Essentials of managed health care:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Sudbury, Mass.
Jones and Bartlett Publishers
2007
|
| Edition: | 5th ed. |
| Subjects: | |
| Online Access: | Table of contents only Inhaltsverzeichnis |
| Item Description: | Rev. ed. of: The managed health care handbook. 4th ed. 2001. Also rev. ed. of: Essentials of managed health care. 4th ed. 2001. Includes bibliographical references and index |
| Physical Description: | XXI, 841 S. Ill. |
| ISBN: | 9780763739836 0763739839 |
Staff View
MARC
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| 245 | 1 | 0 | |a Essentials of managed health care |c [edited by] Peter R. Kongstvedt |
| 246 | 1 | 3 | |a Managed health care handbook |
| 250 | |a 5th ed. | ||
| 264 | 1 | |a Sudbury, Mass. |b Jones and Bartlett Publishers |c 2007 | |
| 300 | |a XXI, 841 S. |b Ill. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Rev. ed. of: The managed health care handbook. 4th ed. 2001. Also rev. ed. of: Essentials of managed health care. 4th ed. 2001. | ||
| 500 | |a Includes bibliographical references and index | ||
| 650 | 7 | |a Gezondheidszorg |2 gtt | |
| 650 | 7 | |a Management |2 gtt | |
| 650 | 4 | |a Soins intégrés de santé - Administration | |
| 650 | 7 | |a Zorgsector |2 gtt | |
| 650 | 4 | |a Gesundheitswesen | |
| 650 | 4 | |a Managed care plans (Medical care) |x Management | |
| 650 | 4 | |a Managed Care Programs |x organization & administration |z United States | |
| 650 | 4 | |a Delivery of Health Care |x economics |z United States | |
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Record in the Search Index
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|---|---|
| adam_text | Table of Contents
Contributors
............................................................ ix
About the Author
....................................................... xiii
Acknowledgments
....................................................... xv
Preface
............................................................... xvii
Keeping Current
........................................................ xxi
Part
1 :
Introduction to Managed Health Care
................................ 1
Chapter
1
The Origins of Managed Health Care
................................ 3
Pcrt r D. Fox and Peter R. Kongstvedt
Chapter
2
Types of Managed Care Plans and Integrated Healthcare Delivery Systems
... 19
Eric R. Waqner and Peter R. Kongstvedi
Chapter
3
Elements of the Management Control and Governance Structure
......... 41
Peter R. Konqstvedt
Chapter
4
Common Myths and Assertions about Health Plans
................... 51
Brian j. McKenna
Part
2:
The Healthcare Delivery System
................................... 61
Chapter
5
Physician Networks in Managed Health Care
........................ 63
Peter R. Kongstvedt
Chapter
6
Basic Compensation of Physicians in Managed Health Care
............. 93
Peter R. Kongstvedt
Chapter
7
Hospitals, Facilities, and Ancillary Services
......................... 135
Peter R. Kongstvedt
Chapter
8
Performance-Based Incentives in Managed Health Care:
Pay-for-Performance
.......................................... 165
Peter R. Kongstvedt
Part
3:
Medical Management
..........................................
187
Chapter
9
Managing Basic Medical-Surgical Utilization
........................ 189
Peter R. Kongstvedt and Kimberley A. Mem
zer
Chapter
10
Fundamentals and Core Competencies of Disease Management
......... 233
David W.
Piocher
vi
TABLE OF CONTENTS
Chapter
11
Case Management
...........................................
247
Patricia Meizger
Chapter
12
Prescription Drug Benefits in Managed Health Care
.................. 269
Roben
P.
Navarro
and Rusty Hailey
Chapter
13
Introduction to Managed Behavioral Healthcare Organizations
.......... 297
Joann
Albright. Deborah Heggie. Anthony M.
Kotin, Lawrence
Nardozzi. and
Fred Waxenberg
Chapter
14
The Role of Health Plans in Preventing Disease
...................... 317
Marc
Maniny
Chapter
15
Quality Management in Managed Care
............................ 335
Pamela H. Siren
Chapter
16
Data Analysis and Profiling in Health Plans
......................... 349
Davia IV. i iocn.cr
она
oncr
(лСї :іі
Part
4:
Operational Management and Marketing
............................ 371
Chapter
17
Information Technology in the Healthcare Organization
............... 373
Ί
honias Rilev and.
