Risk Contracting and Capitation Answer Book

Risk Contracting and Capitation Answer Book
Author: Clifford C. Dacso
Publisher: Aspen Pub
Total Pages: 429
Release: 1999
Genre: Health & Fitness
ISBN: 9780834209886
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How can physicians and providers survive in managed care ... HMOs cope with more regulation and liability exposure ... employers get more value for their health care dollar? Finally, the current expert how-to guidance you need -- whatever your stake in managed care -- is here in the new Risk Contracting and Capitation Answer Book: Strategies for Managed Care. Featuring a quick, easy-to-follow question and answer format to more than 400 questions. The Answer Book gives you a solid grasp of the managed care environment ... offers you proven survival and success strategies ... alerts you to the full range of delivery systems that promote cost effective care ... helps you avoid legal trouble. Plus, the Answer Book tells you what technologies are key to managed care ... why academic medical centers are hurting ... when HMOs must submit Medicare applications ... where the Texas HMO liability is flawed and how this law will change managed care nationally.

The Managed Care Answer Book

The Managed Care Answer Book
Author: Gayle McCracken Tuttle
Publisher: Routledge
Total Pages: 164
Release: 2013-09-05
Genre: Health & Fitness
ISBN: 1135062366
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This text aims to provide answer to questions such as what happens when you get dropped from a managed care panel? How do you get paid? Why can't you get on a managed care panel? This book is an extended question and answer session where issues are tackled from the providers perspective.; Armed with the resources, examples and explanations provided in this book, clinicians will be positioned to make the decisions that contribute to success under managed care.

The Managed Care Answer Book for Mental Health Professionals

The Managed Care Answer Book for Mental Health Professionals
Author: Gayle McCracken Tuttle
Publisher: Psychology Press
Total Pages: 164
Release: 1997
Genre: Managed care plans (Medical care)
ISBN: 9780876308486
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First Published in 1997. Routledge is an imprint of Taylor & Francis, an informa company.

Managed Care Answer Book

Managed Care Answer Book
Author: Sheryl Tatar Dacso
Publisher:
Total Pages: 1142
Release: 1999
Genre: Business & Economics
ISBN:
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This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program, written in the classic answer book format. You'll find extensive sections providing basic understanding of managed care, cost containment strategies, and advice on organization and implementation of programs. The topic is covered from the ground up, with crucial questions and authoritative, up-to-date answers on every facet of managed care, including such valuable features as: Contract negotiation strategies and dispute resolution techniques Maximizing utilazation review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; important issues covered from both purchaser's and provider's perspectives; and discussion on information technology and telemedicine.

Managed Care Answer Book

Managed Care Answer Book
Author: Sheryl Tatar Dacso
Publisher:
Total Pages: 838
Release: 1997
Genre: Business & Economics
ISBN: 9781567063578
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Dictionary of Health Economics and Finance

Dictionary of Health Economics and Finance
Author: David E. Marcinko, MBA, CFP, CMP
Publisher: Springer Publishing Company
Total Pages: 374
Release: 2006-08-21
Genre: Reference
ISBN: 0826103391
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Designated a Doody's Core Title! "Medical economics and finance is an integral component of the health care industrial complex. Its language is a diverse and broad-based concept covering many other industries: accounting, insurance, mathematics and statistics, public health, provider recruitment and retention, Medicare, health policy, forecasting, aging and long-term care, are all commingled arenas....The Dictionary of Health Economics and Finance will be an essential tool for doctors, nurses and clinicians, benefits managers, executives and health care administrators, as well as graduate students and patientsÖ With more than 5,000 definitions, 3,000 abbreviations and acronyms, and a 2,000 item oeuvre of resources, readings, and nomenclature derivativesÖ it covers the financial and economics language of every health care industry sector." - From the Preface by David Edward Marcinko

Financial Management for Nurse Managers and Executives - E-Book

Financial Management for Nurse Managers and Executives - E-Book
Author: Cheryl Jones
Publisher: Elsevier Health Sciences
Total Pages: 432
Release: 2018-01-29
Genre: Medical
ISBN: 0323415113
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Learn how financial management fits into the healthcare organization. Financial Management for Nurse Managers and Executives, 5th Edition covers the latest accounting and financial management practices distinctly from the nurse manager’s point of view. Topics include how financial management fits into the health care organization, financial accounting, cost analysis, planning and control management of the organization’s financial resources, various management tools, and the future of financial management with respect to healthcare reform and international accounting standards. This new edition includes updated information on the Affordable Care Act, Accountable Care Organizations, Value Based Payment, and Team and Population Based Care. Nursing-focused content thoroughly describes healthcare finance and accounting from the nurse manager’s point of view. Numerous worksheets and tables including healthcare spreadsheets, budgets, and calculations provide you with specific examples of how to apply financial management principles to nursing practice. NEW! Information about the Affordable Care Act details how changes and developments affects coverage for millions of Americans. NEW! Value-Based Payment reimbursement information details what nurse executives need to know in order to use this new system NEW! Coverage of Accountable Care Organizations provides current information on one of the emerging forms of managed care and how it works within the financial system of healthcare. NEW! Team-and Population-Based care information covers how to work with healthcare professionals outside of nursing.

Health Insurance Answer Book

Health Insurance Answer Book
Author: John C. Garner
Publisher:
Total Pages: 1038
Release: 1997-09
Genre: Business & Economics
ISBN: 9781567064230
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This easy-to-use guide will help you manage a cost-effective health insurance plan and ensure that your decisions are in compliance with constantly changing health care legislation. The Health Insurance Answer Book offers instant access to information on everything from HMOs, PPOs, COBRA, OBRA, and flexible benefits to plan rating, funding, cost containment, and administration. Its question-and-answer format speeds you to realistic strategies and solutions in seconds. Because the book is updated annually, you'll be sure to stay informed on newly enacted and pending legislation. For example, you'll get concise, jargon-free coverage of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), changes in the Medicare payroll tax, pharmacy benefit management, reduced reimbursements for physicians and hospitals, workers' compensation, Medigap policies, self-insurance, and third-party administration.

Dictionary of Health Insurance and Managed Care

Dictionary of Health Insurance and Managed Care
Author: Hope Rachel Hetico, RN, MHA, CMPTM
Publisher: Springer Publishing Company
Total Pages: 373
Release: 2006-03-22
Genre: Medical
ISBN: 0826149936
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Designated a Doody's Core Title! To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today.

The Capitation Sourcebook

The Capitation Sourcebook
Author: Peter Boland
Publisher: Jones & Bartlett Learning
Total Pages: 672
Release: 1996
Genre: Capitation fees (Health Insurance)
ISBN: 9780965271707
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Here's a challenge to conventional wisdom that will change the way you think about capitation. This hands-on resource is a collection of articles detailing the most advanced methods used by leading healthcare operational experts on how to provide high-quality care at less cost; manage financial risk more efficiently; design operational, clinical and information systems to meet the needs of patients, practitioners and managed care organizations; structure financial incentives to promote successful collaborations and make the transition from fee-for-service to risk-sharing arrangements. You'll find practical examples of how to build the trust necessary to create win-win solutions to problems that arise between competing yet interdependent interests of the various stakeholders. Edited by Peter Boland, PhD, and based on a "best practices" approach, each of the articles in the book illustrate compensation methodologies that have been successfully implemented with the support of physicians and hospitals.