Making Managed Health Care Work / Edition 1

Making Managed Health Care Work / Edition 1

by Boland
     
 

ISBN-10: 083420391X

ISBN-13: 9780834203914

Pub. Date: 12/01/2007

Publisher: Aspen

Making Managed Healthcare Work is your comprehensive guide to developi ng and implementing a new strategic approach to managed care that's pr actical, performance-based, and results-oriented. Learn how to prepare for, identify, pursue, negotiate and implement a new type of managed care arrangement that can accomplish the objective of delivering quali ty care at

Overview

Making Managed Healthcare Work is your comprehensive guide to developi ng and implementing a new strategic approach to managed care that's pr actical, performance-based, and results-oriented. Learn how to prepare for, identify, pursue, negotiate and implement a new type of managed care arrangement that can accomplish the objective of delivering quali ty care at competitive prices.

Product Details

ISBN-13:
9780834203914
Publisher:
Aspen
Publication date:
12/01/2007
Edition description:
1E
Pages:
624
Product dimensions:
1.30(w) x 7.00(h) x 10.00(d)

Table of Contents

Contents: MARKET DYNAMICS * Delivery Systems * Legal and Regulatory Environment * Public Opinion * Provider Perspective * Payer Perspective * Purchaser Perspective * Negotiation Strategies * PRODUCT CHARACTERISTICS * Healthcare Plans * Market Research and Product Positioning * Strategic Planning and Implementation * Organizational Structure * Benefit Design * Pricing, Risk, and Reimbursement * Reimbursement Methodologies * Utilization Review Techniques * Design and Implementation of Quality Assurance * Quality Control * MANAGEMENT INFORMATION SYSTEMS * Report Focus * Information Cycle * Data Systems * Employer Data * NEXT-GENERATION MANAGED CARE * Third-Generation Managed Care * FUTURE TRENDS, GOVERNMENT INITIATIVES, AND RESEARCH DIRECTIONS * Industry Trends * Medicare and Medicaid * Managed Health Care Research

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