Download or read book Risk Contracting and Capitation Answer Book written by Clifford C. Dacso and published by Aspen Pub. This book was released on 1999 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can physicians and providers survive in managed care ... HMOs cope with more regulation and liability exposure ... employers get more value for their health care dollar? Finally, the current expert how-to guidance you need -- whatever your stake in managed care -- is here in the new Risk Contracting and Capitation Answer Book: Strategies for Managed Care. Featuring a quick, easy-to-follow question and answer format to more than 400 questions. The Answer Book gives you a solid grasp of the managed care environment ... offers you proven survival and success strategies ... alerts you to the full range of delivery systems that promote cost effective care ... helps you avoid legal trouble. Plus, the Answer Book tells you what technologies are key to managed care ... why academic medical centers are hurting ... when HMOs must submit Medicare applications ... where the Texas HMO liability is flawed and how this law will change managed care nationally.
Download or read book The Managed Care Answer Book written by Gayle McCracken Tuttle and published by Routledge. This book was released on 2013-09-05 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text aims to provide answer to questions such as what happens when you get dropped from a managed care panel? How do you get paid? Why can't you get on a managed care panel? This book is an extended question and answer session where issues are tackled from the providers perspective.; Armed with the resources, examples and explanations provided in this book, clinicians will be positioned to make the decisions that contribute to success under managed care.
Download or read book The Managed Care Answer Book for Mental Health Professionals written by Gayle McCracken Tuttle and published by Psychology Press. This book was released on 1997 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: First Published in 1997. Routledge is an imprint of Taylor & Francis, an informa company.
Download or read book Managed Care Answer Book written by Sheryl Tatar Dacso and published by . This book was released on 1999 with total page 1142 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program, written in the classic answer book format. You'll find extensive sections providing basic understanding of managed care, cost containment strategies, and advice on organization and implementation of programs. The topic is covered from the ground up, with crucial questions and authoritative, up-to-date answers on every facet of managed care, including such valuable features as: Contract negotiation strategies and dispute resolution techniques Maximizing utilazation review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; important issues covered from both purchaser's and provider's perspectives; and discussion on information technology and telemedicine.
Download or read book Managed Care Answer Book written by Sheryl Tatar Dacso and published by . This book was released on 1997 with total page 838 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dictionary of Health Economics and Finance written by David E. Marcinko, MBA, CFP, CMP and published by Springer Publishing Company. This book was released on 2006-08-21 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! "Medical economics and finance is an integral component of the health care industrial complex. Its language is a diverse and broad-based concept covering many other industries: accounting, insurance, mathematics and statistics, public health, provider recruitment and retention, Medicare, health policy, forecasting, aging and long-term care, are all commingled arenas....The Dictionary of Health Economics and Finance will be an essential tool for doctors, nurses and clinicians, benefits managers, executives and health care administrators, as well as graduate students and patientsÖ With more than 5,000 definitions, 3,000 abbreviations and acronyms, and a 2,000 item oeuvre of resources, readings, and nomenclature derivativesÖ it covers the financial and economics language of every health care industry sector." - From the Preface by David Edward Marcinko
Download or read book Financial Management for Nurse Managers and Executives E Book written by Cheryl Jones and published by Elsevier Health Sciences. This book was released on 2018-01-29 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn how financial management fits into the healthcare organization. Financial Management for Nurse Managers and Executives, 5th Edition covers the latest accounting and financial management practices distinctly from the nurse manager’s point of view. Topics include how financial management fits into the health care organization, financial accounting, cost analysis, planning and control management of the organization’s financial resources, various management tools, and the future of financial management with respect to healthcare reform and international accounting standards. This new edition includes updated information on the Affordable Care Act, Accountable Care Organizations, Value Based Payment, and Team and Population Based Care. Nursing-focused content thoroughly describes healthcare finance and accounting from the nurse manager’s point of view. Numerous worksheets and tables including healthcare spreadsheets, budgets, and calculations provide you with specific examples of how to apply financial management principles to nursing practice. NEW! Information about the Affordable Care Act details how changes and developments affects coverage for millions of Americans. NEW! Value-Based Payment reimbursement information details what nurse executives need to know in order to use this new system NEW! Coverage of Accountable Care Organizations provides current information on one of the emerging forms of managed care and how it works within the financial system of healthcare. NEW! Team-and Population-Based care information covers how to work with healthcare professionals outside of nursing.
Download or read book Health Insurance Answer Book written by John C. Garner and published by . This book was released on 1997-09 with total page 1038 pages. Available in PDF, EPUB and Kindle. Book excerpt: This easy-to-use guide will help you manage a cost-effective health insurance plan and ensure that your decisions are in compliance with constantly changing health care legislation. The Health Insurance Answer Book offers instant access to information on everything from HMOs, PPOs, COBRA, OBRA, and flexible benefits to plan rating, funding, cost containment, and administration. Its question-and-answer format speeds you to realistic strategies and solutions in seconds. Because the book is updated annually, you'll be sure to stay informed on newly enacted and pending legislation. For example, you'll get concise, jargon-free coverage of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), changes in the Medicare payroll tax, pharmacy benefit management, reduced reimbursements for physicians and hospitals, workers' compensation, Medigap policies, self-insurance, and third-party administration.
