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 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 Managed Care Answer Book written by Sheryl Tatar Dacso and published by Aspen Publishers. This book was released on 1995-12-31 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the fundamentals to detailed strategies for managed care product design and execution, Panel's comprehensive Managed Care Answer Book covers the fast-evolving world of managed care in 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 utilization review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; and important issues covered from both purchaser's and provider's perspectives. This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program.

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 1999-07-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Legal Answer Book for Managed Care written by Aspen Health Law Center and published by Aspen Pub. This book was released on 1995 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: A well-organized and easy-to-understand reference that provides concise answers to a wide variety of legal questions. All major legal areas are covered: antitrust, credentialing, fraud & abuse, taxation, ERISA, and more!

Download or read book Managed Care Answer Book written by and published by Aspen Publishers. This book was released on 2001 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 Essentials of Managed Health Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2003 with total page 918 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Economic Evolution of American Health Care written by David Dranove and published by Princeton University Press. This book was released on 2009-01-10 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960s television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCOs today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970s, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCOs have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCOs of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCOs must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCOs, but they will need to rely on both their individual doctors and their own consumer awareness.

Download or read book Managed Care Answer Book written by Donald R. Levy and published by Aspen Publishers. This book was released on 1995-12-31 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: This indispensable professional tool provides all the necessary forms and checklists to professionals involved in the design, implementation, financing, or operation of a managed care program. And, with the accompanying diskette, you'll have everything you need at your fingertips.

Download or read book Managed Care Answer Book written by Sheryl Tatar Dasco and published by Aspen Publishers. This book was released on 1996-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Making Them Pay written by Rhonda D. Orin and published by Macmillan + ORM. This book was released on 2011-04-01 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. In eight easy steps, Making Them Pay gives practical advice about the things that drive people crazy. Like: -Figuring out what health plans really say -Understanding what benefits they provide -Finding, and understanding, the exclusions -Determining what health plans really cost -How to talk to customer service, and other painful details -Easy ways to keep good records -Laws that can change your life-like the mandatory benefits laws in all fifty states -How to prepare successful appeals Along with this useful advice, Making Them Pay offers a much-needed sense of humor. It's filled with cartoons, sidebars, and vignettes that will make you laugh as you learn. Based on Rhonda D. Orin's extensive experience as a litigator, a journalist, and a mother fighting her own family's insurance battles, Making Them Pay is the book your health insurer doesn't want you to read. "A compact reference [that] simplifies a convoluted subject. -

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

Download or read book Breaking Free of Managed Care written by Dana C. Ackley and published by Guilford Press. This book was released on 1999-08-01 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing therapists practical solutions to managed care's erosion of their freedom to practice, this book presents a working blueprint for a private-pay psychotherapy practice. Dana C. Ackley casts out the distortions that have crept into many clinicians' thinking as a result of reliance on third-party reimbursement. Based on his own experience, he shows how you can serve clients--and yourself--better by developing real alternatives to the pressures and bureaucracy of managed care. In clear step-by-step detail, including practical exercises and checklists, sample marketing materials, and payment plans, the volume shows you how to: *Rediscover the economic and clinical value of your work *Discard assumptions that might block your progress *Educate yourself about the needs of potential clients *Market and sell your services effectively *Learn ethical, reasonable business-of-practice skills *Diversify into the rewarding area of psychological consultation to businesses. No matter what your clinical style, theoretical orientation, or practice history, you will benefit from the hard-won lessons Dr. Ackley shares in this book.

Download or read book The Managed Care Contracting Handbook written by Maria K. Todd and published by CRC Press. This book was released on 2009-03-26 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer

Download or read book Managed Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2004 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. Much of the information is distilled from another of the doctor's books, The Managed Care Handbook, 4th ed. An extensive glossary is included, but there are no refer