Download or read book Medicare Management written by and published by . This book was released on 2001 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare Disease Management written by Blake T. Andersen and published by Healthcare Intelligence Net. This book was released on 2006-01-01 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: A leading cause of illness, disability and death among healthcare consumers, chronic disease claims a disproportionate share of costs for the elderly and generates a heavy financial burden on the nation as a whole. Now more than ever, health plans and providers are seeking strategies to balance the healthcare equation. Medicare disease management (DM) programs have emerged to even the odds, and have already demonstrated positive impacts on patients health status and spending.This special report, "Medicare Disease Management: Tactics to Improve Health, Education and Independence in an Aging Population," highlights challenges and opportunities in working with the Medicare population, strategies to close gaps in care, and steps for sustaining system change and improved outcomes within senior care communities.Report contributors Blake Andersen, president, Chronic Care Group, Health Sciences Institute, Pamela Fromelt, vice president of government programs, LifeMasters Inc. and Dr. Randall Krakauer, national medical director, retiree markets, Aetna, provide inside details on how disease management programs can serve the needs of Medicare beneficiaries with chronic conditions to improve their health status, while reducing spending on these conditions.This 41-page report is based on a spring 2006 audio conference, "Medicare Disease Management: Identifying and Engaging the Elderly Population To Improve Chronic Health Status."Table of Contents * Analysis: Demography, Geography and Risk o Bridging Gaps Across Care Settings o The Real Question: Does It Work? o Barriers to Quality Improvement o Applying Lessons Learned * Case Study: LifeMasters Braces for Aging Baby Boomer Impact on Health System o Inside LifeMasters Medicare Programs o A Laundry List of Challenges o Advantages of Working with the Medicare Population o Key Strategies for Success * Case Study: Aetna Identifies Disparities in Senior Care o A Model for Development o Characteristics of the Medicare Population o Creating an Inclusive Program o An In-Depth Look at Medicare Health Support o Staff Ratios for Medicare Populations o Early Results Pave Road to the Future * Q&A: Ask the Experts o Identifying Risk in the Medicare Population o Predictive Modeling Techniques o Strategies for Enrollment and Engagement o The Cost of Medicare DM o Assessment Tools & Techniques o Meeting Consumer Demand * Glossary * For More Information * About the Authors

Download or read book Medicare Claims Management for Home Health Agencies written by Andrea L. Dumat and published by . This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual provides information on medicare claims management. Topics include an introduction to Medicare, Medicare fraud, focused medical documentation, hospice coverage and billing issues, billing for medical supplies, preparation and processing of claims, and reconsiderations, hearings, and appe

Download or read book The Medicare Guide written by National Institute of Business Management, Incorporated and published by . This book was released on 2001-02-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Oversight of Contract Management at the Centers for Medicare and Medicaid Services S Hrg 111 739 April 28 2010 111 2 Hearing written by United States. Congress. Senate. Committee on Governmental Affairs and published by . This book was released on 2011* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare coverage of diabetes supplies services written by and published by . This book was released on 2002 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Microfilming Records written by United States. National Archives and Records Service. Office of Records Management and published by . This book was released on 1974 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare Prospective Payment and the Shaping of U S Health Care written by Rick Mayes and published by JHU Press. This book was released on 2006-12-20 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.

Download or read book The Allocation and Management of Direct Health Care Expenses for Employees and Their Dependents written by Gary S. Whitted and published by . This book was released on 1983 with total page 890 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book SAS Programming with Medicare Administrative Data written by Matthew Gillingham and published by SAS Institute. This book was released on 2014-05-01 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: SAS Programming with Medicare Administrative Data is the most comprehensive resource available for using Medicare data with SAS. This book teaches you how to access Medicare data and, more importantly, how to apply this data to your research. Knowing how to use Medicare data to answer common research and business questions is a critical skill for many SAS users. Due to its complexity, Medicare data requires specific programming knowledge in order to be applied accurately. Programmers need to understand the Medicare program in order to interpret and utilize its data. With this book, you'll learn the entire process of programming with Medicare data—from obtaining access to data; to measuring cost, utilization, and quality; to overcoming common challenges. Each chapter includes exercises that challenge you to apply concepts to real-world programming tasks. SAS Programming with Medicare Administrative Data offers beginners a programming project template to follow from beginning to end. It also includes more complex questions and discussions that are appropriate for advanced users. Matthew Gillingham has created a book that is both a foundation for programmers new to Medicare data and a comprehensive reference for experienced programmers. This book is part of the SAS Press program.

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Download or read book Medicare for All written by Ken Lefkowitz and published by Routledge. This book was released on 2022-02-22 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare continues to be one of the defining political issues in the United States. Though many progressives argue for an overhaul of the current system based on ethical or humanitarian principles, this important book offers an economic rationale for providing healthcare for all. The purpose of Medicare For All: An Economic Rationale is to demonstrate how current runaway healthcare prices can be addressed by implementing the cost-effectiveness of Medicare For All. Written by a former Corporate Director and healthcare consultant, this book illustrates why the current free market model for healthcare is ultimately failing the country by not containing rising healthcare costs, which has a severe economic impact on all Americans, including those covered by employer medical plans. Major factors in that failure such as the lack of transparency, human decision factors, and high administrative costs in the current system are explored. The book demonstrates that implementing Medicare For All, providing comprehensive benefits with no copays, private insurance premiums, deductibles, or other cost-sharing, will not only improve the lives of most Americans, but will be far more cost-effective than the present system. This is an incisive, important contribution to a topic that continues to shape American political discourse and will be of interest to scholars and professionals engaged in this area as well as politicians and the public in general.

Download or read book Managing Health Services Organizations written by Jonathon S. Rakich and published by . This book was released on 1992 with total page 772 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Eligibility Quality Control written by United States. Social and Rehabilitation Service and published by . This book was released on 1975 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Risk Management in Healthcare Institutions written by Florence Kavaler and published by Jones & Bartlett Publishers. This book was released on 2014 with total page 557 pages. Available in PDF, EPUB and Kindle. Book excerpt: The completely revised and updated Third Edition of Risk Management in Health Care Institutions: Limiting Liability and Enhancing Care covers the basic concepts of risk management, employment practices, and general risk management strategies, as well as specific risk areas, including medical malpractice, strategies to reduce liability, managing positions, and litigation alternatives. This edition also emphasizes outpatient medicine and the risks associated with electronic medical records. Risk Management in Health Care Institutions: Limiting Liability and Enhancing Care, Third Edition offers readers the opportunity to organize and devise a successful risk management program, and is the perfect resource for governing boards, CEOs, administrators, risk management professionals, and health profession students.

Download or read book CMSA s Integrated Case Management written by Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN and published by Springer Publishing Company. This book was released on 2018-01-28 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by case managers for case managers, this reference manual for nurses and other health professionals presents a CMSA tested approach towards systematically integrating physical and mental health case management principles and assessment tools. Since the health care field has undergone major changes such as the passing of the Patient Protection and Affordable Care Act, Mental Health Parity, Transition of Care & Chronic Care Management and the Medicare Act and CHIP Authorization Act (MACRA), health care workers must competently know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice. CMSA’s Integrated Case Management delves into the role of the case manager and unpacks how case managers assess and treat complex patients. These are patients who may be challenged with medical and behavioral conditions, poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, digital and telemedicine, and new performance measures that are clearly defined for nurses in nursing terminology, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach. All content aligns with the newly revised 2017 Model Care Act, CMSA Standards of Practice 2016 as well as the CMSA Core Curriculum for Case Management Third Edition.

Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt: