[PDF] The Managed Health Care Handbook eBook

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 1448 pages
File Size : 24,53 MB
Release : 2001
Category : Medical
ISBN : 9780834217263

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This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.

Author :
Publisher : Jones & Bartlett Publishers
Page : 715 pages
File Size : 46,94 MB
Release : 2013
Category : Managed care plans (Medical care)
ISBN : 1449604641

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Peter Kongstvedt provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well.

Author : Peter Reid Kongstvedt
Publisher :
Page : 1088 pages
File Size : 24,86 MB
Release : 1996
Category : Business & Economics
ISBN :

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Considered the 'bible' of the managed care industry, this third edition is greatly expanded with 30 new chapters and extensively updated-- double the size of the last edition! the Managed Health Care Handbook is a key strategic and operational resource for use in planning and decision-making. it includes first-hand advice from experienced managers on how to succeed in every aspect of managed care: quality management, claims and benefits administration, managing patient demand, As well as risk management, subacute care, physician compensation and much more! This seminal resource is a must for providers, purchasers, and payersfor everyone involved in the managed care industry.

Author : Peter Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 295 pages
File Size : 24,12 MB
Release : 2009-10-07
Category : Education
ISBN : 0763759112

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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.

Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Publishers
Page : 295 pages
File Size : 23,55 MB
Release : 2008-09-19
Category : Medical
ISBN : 1449649823

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The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.

Author : Thomas Pyzdek
Publisher : Springer Nature
Page : 252 pages
File Size : 42,40 MB
Release : 2021-04-28
Category : Medical
ISBN : 3030699013

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The book shows readers exactly how to use Lean tools to design healthcare work that is smooth, efficient, error free and focused on patients and patient outcomes. It includes in-depth discussions of every important Lean tool, including value stream maps, takt time, spaghetti diagrams, workcell design, 5S, SMED, A3, Kanban, Kaizen and many more, all presented in the context of healthcare. For example, the book explains the importance of quick operating room or exam room changeovers and shows the reader specific methods for drastically reducing changeover time. Readers will learn to create healthcare value streams where workflows are based on the pull of customer/patient demand. The book also presents a variety of ways to continue improving after initial Lean successes. Methods for finding the root causes of problems and implementing effective solutions are described and demonstrated. The approach taught here is based on the Toyota Production System, which has been adopted worldwide by healthcare organizations for use in clinical, non-clinical and administrative areas.

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 874 pages
File Size : 19,30 MB
Release : 2007
Category : Managed Care Programs
ISBN : 9780763739836

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Managed Care

Author : Maria K. Todd
Publisher : CRC Press
Page : 334 pages
File Size : 26,33 MB
Release : 2009-03-26
Category : Business & Economics
ISBN : 1439866570

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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