Contract Issues and Quality Standards for Managed Care

Contract Issues and Quality Standards for Managed Care PDF Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 322

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Book Description

Contract Issues and Quality Standards for Managed Care

Contract Issues and Quality Standards for Managed Care PDF Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 322

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Book Description


Contract Issues and Quality Standards for Managed Care

Contract Issues and Quality Standards for Managed Care PDF Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 324

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Book Description


An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies and Between State Medicaid Agencies and Managed Care Organizations

An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies and Between State Medicaid Agencies and Managed Care Organizations PDF Author: Sara Rosenbaum
Publisher: DIANE Publishing
ISBN: 0788139002
Category :
Languages : en
Pages : 144

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Book Description
A descriptive examination of: (1) the structure & content of provider network agreements between managed care organizations (MCOs) & community mental health & substance abuse (MH/SA) treatment & prevention agencies, proving an assessment of provider contracts to identify the meaning of these instruments for MH/SA service providers, group purchasers, MCOs, individual consumers, & public policy makers; & 2) service agreements between State Medicaid agencies & MCOs for mental health & substance abuse treatment services, addressing enrollment, benefits & services, duties, & quality assurance.

An Evaluation of Contracts Between State Medicaid Agencies and Managed Care Organizations for the Prevention and Treatment of Mental Illness and Substance Abuse Disorders

An Evaluation of Contracts Between State Medicaid Agencies and Managed Care Organizations for the Prevention and Treatment of Mental Illness and Substance Abuse Disorders PDF Author: Sara Rosenbaum
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 76

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Book Description


The Challenge of Regulating Managed Care

The Challenge of Regulating Managed Care PDF Author: John Eugene Billi
Publisher: University of Michigan Press
ISBN: 0472023721
Category : Medical
Languages : en
Pages : 307

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Book Description
Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room. Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources. 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. John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan. Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.

Managed Care Answer Book

Managed Care Answer Book PDF Author: Sheryl Tatar Dacso
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 1142

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Book Description
This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program, written in the classic answer book format. You'll find extensive sections providing basic understanding of managed care, cost containment strategies, and advice on organization and implementation of programs. The topic is covered from the ground up, with crucial questions and authoritative, up-to-date answers on every facet of managed care, including such valuable features as: Contract negotiation strategies and dispute resolution techniques Maximizing utilazation review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; important issues covered from both purchaser's and provider's perspectives; and discussion on information technology and telemedicine.

Resource Guide and Work Book for MCH/CSHCN Providers

Resource Guide and Work Book for MCH/CSHCN Providers PDF Author:
Publisher:
ISBN:
Category : Child health services
Languages : en
Pages : 88

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The Managed Care Contracting Handbook

The Managed Care Contracting Handbook PDF Author: Maria K. Todd
Publisher: CRC Press
ISBN: 1439866570
Category : Business & Economics
Languages : en
Pages : 334

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Book Description
Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer

Managed Care Programs

Managed Care Programs PDF Author: Momoka Ito
Publisher:
ISBN: 9781604564891
Category : Managed care plans (Medical care)
Languages : en
Pages : 0

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Book Description
A physician usually manages a healthcare organisation and is responsible for a patient's primary needs especially medical care such as physical therapy or surgery. This book provides information concerning patients' well-beings as well as the effects of health care costs and how they reflect on the quality of care of healthcare facilities.

A Guide for Providers of Mental Health and Addictive Disorder Services in Managed Care Contracting

A Guide for Providers of Mental Health and Addictive Disorder Services in Managed Care Contracting PDF Author: Jacqueline C. Leifer
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 64

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Book Description