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Managed Care
A managed care expert overviews the history, structure, regulation, and issues of the complex US health care system. This second edition work was originally published by Aspen in 2002.
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The fourth edition of this popular textbook provides the basic information needed to learn critical concepts of managed care. Derived from the best-selling Managed Health Care Handbook, Fourth Edition, this text presents basic information on all the critical concepts of managed care; compares myths about managed care to actual facts; progresses from introductory material on the types of managed care organizations to negotiating and contracting, controlling utilization, and using data reports in medical management; illuminates the regulatory landscape, with careful attention to both federal and state law, as well as the legislative environment. Learning objectives open each chapter; useful tables and charts summarize key information at a glance; study questions encourage thoughtful analysis; includes a glossary of terms and common acronyms. Also includes Study Guide. --This text refers to an out of print or unavailable edition of this title.
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Managed health care is one of the most confusing areas any consumer can deal with. Rules and regulations are constantly changing, providers are always merging and changing their offerings, and paperwork abounds. In easy-to-understand language, this book explains how to understand options, how to get treatment for chronic and long-term illnesses, how to get the most care for the least cost, and more.
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Most people don't understand health insurance, and insurance companies know it. Unfair denials, late payments, and hopeless confusion are the norm. At last there is a solution.
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Involvement in practice-based research and accountability is an applied and a research necessity. This book stresses that research and practice are not separate domains but integrated. Emphasizes managed care and systems of health care delivery; shows how single-case designs fit into an overall model of science-based practice; covers current systems of assessment that allow the evaluation of elinical impact in the practice environment; and describes how program development and evaluation should fit into the skills of the modern empirical clinician. Topics include: a detailed description of managed care systems in chapter 2; includes a model of how ot succeed in managed care in chapter 4; and offers program evaluation in chapter 10. For clinical psychology practitioners who emphasize evalutation of treatment outcomes.
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This comprehensive book includes a complete glossary of managed care terms, acronyms, and initialisms to help health care workers navigate this complex vocabulary. Written in plain English, even the lay person can understand and apply the terminology. In addition to providing definitions, the book includes extensive cross references to help the user understand not only the basic terminology, but also related concepts. Additionally, three useful appendices provide information on common medical associations, important medical journals, and health related internet sites. This comprehensive book is a must for health care workers who want to provide optimal care to their clients by communicating more clearly and effectively.
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A distinguished group of sixteen health care experts identify and assess the challenges and opportunities raised by the U.S.'s emerging competitive health care system. This timely book looks at the managed forms of care that are thriving in today's competitive bottom line
environment. A thoughtful commentary on the major trAnds in health care, this book provides a much needed resource for health care providers and government policymakers.
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More than 60% of Americans with medical insurance are enrolled in HMO's, but few are happy about it. Procedures are denied, doctors are rushed, patients are frustrated--it seems as if everyone has an HMO nightmare story to tell. Now two accomplished doctors, including the author of the New York Times bestseller The Arthritis Cure, offer readers an invaluable guide to understanding, dealing with, and getting the most out of their physicians and HMO's.
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Ernst & Young LLP, Washington, D.C. Third edition of a Brandon/Hill Medical List selection. Text on strategical and operational management of managed care plans, for health care administrators.
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The fourth edition of this popular textbook provides the basic information needed to learn critical concepts of managed care. Derived from the best-selling Managed Health Care Handbook, Fourth Edition, this text presents basic information on all the critical concepts of managed care; compares myths about managed care to actual facts; progresses from introductory material on the types of managed care organizations to negotiating and contracting, controlling utilization, and using data reports in medical management; illuminates the regulatory landscape, with careful attention to both federal and state law, as well as the legislative environment.
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This comprehensive book includes a complete glossary of managed care terms, acronyms, and initialisms to help health care workers navigate this complex vocabulary. Written in plain English, even the lay person can understand and apply the terminology.
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Here is the exciting new edition everyone has been waiting for! Look to Managed Care: What It Is and How It Works, Second Edition, to provide you with a solid grounding and clear understanding of managed health care.
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