A Glossary of Terms PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download A Glossary of Terms PDF full book. Access full book title A Glossary of Terms by United HealthCare Corporation (Minnetonka, Minn.). Download full books in PDF and EPUB format.
Author: United HealthCare Corporation (Minnetonka, Minn.)
Publisher:
ISBN:
Category : Health maintenance organizations
Languages : en
Pages : 85
Get Book Here
Book Description
Author: United HealthCare Corporation (Minnetonka, Minn.)
Publisher:
ISBN:
Category : Health maintenance organizations
Languages : en
Pages : 85
Get Book Here
Book Description
Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Learning
ISBN: 128415209X
Category : Medical
Languages : en
Pages : 355
Get Book Here
Book 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.
Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Publishers
ISBN: 1449649823
Category : Medical
Languages : en
Pages : 295
Get Book Here
Book Description
The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.
Author: Peter Kongstvedt
Publisher: Jones & Bartlett Learning
ISBN: 0763759112
Category : Education
Languages : en
Pages : 295
Get Book Here
Book Description
The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 85
Get Book Here
Book Description
Author: Richard Rognehaugh
Publisher: Jones & Bartlett Learning
ISBN: 9780834211445
Category : Managed care plans (Medical care)
Languages : en
Pages : 328
Get Book Here
Book Description
The Managed Health Care Dictionary, Second Edition is an essential resource for both professionals and students. With more than 1,000 terms, this dictionary covers the language of every industry sector--purchaser, provider, and payer. The new edition highlights new terminology, current definitions, and an expanded listing of acronyms and abbreviations.
Author:
Publisher: Jones & Bartlett Publishers
ISBN: 1449604641
Category : Managed care plans (Medical care)
Languages : en
Pages : 715
Get Book Here
Book Description
Peter Kongstvedt provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well.
Author: United HealthCare Corporation
Publisher:
ISBN:
Category :
Languages : en
Pages : 89
Get Book Here
Book Description
Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Learning
ISBN: 9780834217263
Category : Medical
Languages : en
Pages : 1448
Get Book Here
Book Description
This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.
Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Publishers
ISBN: 1284043266
Category : Business & Economics
Languages : en
Pages : 418
Get Book Here
Book Description
Health Insurance and Managed Care: What They Are and How They Work (formerly titled Managed Care: What It Is and How It Works) is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. The Fourth Edition is a thorough update that addresses the impact of the Affordable Care Act throughout the industry including: - New underwriting requirements - New marketing and sales channels - Limitations on sales, governance, and administrative (SG&A) costs and profits - New provider organizations such as Patient Centered Medical Homes (PCHMs) and Accountable Care Organizations (ACO’s) - New payment mechanisms such as shared savings with ACOs, and severity-adjusted diagnosis related groups - Changes to Medicare Advantage - Medicaid expansion and reliance on Medicaid managed care
