Managed Care: What It Is And How It Works / Edition 3

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More About This Textbook

Overview

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.
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Product Details

  • ISBN-13: 9780763759117
  • Publisher: Jones & Bartlett Learning
  • Publication date: 9/19/2008
  • Edition description: New Edition
  • Edition number: 3
  • Pages: 275
  • Sales rank: 256,569
  • Product dimensions: 5.90 (w) x 8.90 (h) x 0.70 (d)

Table of Contents

Keeping Current

Ch. 1 The Origins of Managed Health Care 1

Ch. 2 Types of Managed Care Organizations and Integrated Health Care Delivery Systems 17

Ch. 3 Network Management and Reimbursement 55

Ch. 4 Management of Medical Utilization and Quality 95

Ch. 5 Internal Operations 119

Ch. 6 Medicare and Medicaid 155

Ch. 7 Regulation and Accreditation in Managed Care 175

Glossary 207

Index 251

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