Download or read book Dictionary of Health Insurance and Managed Care written by Hope Rachel Hetico, RN, MHA, CMPTM and published by Springer Publishing Company. This book was released on 2006-03-22 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today.
Download or read book The Capitation Sourcebook written by Peter Boland and published by Jones & Bartlett Learning. This book was released on 1996 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here's a challenge to conventional wisdom that will change the way you think about capitation. This hands-on resource is a collection of articles detailing the most advanced methods used by leading healthcare operational experts on how to provide high-quality care at less cost; manage financial risk more efficiently; design operational, clinical and information systems to meet the needs of patients, practitioners and managed care organizations; structure financial incentives to promote successful collaborations and make the transition from fee-for-service to risk-sharing arrangements. You'll find practical examples of how to build the trust necessary to create win-win solutions to problems that arise between competing yet interdependent interests of the various stakeholders. Edited by Peter Boland, PhD, and based on a "best practices" approach, each of the articles in the book illustrate compensation methodologies that have been successfully implemented with the support of physicians and hospitals.
Download or read book A Guide to Managed Care Medicine written by William N. Tindall and published by Jones & Bartlett Learning. This book was released on 2000 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides physicians, administrators, and other health professionals with information on managed care, from its history, forms and practices to detailed information on managed care contracting, physician compensation, monitoring, reporting, management, risk, productivity, and accountability. Annotati
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Budgeting Concepts for Nurse Managers written by Steven A. Finkler and published by Elsevier Health Sciences. This book was released on 2007-09-06 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: An in-depth guide to preparing accurate nursing budgets, this book will help you improve your financial skills and contribute to your organization's strategic planning. It discusses the different types of budgeting, the budgeting process, forecasting, variance analysis, and costing out nursing services. A variety of settings are included: hospitals, long-term care, home health, community health, managed care, and others. With this guide, you'll learn how to communicate effectively with financial managers, succeed in your role in the budgeting process, and assist in the delivery of high-quality patient care at the lowest possible cost. Each chapter includes Learning Objectives to focus your study and a Summary and Implications for Nurse Managers to reinforce what you've learned. Additional Suggested Readings provides helpful resources for further research and study. An appendix includes numerous sample budget forms and instructions, allowing you to see firsthand the various types of budgeting forms used in day-to-day practice. New "Budgeting for Information Systems" chapter describes how to budget for information technology (IT), what kind of personnel you should consider hiring to support the nursing IT function, and how to evaluate IT products. New "Budgeting for the Operating Room" chapter covers key stakeholders in the budget development process, developing the prioritization process, and specialized aspects of the operating room budget. A discussion of magnet hospitals has been added, including the cost implications of applying for "magnet" status. Coverage now includes different delivery care models and their potential budgetary impact to a health care organization, along with Clinical Ladders and the budgetary implications of nurses "testing-up" the ladder. Budgeting for clinics and same-day surgery facilities is described. Updated and expanded content discusses budget variance analysis and interpretation of budget reports that differ from the planned budget. Includes the budget implications of outsourcing, and how to determine whether outsourcing is cost-effective for a particular service.
Download or read book The Cumulative Book Index written by and published by . This book was released on 1999 with total page 2520 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Physician Employment Contract Handbook Second Edition written by Maria K. Todd and published by CRC Press. This book was released on 2011-06-30 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: No matter which way you look at it, whether you own your own practice, become a part of a large physician group, or become an employee of a hospital, you will be signing an employment contract of some sort. Revised and updated, The Physician Employment Contract Handbook, Second Edition: A Guide to Structuring Equitable Arrangements provides sample physician employment contracts and explains how each contract works. The new edition includes increased information on the latest managed care entities and a review of basic concepts in fraud and abuse, corporate practice of medicine, and antitrust concerns. The author discusses the various legal and compliance issues related to physician employment, such as anti-self referral and anti-kickback issues, and examines how to resolve disputes through arbitration or mediation. The author also outlines the pros and cons of various partnership arrangements. After you have finished this book, you will be able to ask meaningful questions of legal and accounting counsel, do a preliminary review and analysis of the agreement offered, and even compare a prospective employer’s contract to other standard agreements without endangering confidentiality agreements. You will be able to design standard text, saving time and money on legal fees by having counsel review and add the final touches to contract drafts instead of starting from scratch. With proper planning and a clear understanding of both short- and long-term objectives, you can move into the future and take advantage of opportunities in the current healthcare revolution.
Download or read book Cumulated Index to the Books written by and published by . This book was released on 1999 with total page 1280 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book NIH Guide for Grants and Contracts written by and published by . This book was released on 1993 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt:
