عنوان

Essentials of managed health care /

شابک

1449604641

شابک

1449653316

شابک

9781449604646

شابک

9781449653316

عنوان اصلي

Essentials of managed health care /

نام عام مواد

[Book]

نام نخستين پديدآور

[edited by] Peter R. Kongstvedt.

وضعيت ويراست

6th ed.

محل نشرو پخش و غیره

Burlington, MA :

نام ناشر، پخش کننده و غيره

Jones and Bartlett Learning,

تاریخ نشرو بخش و غیره

©2013.

نام خاص و کميت اثر

xxv, 688 pages :

ساير جزييات

illustrations ;

ابعاد

26 cm

متن يادداشت

Revised edition of: The managed health care handbook. 4th ed. 2001. Also rev. ed. of: Essentials of managed health care. 4th ed. 2001.

متن يادداشت

Includes bibliographical references and index.

متن يادداشت

A history of managed health care and health insurance in the United States / Peter D. Fox and Peter R. Kongstvedt -- Types of health insurers, managed health care organizations, and integrated health care delivery systems / Eric R. Wagner and Peter R. Kongstvedt -- Elements of the management and governance structure / Peter R. Kongstvedt -- The provider network / Peter R. Kongstvedt -- Provider payment / Peter R. Kongstvedt -- Legal issues in provider contracting / Mark S. Joffe and Kelli D. Back -- Basic utilization and case management / Peter R. Kongstvedt -- Fundamentals and core competencies of disease management / David W. Plocher -- Physician practice behavior and managed health care / Jay Want and Peter R. Kongstvedt -- Data analysis and provider profiling in health plans / David W. Plocher and Nancy Garrett -- Prescription drug benefits in managed care / Robert P Navarro, Craig S. Stern, and Rusty Hailey -- Introduction to managed behavioral health care organizations / Joanna Albright [and others] -- Disease prevention in managed health care plans / Marc Manely -- Quality management in managed health care / Pamela B. Siren -- Accreditation and performance measurement programs in managed health care / Margaret E. O'Kane -- Marketing and sales / Richard Birhanzel -- Enrollment and billing / Karl V. Kovacs, Scott McDaniel, and Peter R. Kongstvedt -- Claims and benefits administration / Donald L. Fowler, Jr. and Elizabeth A. Pascuzzi -- Health care fraud and abuse / Christie A. Moon -- Member service / Kevin Knarr and Peter R. Kongstvedt -- Operational finance and budgeting / Dale F. Cook and Christopher R. Campbell -- Underwriting and rating / Michael G. Strum and Troy M Filipek -- Information systems and electronic data interchange in managed health care / James S. Slubowski -- Health plans and Medicare / John K. Gorman [and others] -- Medicaid managed health care -- Rodney C. Armstead, Catherine K. Anderson, and Elizabeth Cabot Nash -- The military managed care health system / M. Nicholas Coppola [and others] -- Managed care in global context / Johnathan P. Weiner [and others] -- State regulation of managed health care / Tom Wilder -- Federal regulation of health insurance and managed health care / Tom Wilder -- The Patient Protection and Affordable Care Act / Tom Wilder.

بدون عنوان

0

متن يادداشت

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.

موضوع مستند نشده

Managed care plans (Medical care)-- Management.

موضوع مستند نشده

Delivery of Health Care-- economics.

موضوع مستند نشده

Managed Care Programs-- organization & administration.

موضوع مستند نشده

Managed Care

موضوع مستند نشده

Managed care plans (Medical care)-- Management.

موضوع مستند نشده

United States.

بدون عنوان

2

شماره

ويراست

شماره رده

نشانه اثر

شماره رده

شماره رده

نشانه اثر

مستند نام اشخاص تاييد نشده

Kongstvedt, Peter R., (Peter Reid)

تاريخ عمليات

20200823023735.0

نام الکترونيکي

نوع ماده

[Book]

تكميل شده

Y