Kel
lv
Iknvatty
ñi¡üey
Chapter
18
Claims Administration
......................................... 387
Donald
L
Fowler jr. and Elimbeih Paseuzzi
Chapter
19
Member Services
............................................ 443
Kevin Knarr
and Peter
li
Konqstved
Chapter
20
Healthcare Consumerism
...................................... 473
FÁUübe ,})
IMerbower
Chapter
21
Sales and Marketing
.......................................... 491
Richard r Hìrhanzcì
Chapter
22
The Employer s View of Managed Health Care
...................... 505
MichaelJ.
Tavlor
Chapter
23
Accreditation and Performance Measurement Programs for Managed Care
Organizations
............................................... 521
Maruaret
i:. o Kúníi
Chapter
24
Operational Finance and Budgeting
.............................. 553
Dale F. Cook
Chapter
25
Underwriting and Rating Functions
............................... 571
Michael G. Sturm and Troy M. Filipek
Part
5:
Special Markets
............................................... 581
Chapter
26
Medicare and Managed Care
.................................... 583
Carlos!, Zarabuzo and Sidnev
I. Lindenberg
Chapter
27
Medicaid Managed Care
. . . ......... 619
Rnhcn
li.
llwiev and
Stepher
Α..
Somers
Chapter
28
The Military Managed Healthcare System
.......................... 633
if. hienoias
(,οννοια,
jej!
rey
r
Hamison.
Berme
Kerr and Dawn Erckenbrack
Chapter
29
Managed Care in a Global Context
............................... 655
Jonaman r.
Werner.
Joanna
Cuse Fcanaüas,
Hugh Waters, and Djordje Gikic
Table
of
Contents
vii
Part
6:
Legal and Regulatory Issues
..................................... 675
Chapter
30
Legal Issues in Provider Contracting
.............................. 677
Mark S.
¡offe
and Kelli D. Back
Chapter
31
ERISA
. .................................................... 725
Jacqueline M. Sane and Gregg H, Dooge
Chapter
32
HIPAA
..................................................... 753
Leigh
С
Riley and Peter
R.
Kongstvedt
Chapter
33
State Regulation of Managed Care
................................ 765
Donna ¡loroschak and Satiuimha
Silva
Glossary
.............................................................. 789
Index
................................................................ 825
|
| adam_txt |
Table of Contents
Contributors
. ix
About the Author
. xiii
Acknowledgments
. xv
Preface
. xvii
Keeping Current
. xxi
Part
1 :
Introduction to Managed Health Care
. 1
Chapter
1
The Origins of Managed Health Care
. 3
Pcrt'r D. Fox and Peter R. Kongstvedt
Chapter
2
Types of Managed Care Plans and Integrated Healthcare Delivery Systems
. 19
Eric R. Waqner and Peter R. Kongstvedi
Chapter
3
Elements of the Management Control and Governance Structure
. 41
Peter R. Konqstvedt
Chapter
4
Common Myths and Assertions about Health Plans
. 51
Brian j. McKenna
Part
2:
The Healthcare Delivery System
. 61
Chapter
5
Physician Networks in Managed Health Care
. 63
Peter R. Kongstvedt
Chapter
6
Basic Compensation of Physicians in Managed Health Care
. 93
Peter R. Kongstvedt
Chapter
7
Hospitals, Facilities, and Ancillary Services
. 135
Peter R. Kongstvedt
Chapter
8
Performance-Based Incentives in Managed Health Care:
Pay-for-Performance
. 165
Peter R. Kongstvedt
Part
3:
Medical Management
.
187
Chapter
9
Managing Basic Medical-Surgical Utilization
. 189
Peter R. Kongstvedt and Kimberley A. Mem
zer
Chapter
10
Fundamentals and Core Competencies of Disease Management
. 233
David W.
Piocher
vi
TABLE OF CONTENTS
Chapter
11
Case Management
.
247
Patricia Meizger
Chapter
12
Prescription Drug Benefits in Managed Health Care
. 269
Roben
P.
Navarro
and Rusty Hailey
Chapter
13
Introduction to Managed Behavioral Healthcare Organizations
. 297
Joann
Albright. Deborah Heggie. Anthony M.
Kotin, Lawrence
Nardozzi. and
Fred Waxenberg
Chapter
14
The Role of Health Plans in Preventing Disease
. 317
Marc
Maniny
Chapter
15
Quality Management in Managed Care
. 335
Pamela H. Siren
Chapter
16
Data Analysis and Profiling in Health Plans
. 349
Davia IV. i'iocn.cr
она
\oncr
(лСї\:іі
Part
4:
Operational Management and Marketing
. 371
Chapter
17
Information Technology in the Healthcare Organization
. 373
Ί
honias Rilev and.
