Download or read book State Laws and Regulations Governing Preferred Provider Organizations Executive summary written by and published by . This book was released on 1986 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Employment and Health Benefits written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.
Download or read book State Laws and Regulations Governing Preferred Provider Organizations Annotated bibliography on preferred provider organizations written by and published by . This book was released on 1986 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book State Laws and Regulations Governing Preferred Provider Organizations written by and published by . This book was released on 1986 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report is an executive summary of R-3442/2. It describes the major features of preferred provider organizations (PPOs) and their growth and role in the health services market services; discusses the preexisting state regulatory environments and the various ways in which the states have adapted their environments to PPOs; outlines the major new provisions in state laws that might limit PPO arrangements and the actual effects of these provisions on PPO development; and draws policy implications from the findings.
Download or read book Encyclopedia of Health Economics written by and published by Newnes. This book was released on 2014-02-21 with total page 1663 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Encyclopedia of Health Economics offers students, researchers and policymakers objective and detailed empirical analysis and clear reviews of current theories and polices. It helps practitioners such as health care managers and planners by providing accessible overviews into the broad field of health economics, including the economics of designing health service finance and delivery and the economics of public and population health. This encyclopedia provides an organized overview of this diverse field, providing one trusted source for up-to-date research and analysis of this highly charged and fast-moving subject area. Features research-driven articles that are objective, better-crafted, and more detailed than is currently available in journals and handbooks Combines insights and scholarship across the breadth of health economics, where theory and empirical work increasingly come from non-economists Provides overviews of key policies, theories and programs in easy-to-understand language
Download or read book Annual Report to Congress written by United States. Physician Payment Review Commission and published by . This book was released on 1997 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book State Laws and Regulations Governing Preferred Provider Organizations written by Elizabeth S. Rolph and published by . This book was released on 1986-01-01 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preferred provider organizations (PPOs) appear to be a promising approach to controlling medical care costs. This report documents a study to determine the origins, purposes, and effects of state laws that might apply to PPOs. Specifically, the study considers whether these laws limit the cost control capabilities of PPOs, and whether the laws provide adequate protection for the consumer. The report is divided into sections that (1) define and describe the various types of PPOs; (2) identify the laws that govern third-party payers; (3) analyze the ways in which these laws may be applied to inhibit the cost-containment activities of PPOs; (4) review the contents of new PPO enabling legislation, the rationale behind them, and the way they affect the function of existing PPOs; and (5) describe other types of laws that may affect the formation and development of PPOs. Appendixes present state-by-state summaries of the PPO enabling legislation and a compilation of applicable legal authorities.
Download or read book Driver Rehabilitation and Community Mobility written by Joseph Michael Pellerito and published by Mosby Incorporated. This book was released on 2006 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: An emerging practice area for occupational therapists, adapted driving services is becoming increasingly popular as technology and demographics influence demand for these services. Not only does this text provide the tools necessary to effectively evaluate and rehabilitate disabled and aging drivers, it also prepares readers to enter the field by utilizing true-to-life case studies and evidence-based content. An Adapted Driving Decision Guide that allows therapists to determine a client's transportation need and driving ability Study questions in every chapter to enhance student comprehension Necessary client resources such as downloadable forms, handouts, and reports contained in an interactive CD-ROM Comprehensive coverage of people with disabilities across the lifespan Guidance on how to set up a driver rehabilitation program with key information on program and professional development Seven appendices enabling students to quickly access important resources Current information for students and faculty with weblinks on adaptive equipment, vehicle modification, and regulations Detailed artwork and illustrations on testing, traffic safety principles, vehicle modifications, and adaptive driving equipment Expert contributions from the foremost authorities in the field of driver rehabilitation
Download or read book Model Rules of Professional Conduct written by American Bar Association. House of Delegates and published by American Bar Association. This book was released on 2007 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.
Download or read book Section 1557 of the Affordable Care Act written by American Dental Association and published by American Dental Association. This book was released on 2017-05-24 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.
Download or read book Older Workers Benefit Protection Act written by United States and published by . This book was released on 1990 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Annotated Bibliography on Preferred Provider Organizations written by Phoebe A. Lindsey and published by . This book was released on 1986 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Clinical Genomics written by Shashikant Kulkarni and published by Academic Press. This book was released on 2014-11-10 with total page 489 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Genomics provides an overview of the various next-generation sequencing (NGS) technologies that are currently used in clinical diagnostic laboratories. It presents key bioinformatic challenges and the solutions that must be addressed by clinical genomicists and genomic pathologists, such as specific pipelines for identification of the full range of variants that are clinically important. This book is also focused on the challenges of diagnostic interpretation of NGS results in a clinical setting. Its final sections are devoted to the emerging regulatory issues that will govern clinical use of NGS, and reimbursement paradigms that will affect the way in which laboratory professionals get paid for the testing. - Simplifies complexities of NGS technologies for rapid education of clinical genomicists and genomic pathologists towards genomic medicine paradigm - Tried and tested practice-based analysis for precision diagnosis and treatment plans - Specific pipelines and meta-analysis for full range of clinically important variants
Download or read book Health Benefits Coverage Under Federal Law written by and published by . This book was released on 2007 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Insurance and Managed Care written by Peter R. Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2019-02-15 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Download or read book Current Catalog written by National Library of Medicine (U.S.) and published by . This book was released on 1993 with total page 824 pages. Available in PDF, EPUB and Kindle. Book excerpt: First multi-year cumulation covers six years: 1965-70.
Download or read book Levin and O Neal s the Diabetic Foot written by Marvin E. Levin and published by Elsevier Health Sciences. This book was released on 2008-01-01 with total page 648 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully updated, now in full color, this latest edition of Levin and O'Neal's The Diabetic Foot provides diagnostic and management information for the challenging problems faced by patients with diabetic foot problems. The book has a team care focus and offers tips and pearls in every chapter.
