Download or read book Leading Medicaid Managed Care Plans written by Arlene Davidson and published by Taylor & Francis. This book was released on 2017-10-19 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading Medicaid Managed Care Plans examines leadership actions necessary to successfully operate a Medicaid managed care plan with emphasis on the relationship with the state Medicaid agency the health plan is contracted with. With appropriate operational and governance oversight, and with solid mutually respectful relationships with the state agency, Medicaid health plans are more likely to sustain success and prosperity for the long term. The approach of Leading Medicaid Managed Care Plans builds on key infrastructure elements that need to be in place when contracting with a state agency, and for overall success of the organization. It takes a pragmatic and methodical approach, interspersed with real-life examples of what to do for success and what actions to avoid that frequently lead to failure. This approach is different from most managed care books (Medicaid or otherwise) as those mostly focus on the process of the business (such as details around claims payment, or provider contracting) and ignore the role of the state Medicaid agency and its importance in retaining the contractual relationship. This book differs also on its emphasis on organizational foundational elements and strategic leadership skills necessary to sustain success. The author has years of experience in turning around failing Medicaid managed care plans and observing what they all had in common that contributed to those failures. One common feature was the deterioration of the relationship with the state Medicaid agency they were contracted with, and how close they all came to losing their multi-million dollar businesses. The purpose of this book is to educate and inspire managed care executives and senior leaders who operate Medicaid health plans and to help them understand what elements are needed for successful health plans and a sustainable relationship with the people directing the state Medicaid agency.

Download or read book Determinants of Health written by Michael Grossman and published by Columbia University Press. This book was released on 2017-08-08 with total page 811 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of Michael Grossman’s most important papers adds essential background and depth to his work on economic determinants of public health. Each of the book’s four sections includes an introduction that contextualizes the issues and addresses the larger stakes of his work. An afterword discusses the significance of Grossman’s approach for subsequent research on health economics, as well as the work others have done to advance and extend his innovative perspective. Determinants of Health explains how the economic choices people make influence health and health behaviors. It begins with a section on the theoretical underpinnings and empirical results of Grossman’s groundbreaking health economics model, first introduced in the 1970s, followed by essays on the relationship between health and schooling; determinants of infant health, with a special emphasis on public policies and programs; and the economics of unhealthy behaviors. Grossman treats health as a form of human capital. He shows that public policies and programs that determine the price and availability of key inputs have critical effects on outcomes ranging from birth weight and infant mortality to cigarette smoking, alcohol abuse, illegal drug use, and obesity. Grossman’s approach has led to a major stream of literature in the field, sparking contributions by the world’s leading health economists, including Joseph Newhouse, Jonathan Gruber, Amy Finkelstein, Michael Greenstone, and David Cutler. His clarity on the role that economics play in people’s good and bad health choices is immensely valuable to the debate over how we legislate and spend on health.

Download or read book Contextualizing Health and Aging in the Americas written by William A. Vega and published by Springer. This book was released on 2018-09-22 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents new insights into the consequences of the impending growth in and impact of the older segment of Latino aging adults across distinctive regions of the Americas. It uses a comparative research framework to further understanding of current issues in health and aging in the transnational context of the health and migratory experiences of the U.S.- Mexican population. It provides an important contribution to the interdisciplinary investigation of chronic diseases and functional impairments, social care and medical services, care-giving and intervention development, and neighborhood factors supporting optimal aging, using new conceptual and methodological approaches (inter-group comparisons). Specifically, the chapters employ different methodologies that investigate trends in aging health and services related to immigration processes, family and household structure, macroeconomic changes in the quality of community life, and focus on the new realities of aging in Latino families in local communities. The book focuses on measurement, data-quality issues, new conceptual modeling techniques, and longitudinal survey capabilities, and suggests needed areas of new research. As such it is of interest to researchers and policy makers in a wide range of disciplines from social and behavioral sciences to economics, gerontology, geriatrics, and public health.

Download or read book Urban Health and Planning in the 21st Century Bridging Across the Formal and Informal Using an Eco Social Lens written by Ritu Priya and published by Frontiers Media SA. This book was released on 2024-03-22 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modern urban planning emerged in response to public health challenges in the post-industrial revolution period in Europe. It has since evolved through the colonial and post-colonial phases of the 19th and 20th centuries with international, national, and local specificities. In the 21st century, human societies are rapidly urbanizing, even in LMICs where half or more of the population still live in rural areas. Therefore public policies that shape the nature of urbanization and urban habitats will become ever more critical to human and planetary health and wellbeing.

Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Download or read book Estate Planning Made Easy written by David Phillips and published by Kaplan Publishing. This book was released on 2007-02-01 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Baby boomers heading into their retirement years must take the time to ensure that their estates are in order—and that means a lot more than just preparing a will and naming an executor. Insurance, taxes, and planning for Medicare and Medicaid are among the crucial considerations in planning for the future. Completely revised and updated, Estate Planning Made Easy, Third Edition shows individuals why they need more than just a will and an executor, options for conserving wealth, and advice on putting together a comprehensive estate plan. This third edition includes extensive revisions to tax legislation, which has changed significantly over the last few years, leaving most American’s clueless. Features: * Changes to Tax Legislation * How seniors can best plan for Medicare and Medicaid * How to obtain the best cash flow with an equity-rich home * Tax legislation regarding 401k’s IRA’s, and pensions * Strategies to help reduce estate size and give to children, grandchildren, and great grandchildren, without jeopardizing annual gift allowances * Premium financing of life insurance * Information on social security, private annuities, and state inheritance tax

Download or read book Project Planning Management written by James L. Harris and published by Jones & Bartlett Publishers. This book was released on 2015-07-23 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: roject Planning and Management: A Guide for Nurses and Interprofessional Teams, Second Edition serves as a primary resource for students developing and implementing clinical projects as a requirement for course completion.

Download or read book Peace of Mind for Your Aging Parents written by Kenneth O. Doyle Ph.D. and published by Bloomsbury Publishing USA. This book was released on 2018-06-21 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explains the most effective ways to discuss the legal and financial responsibilities that come with the end of life and tools for managing them—such as wills, trusts, estate planning, and cash management—in the context of financial psychology. Dying is complicated. It presents myriad challenges at a time when people are least prepared to deal with complexity. Typically, aging people turn to their adult children and grandchildren, their caregivers, and their professional advisors to guide them in their final years. This book is aimed directly at the children and grandchildren of aging parents to prepare them for meaningful conversations with their parents and among themselves. It gives them the tools they need to communicate knowledgeably with caregivers and professional advisors and to make important decisions with, or on behalf of, those who depend on them. The authors provide legal and financial tools and techniques, including wills and trusts, cash management, and investment planning, approaching each from both a financial and a psychological perspective. They recognize that some of the challenges that people face during their last few years of life cannot be controlled and describe not only what these tools and techniques can do but also what they can't. Those that cannot be controlled, however, can still be managed, and the authors explain with clarity and compassion how to deal with them through psychological and spiritual engagement.

Download or read book Using Nursing Research to Shape Health Policy written by Patricia A. Grady, PhD, RN, FAAN and published by Springer Publishing Company. This book was released on 2017-03-15 with total page 415 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining the crucial interrelationship between nursing research and health policy, this book presents examples of specific health care policy that has been influenced, implemented, or changed as a result of nursing research. It builds on the discussion of this relationship as described in the editors' earlier book, Shaping Health Policy through Nursing Research, named a Doody's Core Title in 2013 and an AJN Book of the Year in 2011. This current edition updates earlier information with new nursing research by esteemed scholars. It encompasses research related to major policy statements of the decade, including the IOM Future of Nursing report, the Affordable Care Act, and the Blueprint for Genomics in Nursing, and highlights how they have influenced, and will continue to influence, health policy. Written for multiple audiences including undergraduate and graduate students, faculty, and nursing professionals, the book presents information on how science shapes health policy in general, models and strategies for linking research and health policy, and multiple examples of how major nursing research has influenced health policy. The text provides both a conceptual orientation and an operational approach to strategies linking research to policy and influencing policy makers at the organizational, community, state, national, and international levels. Key Features: Offers examples of cutting edge nursing research that provides a foundation for practice and policy Incorporates major policy directives of this decade and highlights how nursing research has influenced health policy Demonstrates to undergraduate and graduate students, faculty, and nursing professionals how nursing research can shape health policy decisions Includes perspectives, models and strategies for using nursing research to influence health policy Addresses how nursing research shapes policy at organizational, community, state, national, and international levels

Download or read book Essentials for Nursing Practice E Book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2018-03-12 with total page 1299 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a solid foundation in essential nursing principles, concepts, and skills! Essentials for Nursing Practice, 9th Edition combines everything you need from your fundamentals course and streamlines it into a format that's perfect for busy nursing students. The ninth edition retains many classic features, including chapter case studies, procedural guidelines, and special considerations for various age groups, along with new content including a chapter on Complementary and Alternative Therapies, interactive clinical case studies on Evolve, a new Reflective Learning section, and QSEN activities to encourage active learning. Thoroughly reviewed by nursing clinical experts and educators, this new edition ensures you learn nursing Essentials with the most accurate, up-to-date, and easy-to-understand book on the market. - Progressive case studies are introduced at the beginning of the chapter and are then used to tie together the care plan, concept map, and clinical decision-making exercises. - Focused Patient Assessment tables include actual questions to help you learn how to effectively phrase questions to patients as well as target physical assessment techniques. - Nursing skills at the end of each chapter feature full-bleed coloring on the edge of the page to make them easy to locate. - Safety guidelines for nursing skills sections precede each skills section to help you focus on safe and effective skills performance. - Detailed care plans in the text and on Evolve demonstrate the application of the 5-step nursing process to individual patient problems to help you understand how a plan is developed and how to evaluate care. - Unexpected outcomes and related interventions for skills alert you to possible problems and appropriate nursing action. - Patient Teaching boxes help you plan effective teaching by first identifying an outcome, then developing strategies on how to teach, and finally, implementing measures to evaluate learning. - Care of the Older Adult boxes highlight key aspects of nursing assessment and care for this growing population. - Key points neatly summarize the most important content for each chapter to help you review and evaluate learning. - Evidence-Based Practice boxes include a PICO question, summary of the results of a research study, and a F description of how the study has affected nursing practice — in every chapter. - Patient-Centered Care boxes address racial and ethnic diversity along with the cultural differences that impact socioeconomic status, values, geography, and religion. - 65 Skills and procedural guidelines provide clear, step-by-step instructions for providing safe nursing care. - 5-step nursing process provides a consistent framework for clinical chapters. - Concept maps visually demonstrate planning care for patients with multiple diagnoses. - NOC outcomes, NIC interventions, and NANDA diagnoses are incorporated in care plans to reflect the standard used by institutions nationwide.

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Download or read book Financing Healthcare in China written by Sabrina Ching Yuen Luk and published by Routledge. This book was released on 2016-07-22 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: China’s current social medical insurance system has nominally covered more than 95 per cent of 1.4 billion population in China and is moving towards the ambitious goal of universal health insurance coverage. Challenges posed by a rapidly ageing population, an inherently discriminatory design of the health insurance system, the disorder of drug distribution system and an immature legal system constrain the Chinese government from realizing its goal of universal health insurance coverage in the long run. This book uses a refined version of historical institutionalism to critically examine China's pathway to universal health insurance coverage since the mid-1980s. It pays crucial attention to the processes of transforming China's healthcare financing system into the basic social medical insurance system alongside rapid socio-economic changes. Financing Healthcare in China will interest researchers and government and think-tank officials interested in the state of healthcare reforms in China. Healthcare specialists outside of East Asia may also be interested in its general study of healthcare in developing countries. Scholars and students interested in the healthcare field will also find this useful.

Download or read book Code of Federal Regulations written by and published by . This book was released on 2015 with total page 944 pages. Available in PDF, EPUB and Kindle. Book excerpt: Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries.

Download or read book Sultz Young s Health Care USA written by Kristina M. Young and published by Jones & Bartlett Learning. This book was released on 2017-02-08 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care USA, Ninth Edition offers students of health administration, public health, medicine, and related fields a wide-ranging overview of America’s health care system. Combining historical perspective with analysis of current trends, this expanded edition charts the evolution of modern American health care, providing a complete examination of its organization and delivery while offering critical insight into the issues that the U.S. health system faces today.

