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Book Provider Sponsored Organizations

Download or read book Provider Sponsored Organizations written by Allan Fine and published by Jones & Bartlett Learning. This book was released on 1998 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provider Sponsored Organizations: Emerging Opportunities for Growth is a comprehensive, practitioner-oriented source addressing strategic, operational, financial, structural, legislative, marketing, legal, actuarial, & medical management issues germane to PSO development & implementation.

Book Medicare Managed Care

Download or read book Medicare Managed Care written by Keith M. Korenchuk and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Provider Sponsored Organizations

Download or read book Medicare Provider Sponsored Organizations written by Peter N. Grant and published by Jossey-Bass. This book was released on 1998-08-29 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Congress has adopted sweeping changes to the Medicare program that will have a significant impact on integrated delivery systems, physicians, IPA's, medical groups, hospitals, and health plans. This legislation is a significant step by the federal government as it provides the framework to transition the Medicare program from an open access fee-for-service system to a managed care-oriented program. This concise guide to developing and achieving certifications will be invaluable to understanding the new PSO regulations.

Book Medicare Provider sponsored Organizations

Download or read book Medicare Provider sponsored Organizations written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1999 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Improving the Medicare Market

Download or read book Improving the Medicare Market written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.

Book Managed Care Organizations

Download or read book Managed Care Organizations written by Colodia Owens and published by McGraw-Hill Companies. This book was released on 1995 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Managed Care

    Book Details:
  • Author : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
  • Publisher :
  • Release : 1997
  • ISBN :
  • Pages : 96 pages

Download or read book Medicare Managed Care written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1997 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Health Insurance and Managed Care

Download or read book Health Insurance and Managed Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2016 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Managed Care

Download or read book Medicare Managed Care written by Geraldine Dallek and published by DIANE Publishing. This book was released on 1998-06 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on both research & reports from organizations representing Medicare beneficiaries, this report analyzes the major problems associated with Medicare HMOs & provides recommendations to achieve protection of Medicare beneficiaries. Addresses: marketing, enrollment & disenrollment; Medicare-covered benefits & the HMO appeals process; access to appropriate providers; data collection, analysis & disclosure; quality-of-care, monitoring & oversight; the AAPCC rate, standardization of plan benefits & risk adjustments; & regulation of managed care entities such as provider sponsored organizations.

Book Managed Care

    Book Details:
  • Author : Kongstvedt
  • Publisher : Jones & Bartlett Publishers
  • Release : 2008-09-19
  • ISBN : 0763788678
  • Pages : 294 pages

Download or read book Managed Care written by Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2008-09-19 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Book Essentials of Managed Health Care

Download or read book Essentials of Managed Health Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2007 with total page 874 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed Care

Book The Role of Managed Care Organizations within the Healthcare Industry

Download or read book The Role of Managed Care Organizations within the Healthcare Industry written by Patrick Kimuyu and published by GRIN Verlag. This book was released on 2018-02-01 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt: Seminar paper from the year 2018 in the subject Medicine - Medical Frontiers and Special Areas, grade: 1, Egerton University, language: English, abstract: This paper will provide a comprehensive overview of managed care, primarily on the advantages and disadvantages of managed care organizations. Over the decades, the United States’ healthcare system has been experiencing challenges. In general, the cost and quality of care has always been considered as the most critical factors that influence healthcare sustainability in the United States and the world, as a whole. As a result, a series of value-based payment reforms have been introduced. For instance, the Affordable Care Act (ACA) of 2010 introduced payment and delivery system reforms. From a critical perspective, the reforms introduced by the ACA have addressed the long-standing problems which have been posing enormous hindrances to the development of the U.S. healthcare system. Above all, it has enhanced managed care through consolidating care, as well as, addressing the problem of unsustainable costs and uneven quality of care. However, managed care seems to exhibit some drawbacks too.

Book The Medicare Handbook

Download or read book The Medicare Handbook written by and published by . This book was released on 1992 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Annual Report to Congress

Download or read book Annual Report to Congress written by United States. Physician Payment Review Commission and published by . This book was released on 1995 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Provider Service Networks

    Book Details:
  • Author : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
  • Publisher :
  • Release : 1997
  • ISBN :
  • Pages : 120 pages

Download or read book Medicare Provider Service Networks written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1997 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: