Download or read book Understanding Managed Care written by Annette U. Rickel and published by Karger Medical and Scientific Publishers. This book was released on 2000 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: A unique series of cases based on a fictional family selecting and using a health plan is presented and a glossary is provided which defines basic concepts frequently encountered in the managed care field.
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 Understanding and Working with Managed Care written by National Association of Rural Health Clinics (U.S.) and published by . This book was released on 1997* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Clinician s Guide to Managed Behavioral Care written by Norman Winegar and published by Psychology Press. This book was released on 1996 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician's Guide to Managed Behavioral Care, called "a survival kit" and "must reading," helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more "managed care friendly." It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician's Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more "managed care friendly," and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO's, and self-insured employers. It allows readers to consider a payor's view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care.Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician's Guide to Managed Behavioral Care and invaluable resource.It is often said that in the future, all in the treatment community will be involved in "managing care" and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how!Important topics in The Clinician's Guide to Managed Behavioral Care: the changing marketplace for mental health/substance abuse treatment services assessing market opportunities in light of managed care influences clinical service needs of managed care systems clinical innovations: examples, case studies, vignettes strategies for managing utilization review marketing strategies for office-based practitioners hospital-managed care partnerships contemporary office management strategies to control costs consumers and managed care directory of America's HMOs directory of America's Managed Mental Health Care Companies glossary of key terms
Download or read book Mental Health Providers Guide To Managed Care written by Leonard Reich and published by W. W. Norton & Company. This book was released on 2006 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: For both patients and providers, the words managed care are loaded with negative connotations, synonymous with inefficiency and bureaucracy. Forced to perform a delicate balancing act of offering the best possible care for their clients while carefully adhering to various managed care policies and procedures, providers in particular often wince at the prospect of having to deal with managed care companies, or MCOs. Fearing burdensome paperwork, low reimbursement rates, and denials of care, it's not surprising that a number of mental health professionals choose to limit their involvement with managed care companies-or eliminate it altogether. "My clients are all on different health plans; how can I keep the policies straight?" "Getting services approved is so time-consuming that I'm better off accepting only self-paying clients, aren't I?" "Do the benefits of working with MCOs really outweigh the drawbacks?" The answer, according to two industry insiders, is yes. If you know how to work with the system, the system can work for you. Mental Health Provider's Guide to Managed Care is the first handbook of its kind to offer clinicians a window into the inner-workings of MCOs. Authors Reich and Kolbasovsky candidly draw on their combined 37 years experience in the field to walk readers through all the major elements of how to successfully work within the system: marketing yourself and your practice to an MCO, getting onto a MCO's network, maintaining a good relationship and communicating with MCOs for quick service approval, reducing your liability, understanding your rights and responsibilities, getting paid, and more. Every issue—big and small—is covered, from capitation versus fee-for-service payment arrangements to evaluating which MCOs are a good fit to join, and everything in between. After explaining how to work with the system, the authors reveal how to put the system to work for you. Tips for building your practice through referrals, generating business through doctor collaboration, and understanding future practice opportunities are all covered.By demystifying the complexities of managed care and offering a unique, inside view of the process, this book mitigates the negative connotations associated with MCOs and exposes the hidden benefits of a seemingly burdensome process. Exceedingly reader-friendly and packed with insightful tips and vignettes, Mental Health Provider's Guide to Managed Care is one clinician's guide you won't want to be without.
Download or read book Managing Managed Care written by Institute of Medicine and published by National Academies Press. This book was released on 1997-04-21 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Download or read book Managed Care written by Peter Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2009-10-07 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.
Download or read book Understanding Managed Care written by Vicki DeBaca and published by . This book was released on 2003 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Textbook Of Behavioural Managed Care written by William L. Poynter and published by Routledge. This book was released on 2013-06-17 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: The changing role of managed care can be a daunting challenge to both experienced clinicians and students entering into the practice for the first time. Managed care seems to have come out of nowhere and has affected the psychotherapy community so strongly that private-practice clinicians are finding that they must reinvent their practices in order to work well with managed care systems. The Textbook of Behavioral Managed Care presents, in a well organized and comprehensive manner, the basic definitions of managed care; its effects on clinicians; and most importantly, how clinicians can respond to the pressures of managed care and still maintain the quality of their practices. For experienced clinicians, the information in this volume will prove invaluable in adapting to the ever increasing role of managed care; for the student entering into practice, the book is an essential tool for understanding the forces that managed care has brought into play. The better managed care companies have two goals: to stretch behavioral health resources and, ultimately, to improve quality. In light of these two important tasks, this book demonstrates that truly effective implementation of managed care requires sophistication of experienced, knowledgeable, specialized therapists. The Textbook of Behavioral Managed Care will provide clinicians with a greater level of understanding that enables them to implement managed care in the most effective manner possible.
