
Publisher: CRC Press
ISBN: 1000162141
Category : Law
Languages : en
Pages : 294
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Book Description
Managed care organizations are paving the way to the future of health care delivery in the United States and countries around the world. As managed care systems evolve, a major concern is quality. Managed Care Quality: A Practical Guide is a collection of applications and experiences gathered from practicing health professionals in the field of managed care. This first "how to" guide was written to help managed care organizations meet the common objective of ensuring the best quality of services and care. Managed Care Quality: A Practical Guide presents successive steps in implementing quality in health care organizations. It introduces the methods, skills, and practices involved in quality health care programs and offers solutions to problems typically encountered in managed care.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175364
Category : Medical
Languages : en
Pages : 384
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Book Description
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 728
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309063868
Category : Medical
Languages : en
Pages : 62
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Book Description
In November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans. Competition has existed at the provider level in the pre-managed care era and continues among physicians, physician groups and hospitals today. What is new is the extent of competition at the managed care organization level in individual regional markets. As large numbers of individuals are enrolled in health plans, the potential for new forms of cooperation for improving quality of care becomes possible. Along with these new possibilities, however, come questions about whether they bring the potential for antitrust violation.
