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Doody's Review ServiceReviewer: Alice T. Longman, EdD, RN, FAAN (University of Arizona College of Nursing)
Description: This book, part of Omnigraphics Health Reference Series, is designed to assist general readers to understand the various forms of health insurance. The book is divided into seven parts, which focus on broad areas of interest such as managed care, Medicare, and Medicaid.
Purpose: The purpose is to offer information and explanations about various types of health insurance, including fee-for-service plans, health maintenance organizations, preferred provider organizations, Medicare and Medicaid, non-cancelable policies, third-party payers, and preexisting condition clauses. Explanations are given in relation to special populations that include retirees, elderly, children, veterans, new citizens, and illegal aliens.
Audience: The topics addressed in this book should be useful for a variety of health professionals as well as the lay public. The explanations of each type of health insurance could be useful for office personnel and nurse practitioners to answer patients' concerns and questions about healthcare coverage. The layout of the book is particularly helpful as it provides easy access to reference material.
Features: There are several very useful features of this book. In particular, the tables are well done and include data from U.S. government agencies and the National Conference of State Legislatures. The figures are clear and serve to enhance the material in the text. There is, however, a scarcity of references other than those from U.S. Government agencies. The table of contents is well done and affords the reader access to topics. Other features include glossaries and definitions of important terms.
Assessment: This book is a most useful addition to the vast amount of information about health insurance. It is broken into seven parts, so the book is accessible to readers interested in a single issue. The use of data from U.S. government agencies is most commendable. Since the book is primarily a reference, it would be useful in a library or learning center for healthcare professional students.