Download or read book The Handbook of Managed Behavioral Healthcare written by Gayle L. Zieman and published by Jossey-Bass. This book was released on 1998-08-17 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Practical Textbook of Managed Care Written for graduate students and veteran clinicians alike, The Handbook of Managed Behavioral Healthcare offers a comprehensive curriculum to understanding managed care and knowing the business landscape of working with managed care organizations. Filled with samples of commonly used contracts, forms, and protocols, The Handbook of Managed Behavioral Healthcare is a timely addition to the literature on the topic and is a practical and much needed resource. "The Handbook of Managed Behavioral Healthcare really delivers the sort of practical, valuable information and analysis that most others in the field only promise. The book is up-to-date, intelligent, and immediately useful. I give it two thumbs up."?James Randolph Hillard, professor and chairman, Department of Psychiatry, University of Cincinnati, College of Medicine "This book represents a pioneering effort by one of the most knowledgeable experts in the industry. It is must reading for students training in psychiatry, psychology, clinical social work, marriage and family therapy, and related fields."?Larry J. Bloom, professor of psychology, Department of Psychology, Colorado State University
Download or read book The Complete Idiot s Guide to Managed Health Care written by Sophie M. Korczyk and published by . This book was released on 1997-12-11 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Dictionary Of Managed Care written by Jodi Aronson and published by Routledge. This book was released on 2013-06-20 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: The idea of managed care has sparked much controversy including its impact on the insurance industry, employer providers of care, and the patients themselves. In the confusion that comes with deciphering this complex system, this book provides clear and concise definitions of the most commonly used words, phrases and abbreviations in the industry. If mental health professionals want to become a part of the managed care system, they need to understand the terminology. In addition to the easy-to-understand definitions, the author provides examples for further clarification and appendices which include: a termination summary, a treatment plan, a treatment update, and a release form for confidential information. The idea for this book came about after the author gave a lecture at a national conference and the audience repeatedly asked for definitions of basic managed care terms. Therefore, this dictionary does not contain a debate on the pros or cons of managed care or an inside look into the managed care system. Instead, the author has provided a valuable resource for the professional that will answer questions regarding the basic terms of this industry.
Download or read book Understanding Your Rights in Managed Care Health Plans written by Joint Commission Resources, Inc Staff and published by . This book was released on 1998-09-01 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Made Simple written by Robert A. Baldor and published by Wiley-Blackwell. This book was released on 1998-03-23 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now more than ever, the need is great for medical students, physicians, nurse practitioners, and other healthcare providers to understand managed care. With clear explanations of issues ranging from medical costs to healthcare reform, Managed Care Made Simple is an invaluable resource for anyone who has chosen a career in the health professions. The second edition of this successful book updates the latest in this rapidly changing field. Every chapter has been revised and a new section on legislative initiatives has been added. Dr Baldor's straightforward approach offers a greater understanding of medical economics for physicians and their patients.
Download or read book Understanding Medicare Managed Care written by Louis F. Rossiter and published by . This book was released on 2001 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: A reference for health-care executives and physicians as well as managers, administrators, and staff of Medicare managed-care plans, providing a structure for plotting a long-term plan to compete in this market. In addition to describing the economics of the current system, including trends and key players, the book covers strategic planning and marketing, including issues such as pricing and the capitation dollar, benefit design, and techniques of quality and cost control. Finally, the work speculates about future changes in the system and the health-care marketplace and their implications for health plan participation. The author is deputy secretary for Health and Human Resources, Commonwealth of Virginia, and previously was a member of the health economics faculty of Virginia Commonwealth U. Annotation copyrighted by Book News, Inc., Portland, OR
Download or read book The Preferred Provider s Handbook written by William L. Poynter and published by Routledge. This book was released on 2013-10-28 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 1994. A revolution has been taking place in behavioral health financing, and only those practitioners who know how to successfully market themselves to managed care organizations are likely to maintain their hold in this rapidly changing system. Realistic, clear, insightful and highly practical, The Preferred Provider's Handbook will help therapists to understand the managed care marketplace and to develop the strategies necessary to meet its many challenges. You will learn how to: Get accepted on preferred provider lists of managed care organizations (M.C.O.s); Generate patient referrals once you are accepted onto a panel of preferred providers; Retain active referral status over the long term; Zero in on the higher quality networks that produce higher income and have minimal legal risk; Break into closed provider lists-one of the most difficult but important tasks. The Handbook clearly sets forth the basics of managed care with the aim of helping psycho therapists gain an understanding and acceptance of this new system. The volume addresses strategic marketing, whereby therapists can select and pursue those managed care organizations best suited to their needs; provides tools for designing and implementing a marketing plan; and gives a framework for understanding and making profitable use of future trends-in a profes sional and ethical manner. Of particular value is a chapter discussing marketing implications for behavioral health arising from the Clinton administration's new "managed competition" plans. Armed with specific information on how to fill out an M.C.O. application, how to analyze a contract, which specialties are most desirable and which should be avoided, how to network, and much, much more, you will be well on your way to professional success. This is an essential resource for all practitioners in the managed care marketplace.
Download or read book Understanding Managed Care Techniques written by Azimah Pilus and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
