Managed Care Handbook: How to Prepare Your Practice for the Managed Care Revolution

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1570660026 Very Good, minor wear. No Marking in text. 100% satisfaction guaranteed. Great customer service and a no problem, EZ return policy. Real people, real service, since ... 1981. - 19, Read more Show Less

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1994-10 Paperback Book Very good in very good dust jacket.

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Editorial Reviews

Doody's Review Service
Reviewer: Patrick Tosetti, MD (University of Chicago Pritzker School of Medicine)
Description: This is an overview of the structure of various managed-care health care delivery systems.
Purpose: The authors' hope is to educate practitioners and their staff members about the ground rules and structure of medical practice under managed care. The book is a manual and reference for practices to use as they adapt to the new medical marketplace. The material covered includes information that persons involved in health care will have to learn.
Audience: The intended audience is physicians and their administrative staff members, not hospitals or managed care organizations. The authors specifically target private practice physicians and their office staff members. The authors are not physicians, but they are very experienced in practice management and have published widely in that field.
Features: The book is a handbook, not an exhaustive reference. It has no illustrations and does not cite the medical literature. It is more of a how-to book, based on the authors' experience and knowledge of managed care. They present some topics in outline form only; with others they make use of tables and examples of actual managed care contracts. The book has a detailed table of contents and index. It is easy to read.
Assessment: This book would be a valuable starting point for any physician or office manager whose practice will be involved in negotiations with managed care networks. It describes the important features of such systems, warns providers of the pitfalls of various structures, and tells them when to get professional assistance. The material in this book is the minimum that those in a busy clinical operation should master.
Patrick Tosetti
This is an overview of the structure of various managed-care health care delivery systems. The authors' hope is to educate practitioners and their staff members about the ground rules and structure of medical practice under managed care. The book is a manual and reference for practices to use as they adapt to the new medical marketplace. The material covered includes information that persons involved in health care will have to learn. The intended audience is physicians and their administrative staff members, not hospitals or managed care organizations. The authors specifically target private practice physicians and their office staff members. The authors are not physicians, but they are very experienced in practice management and have published widely in that field. The book is a handbook, not an exhaustive reference. It has no illustrations and does not cite the medical literature. It is more of a how-to book, based on the authors' experience and knowledge of managed care. They present some topics in outline form only; with others they make use of tables and examples of actual managed care contracts. The book has a detailed table of contents and index. It is easy to read. This book would be a valuable starting point for any physician or office manager whose practice will be involved in negotiations with managed care networks. It describes the important features of such systems, warns providers of the pitfalls of various structures, and tells them when to get professional assistance. The material in this book is the minimum that those in a busy clinical operation should master.
Booknews
For physicians and their administrative staff, addresses how managed care relates to physicians in private practice--i.e., the focus is on managed care plans which contract with physicians who are in private practice and often see patients covered by a variety of HMOs, PPOs, indemnity plans, etc. Following an introduction are sections devoted to terminology; managed care organizations; healthcare reform; reimbursement methods; utilization review and management; quality assurance, quality management & outcomes of care; physician credentialing; contract provisions; evaluating managed care plans; practice management & managed care; and the future of managed care. Annotation c. Book News, Inc., Portland, OR booknews.com

3 Stars from Doody
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Product Details

  • ISBN-13: 9781570660023
  • Publisher: Practice Management Information Corporation
  • Publication date: 1/1/1994
  • Edition number: 1
  • Pages: 221

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