Health plans unmasked :: a physician's guide to working with health insurers /
"This book is written for leaders of provider organizations as a strategic guide to value-based contracting with health plans. In this book the author describes why insurance companies do the things they do, in order to help show ways to approach them efficiently and successfully. The book also...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Baltimore :
Johns Hopkins University Press,
2023.
|
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Zusammenfassung: | "This book is written for leaders of provider organizations as a strategic guide to value-based contracting with health plans. In this book the author describes why insurance companies do the things they do, in order to help show ways to approach them efficiently and successfully. The book also describes how providers can put the pieces in place to make transitions to value-based care as painless as possible"-- |
| Beschreibung: | 1 online resource |
| Bibliographie: | Includes bibliographical references and index. |
| ISBN: | 1421446774 9781421446776 |
Internformat
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| 505 | 0 | |a Historical context -- What is a health plan? -- Medicare -- Medicaid -- Commercial insurance -- Brokers and consultants -- The ABCs of fee-for-service -- What happens to a claim -- Payment errors -- Health plan strategic concerns -- Analytics -- Cost management strategies -- Quality -- Care management -- Health plan committees -- Health plan contracting 101 -- Value-based budgeting -- Incentive payments -- Risk mitigation -- Price transparency -- Subrogation -- Pharmacy benefit management -- On becoming a payvider -- Closing thoughts. | |
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Datensatz im Suchindex
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| author | Lustick, Martin, 1956- |
| author_GND | http://id.loc.gov/authorities/names/n2022183555 |
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| contents | Historical context -- What is a health plan? -- Medicare -- Medicaid -- Commercial insurance -- Brokers and consultants -- The ABCs of fee-for-service -- What happens to a claim -- Payment errors -- Health plan strategic concerns -- Analytics -- Cost management strategies -- Quality -- Care management -- Health plan committees -- Health plan contracting 101 -- Value-based budgeting -- Incentive payments -- Risk mitigation -- Price transparency -- Subrogation -- Pharmacy benefit management -- On becoming a payvider -- Closing thoughts. |
| ctrlnum | (OCoLC)1381712667 |
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| spelling | Lustick, Martin, 1956- author. http://id.loc.gov/authorities/names/n2022183555 Health plans unmasked : a physician's guide to working with health insurers / Martin Lustick, MD. Baltimore : Johns Hopkins University Press, 2023. 1 online resource text txt rdacontent computer c rdamedia online resource cr rdacarrier Includes bibliographical references and index. "This book is written for leaders of provider organizations as a strategic guide to value-based contracting with health plans. In this book the author describes why insurance companies do the things they do, in order to help show ways to approach them efficiently and successfully. The book also describes how providers can put the pieces in place to make transitions to value-based care as painless as possible"-- Provided by publisher. Description based on online resource; title from digital title page (ProQuest Ebook Central, viewed May 8, 2024). Historical context -- What is a health plan? -- Medicare -- Medicaid -- Commercial insurance -- Brokers and consultants -- The ABCs of fee-for-service -- What happens to a claim -- Payment errors -- Health plan strategic concerns -- Analytics -- Cost management strategies -- Quality -- Care management -- Health plan committees -- Health plan contracting 101 -- Value-based budgeting -- Incentive payments -- Risk mitigation -- Price transparency -- Subrogation -- Pharmacy benefit management -- On becoming a payvider -- Closing thoughts. Health insurance claims United States. Health insurance United States. http://id.loc.gov/authorities/subjects/sh85066943 Insurance, Health, Reimbursement https://id.nlm.nih.gov/mesh/D007349 Value-Based Health Insurance Insurance, Health https://id.nlm.nih.gov/mesh/D007348 United States https://id.nlm.nih.gov/mesh/D014481 National Health Insurance, United States https://id.nlm.nih.gov/mesh/D009310 Assurance-maladie Demandes de règlement États-Unis. Assurance-maladie États-Unis. Assurance-maladie. Health insurance fast Health insurance claims fast United States fast https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq Print version: Lustick, Martin, 1956- Health plans unmasked. Baltimore : Johns Hopkins University Press, 2023 9781421446769 (DLC) 2022043024 (OCoLC)1371015381 FWS01 ZDB-4-EBA FWS_PDA_EBA https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=3564388 Volltext |
| spellingShingle | Lustick, Martin, 1956- Health plans unmasked : a physician's guide to working with health insurers / Historical context -- What is a health plan? -- Medicare -- Medicaid -- Commercial insurance -- Brokers and consultants -- The ABCs of fee-for-service -- What happens to a claim -- Payment errors -- Health plan strategic concerns -- Analytics -- Cost management strategies -- Quality -- Care management -- Health plan committees -- Health plan contracting 101 -- Value-based budgeting -- Incentive payments -- Risk mitigation -- Price transparency -- Subrogation -- Pharmacy benefit management -- On becoming a payvider -- Closing thoughts. Health insurance claims United States. Health insurance United States. http://id.loc.gov/authorities/subjects/sh85066943 Insurance, Health, Reimbursement https://id.nlm.nih.gov/mesh/D007349 Value-Based Health Insurance Insurance, Health https://id.nlm.nih.gov/mesh/D007348 National Health Insurance, United States https://id.nlm.nih.gov/mesh/D009310 Assurance-maladie Demandes de règlement États-Unis. Assurance-maladie États-Unis. Assurance-maladie. Health insurance fast Health insurance claims fast |
| subject_GND | http://id.loc.gov/authorities/subjects/sh85066943 https://id.nlm.nih.gov/mesh/D007349 https://id.nlm.nih.gov/mesh/D007348 https://id.nlm.nih.gov/mesh/D014481 https://id.nlm.nih.gov/mesh/D009310 |
| title | Health plans unmasked : a physician's guide to working with health insurers / |
| title_auth | Health plans unmasked : a physician's guide to working with health insurers / |
| title_exact_search | Health plans unmasked : a physician's guide to working with health insurers / |
| title_full | Health plans unmasked : a physician's guide to working with health insurers / Martin Lustick, MD. |
| title_fullStr | Health plans unmasked : a physician's guide to working with health insurers / Martin Lustick, MD. |
| title_full_unstemmed | Health plans unmasked : a physician's guide to working with health insurers / Martin Lustick, MD. |
| title_short | Health plans unmasked : |
| title_sort | health plans unmasked a physician s guide to working with health insurers |
| title_sub | a physician's guide to working with health insurers / |
| topic | Health insurance claims United States. Health insurance United States. http://id.loc.gov/authorities/subjects/sh85066943 Insurance, Health, Reimbursement https://id.nlm.nih.gov/mesh/D007349 Value-Based Health Insurance Insurance, Health https://id.nlm.nih.gov/mesh/D007348 National Health Insurance, United States https://id.nlm.nih.gov/mesh/D009310 Assurance-maladie Demandes de règlement États-Unis. Assurance-maladie États-Unis. Assurance-maladie. Health insurance fast Health insurance claims fast |
| topic_facet | Health insurance claims United States. Health insurance United States. Insurance, Health, Reimbursement Value-Based Health Insurance Insurance, Health United States National Health Insurance, United States Assurance-maladie Demandes de règlement États-Unis. Assurance-maladie États-Unis. Assurance-maladie. Health insurance Health insurance claims |
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