Download or read book Health Informatics E Book written by Lynda R. Hardy and published by Elsevier Health Sciences. This book was released on 2022-12-02 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt: **American Journal of Nursing (AJN) Book of the Year Awards, 1st Place in Informatics, 2023** **Selected for Doody's Core Titles® 2024 in Informatics** Learn how information technology intersects with today's health care! Health Informatics: An Interprofessional Approach, 3rd Edition, follows the tradition of expert informatics educators Ramona Nelson and Nancy Staggers with new lead author, Lynda R. Hardy, to prepare you for success in today's technology-filled healthcare practice. Concise coverage includes information systems and applications, such as electronic health records, clinical decision support, telehealth, mHealth, ePatients, and social media tools, as well as system implementation. New to this edition are topics that include analytical approaches to health informatics, increased information on FHIR and SMART on FHIR, and the use of health informatics in pandemics. - Chapters written by experts in the field provide the most current and accurate information on continually evolving subjects like evidence-based practice, EHRs, PHRs, mobile health, disaster recovery, and simulation. - Objectives, key terms, and an abstract at the beginning of each chapter provide an overview of what each chapter will cover. - Case studies and discussion questions at the end of each chapter encourage higher-level thinking that can be applied to real world experiences. - Conclusion and Future Directions discussion at the end of each chapter reinforces topics and expands on how the topic will continue to evolve. - Open-ended discussion questions at the end of each chapter enhance students' understanding of the subject covered. - mHealth chapter discusses all relevant aspects of mobile health, including global growth, new opportunities in underserved areas, governmental regulations on issues such as data leaking and mining, implications of patient-generated data, legal aspects of provider monitoring of patient-generated data, and increased responsibility by patients. - Important content, including FDA- and state-based regulations, project management, big data, and governance models, prepares students for one of nursing's key specialty areas. - UPDATED! Chapters reflect the current and evolving practice of health informatics, using real-life healthcare examples to show how informatics applies to a wide range of topics and issues. - NEW! Strategies to promote healthcare equality by freeing algorithms and decision-making from implicit and explicit bias are integrated where applicable. - NEW! The latest AACN domains are incorporated throughout to support BSN, Master's, and DNP programs. - NEW! Greater emphasis on the digital patient and the partnerships involved, including decision-making.

Download or read book Handbook of Parent Implemented Interventions for Very Young Children with Autism written by Michael Siller and published by Springer. This book was released on 2018-08-09 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook offers practical strategies and evidence-based parent-implemented interventions for very young children with autism spectrum disorder (ASD). It explores this important subject within the context of rapidly increasing numbers of toddlers who are diagnosed with ASD during the second year of life. The handbook discusses how parents of young children with ASD can effectively be supported, taught, and coached to implement evidence-based parenting strategies and intervention techniques, and describes a broad range of developmentally appropriate programs at the family, community, and service delivery levels. In addition, the handbook examines individual differences in parenting cognitions, emotions, and practices and proposes strategies for supporting the varying capacities of diverse families to meet the needs of young children with ASD. Chapters provide diverse coverage, spanning cultural/socio-economic differences as well as differences in family structure; parenting cognitions, emotions, and practices; parental learning styles; and access to social support. Featured topics include: Supporting families of high-risk infants who have an older sibling with ASD. The use of video feedback strategies in parent-mediated early ASD intervention. The Incredible Years (IY) Parent Program for preschool children with ASD and language delays. Self-help for parents of children with ASD. The Family Implemented TEACCH for Toddlers (FITT) support model. Parent-implemented interventions for underserved families in Taiwan. Family and provider-based interventions in South Asia. The Handbook of Parent-Implemented Interventions for Very Young Children with Autism is a must-have resource for researchers, clinicians/professionals, and graduate students in clinical child, school, and developmental psychology, family studies, behavioral therapy, and social work as well as rehabilitation medicine/therapy, child and adolescent psychiatry, pediatrics, and special education/educational psychology.

Download or read book Healthcare System Access written by Nicoleta Serban and published by John Wiley & Sons. This book was released on 2019-11-21 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide to a holistic approach to healthcare measurement aimed at improving access and outcomes Healthcare System Access is an important resource that bridges two areas of research—access modeling and healthcare system engineering. The book’s mathematical modeling approach highlights fundamental approaches on measurement of and inference on healthcare access. This mathematical modeling facilitates translating data into knowledge in order to make data-driven estimates and projections about parameters, patterns, and trends in the system. The complementary engineering approach uses estimates and projections about the system to better inform efforts to design systems that will yield better outcomes. The author—a noted expert on the topic—offers an in-depth exploration of the concepts of systematic disparities, reviews measures for systematic disparities, and presents a statistical framework for making inference on disparities with application to disparities in access. The book also includes information health outcomes in the context of prevention and chronic disease management. In addition, this text: Integrates data and knowledge from various fields to provide a framework for decision making in transforming access to healthcare Provides in-depth material including illustrations of how to use state-of-art methodology, large data sources, and research from various fields Includes end-of-chapter case studies for applying concepts to real-world conditions Written for health systems engineers, Healthcare System Access: Measurement, Inference, and Intervention puts the focus on approaches to measure healthcare access and addresses important enablers of such change in healthcare towards improving access and outcomes.