St. Anthony's Physician Capitation and Managed Care Reference Manual (PREF)

St. Anthony's Physician Capitation and Managed Care Reference Manual (PREF) PDF Author: Michael Grambo
Publisher: Delmar
ISBN: 9781563295003
Category :
Languages : en
Pages : 750

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Book Description

St. Anthony's Physician Capitation and Managed Care Reference Manual (PREF)

St. Anthony's Physician Capitation and Managed Care Reference Manual (PREF) PDF Author: Michael Grambo
Publisher: Delmar
ISBN: 9781563295003
Category :
Languages : en
Pages : 750

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Book Description


St. Anthony's Physician Capitation and Managed Care Reference Manual

St. Anthony's Physician Capitation and Managed Care Reference Manual PDF Author: Mike Grambo
Publisher:
ISBN: 9781563293443
Category :
Languages : en
Pages : 400

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Book Description


Crossing the Quality Chasm

Crossing the Quality Chasm PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359

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Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Pay for Performance in Health Care

Pay for Performance in Health Care PDF Author: Jerry Cromwell
Publisher: RTI Press
ISBN: 1934831042
Category : Medical
Languages : en
Pages : 388

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Book Description
This book provides a balanced assessment of pay for performance (P4P), addressing both its promise and its shortcomings. P4P programs have become widespread in health care in just the past decade and have generated a great deal of enthusiasm in health policy circles and among legislators, despite limited evidence of their effectiveness. On a positive note, this movement has developed and tested many new types of health care payment systems and has stimulated much new thinking about how to improve quality of care and reduce the costs of health care. The current interest in P4P echoes earlier enthusiasms in health policy—such as those for capitation and managed care in the 1990s—that failed to live up to their early promise. The fate of P4P is not yet certain, but we can learn a number of lessons from experiences with P4P to date, and ways to improve the designs of P4P programs are becoming apparent. We anticipate that a “second generation” of P4P programs can now be developed that can have greater impact and be better integrated with other interventions to improve the quality of care and reduce costs.

HCFA Common Procedure Coding System (HCPCS).

HCFA Common Procedure Coding System (HCPCS). PDF Author:
Publisher:
ISBN:
Category : Information storage and retrieval systems
Languages : en
Pages : 246

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Book Description


Essentials of Managed Health Care

Essentials of Managed Health Care PDF Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
ISBN: 9780763724962
Category : Medical
Languages : en
Pages : 918

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Book Description


McWhinney's Textbook of Family Medicine

McWhinney's Textbook of Family Medicine PDF Author: Thomas Freeman
Publisher: Oxford University Press
ISBN: 0199370680
Category : Medical
Languages : en
Pages : 537

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Book Description
'McWhinney's Textbook of Family Medicine' is one of the seminal texts in the field, defining the principles and practices of family medicine as a distinct field of practice. The fourth edition presents six new clinical chapters of common problems in family medicine.

Designing and Implementing Health Care Provider Payment Systems

Designing and Implementing Health Care Provider Payment Systems PDF Author: Jack Langenbrunner
Publisher: World Bank Publications
ISBN: 0821378244
Category : Medical
Languages : en
Pages : 348

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Book Description
Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns.Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do when paying providers, but also how to do it, particularly how to design, manage, and implement the transition from current to reformed systems. 'Designing and Implementing Health Care Provider Payment Systems: How-To Manuals' addresses this need.The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.

Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Health, the Medical Profession, and Regulation

Health, the Medical Profession, and Regulation PDF Author: Peter Zweifel
Publisher: Springer Science & Business Media
ISBN: 1461556813
Category : Business & Economics
Languages : en
Pages : 264

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Book Description
Health, The Medical Profession, and Regulation presents new evidence concerning health and the environment, inequality of health in many countries, and the compatibility of different quality of life measurements, along with new solutions to problems of health policy. The book is grouped into three sections. Section I, comprising six papers, looks into the determinants of people's health. Section II consists of three papers and deals with the supply side of the market for health care services. Finally, Section III contains three contributions devoted to health regulation. The intended market for this volume includes, but is not limited to, health economists, policy makers, insurers, and governmental advisors who need to stay abreast of the latest developments in health services research worldwide.