Managed Care: What It Is and How It Works

by Kongstvedt, Peter R.

• ISBN13: 9780763759117
• ISBN10: 0763759112
• Edition: 3rd
• Format: Paperback
• Copyright: 2008-09-01
• Publisher: JONES & BARTLETT PUBLISHERS

Summary

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.

Table of Contents

Keeping Current
The Origins of Managed Health Care	p. 1
Types of Managed Care Organizations and Integrated Health Care Delivery Systems	p. 17
Network Management and Reimbursement	p. 55
Management of Medical Utilization and Quality	p. 95
Internal Operations	p. 119
Medicare and Medicaid	p. 155
Regulation and Accreditation in Managed Care	p. 175
Glossary	p. 207
Index	p. 251
Table of Contents provided by Blackwell. All Rights Reserved.