Kel
lv
Iknvatty
ñi¡üey
Chapter
18
Claims Administration
. 387
Donald
L
Fowler jr. and Elimbeih Paseuzzi
Chapter
19
Member Services
. 443
Kevin Knarr
and Peter
li
Konqstved'
Chapter
20
Healthcare Consumerism
. 473
FÁUübe',})
IMerbower
Chapter
21
Sales and Marketing
. 491
Richard 'r' Hìrhanzcì
Chapter
22
The Employer's View of Managed Health Care
. 505
MichaelJ.
Tavlor
Chapter
23
Accreditation and Performance Measurement Programs for Managed Care
Organizations
. 521
Maruaret
i:. o'Kúníi
Chapter
24
Operational Finance and Budgeting
. 553
Dale F. Cook
Chapter
25
Underwriting and Rating Functions
. 571
Michael G. Sturm and Troy M. Filipek
Part
5:
Special Markets
. 581
Chapter
26
Medicare and Managed Care
. 583
Carlos!, Zarabuzo and Sidnev
I. Lindenberg
Chapter
27
Medicaid Managed Care
. . .".' 619
Rnhcn
li.
llwiev and
Stepher
Α.
Somers
Chapter
28
The Military Managed Healthcare System
. 633
if. hienoias
(,οννοια,
jej!
rey
r
Hamison.
Berme
Kerr and Dawn Erckenbrack
Chapter
29
Managed Care in a Global Context
. 655
Jonaman r.
Werner.
Joanna
Cuse Fcanaüas,
Hugh Waters, and Djordje Gikic
Table
of
Contents
vii
Part
6:
Legal and Regulatory Issues
. 675
Chapter
30
Legal Issues in Provider Contracting
. 677
Mark S.
¡offe
and Kelli D. Back
Chapter
31
ERISA
. . 725
Jacqueline M. Sane and Gregg H, Dooge
Chapter
32
HIPAA
. 753
Leigh
С
Riley and Peter
R.
Kongstvedt
Chapter
33
State Regulation of Managed Care
. 765
Donna ¡loroschak and Satiuimha
Silva
Glossary
. 789
Index
. 825 |
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| index_date | 2024-07-02T17:51:36Z |
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| spelling | Essentials of managed health care [edited by] Peter R. Kongstvedt Managed health care handbook 5th ed. Sudbury, Mass. Jones and Bartlett Publishers 2007 XXI, 841 S. Ill. txt rdacontent n rdamedia nc rdacarrier Rev. ed. of: The managed health care handbook. 4th ed. 2001. Also rev. ed. of: Essentials of managed health care. 4th ed. 2001. Includes bibliographical references and index Gezondheidszorg gtt Management gtt Soins intégrés de santé - Administration Zorgsector gtt Gesundheitswesen Managed care plans (Medical care) Management Managed Care Programs organization & administration United States Delivery of Health Care economics United States Managed Care (DE-588)4461436-6 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Managed Care (DE-588)4461436-6 s DE-604 Kongstvedt, Peter R. Sonstige (DE-588)140444904 oth http://www.loc.gov/catdir/toc/ecip0620/2006028835.html Table of contents only Digitalisierung UB Bayreuth application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015697355&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Essentials of managed health care Gezondheidszorg gtt Management gtt Soins intégrés de santé - Administration Zorgsector gtt Gesundheitswesen Managed care plans (Medical care) Management Managed Care Programs organization & administration United States Delivery of Health Care economics United States Managed Care (DE-588)4461436-6 gnd |
| subject_GND | (DE-588)4461436-6 (DE-588)4078704-7 |
| title | Essentials of managed health care |
| title_alt | Managed health care handbook |
| title_auth | Essentials of managed health care |
| title_exact_search | Essentials of managed health care |
| title_exact_search_txtP | Essentials of managed health care |
| title_full | Essentials of managed health care [edited by] Peter R. Kongstvedt |
| title_fullStr | Essentials of managed health care [edited by] Peter R. Kongstvedt |
| title_full_unstemmed | Essentials of managed health care [edited by] Peter R. Kongstvedt |
| title_short | Essentials of managed health care |
| title_sort | essentials of managed health care |
| topic | Gezondheidszorg gtt Management gtt Soins intégrés de santé - Administration Zorgsector gtt Gesundheitswesen Managed care plans (Medical care) Management Managed Care Programs organization & administration United States Delivery of Health Care economics United States Managed Care (DE-588)4461436-6 gnd |
| topic_facet | Gezondheidszorg Management Soins intégrés de santé - Administration Zorgsector Gesundheitswesen Managed care plans (Medical care) Management Managed Care Programs organization & administration United States Delivery of Health Care economics United States Managed Care USA |
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