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Download or read book The Medicare Handbook written by and published by . This book was released on 1992 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author: Institute of Medicine
Publisher: National Academies Press
Published: 1996-11-01
Total Pages: 384
ISBN-13: 0309175364
DOWNLOAD EBOOKMedicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
Download or read book Improving the Medicare Market written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
Download or read book Medicare Managed Care Resource Information Directory written by and published by . This book was released on 1995 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Publishers
Published: 2008-09-19
Total Pages: 295
ISBN-13: 1449649823
DOWNLOAD EBOOKThe 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.
Download or read book Managed Care: What It Is and How It Works written by Peter R. Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2008-09-19 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Publishers
Published: 2016
Total Pages: 418
ISBN-13: 1284087115
DOWNLOAD EBOOKDownload or read book Health Insurance and Managed Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2016 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author: Louis F. Rossiter
Publisher:
Published: 2001
Total Pages: 408
ISBN-13:
DOWNLOAD EBOOKA reference for health-care executives and physicians as well as managers, administrators, and staff of Medicare managed-care plans, providing a structure for plotting a long-term plan to compete in this market. In addition to describing the economics of the current system, including trends and key players, the book covers strategic planning and marketing, including issues such as pricing and the capitation dollar, benefit design, and techniques of quality and cost control. Finally, the work speculates about future changes in the system and the health-care marketplace and their implications for health plan participation. The author is deputy secretary for Health and Human Resources, Commonwealth of Virginia, and previously was a member of the health economics faculty of Virginia Commonwealth U. Annotation copyrighted by Book News, Inc., Portland, OR
Download or read book Understanding Medicare Managed Care written by Louis F. Rossiter and published by . This book was released on 2001 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: A reference for health-care executives and physicians as well as managers, administrators, and staff of Medicare managed-care plans, providing a structure for plotting a long-term plan to compete in this market. In addition to describing the economics of the current system, including trends and key players, the book covers strategic planning and marketing, including issues such as pricing and the capitation dollar, benefit design, and techniques of quality and cost control. Finally, the work speculates about future changes in the system and the health-care marketplace and their implications for health plan participation. The author is deputy secretary for Health and Human Resources, Commonwealth of Virginia, and previously was a member of the health economics faculty of Virginia Commonwealth U. Annotation copyrighted by Book News, Inc., Portland, OR
Author: Peter Kongstvedt
Publisher: Jones & Bartlett Learning
Published: 2009-10-07
Total Pages: 295
ISBN-13: 0763759112
DOWNLOAD EBOOKThe origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.
Download or read book Managed Care written by Peter Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2009-10-07 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.
Author: Geraldine Dallek
Publisher: DIANE Publishing
Published: 1998-06
Total Pages: 85
ISBN-13: 0788170791
DOWNLOAD EBOOKBased on both research & reports from organizations representing Medicare beneficiaries, this report analyzes the major problems associated with Medicare HMOs & provides recommendations to achieve protection of Medicare beneficiaries. Addresses: marketing, enrollment & disenrollment; Medicare-covered benefits & the HMO appeals process; access to appropriate providers; data collection, analysis & disclosure; quality-of-care, monitoring & oversight; the AAPCC rate, standardization of plan benefits & risk adjustments; & regulation of managed care entities such as provider sponsored organizations.
Download or read book Medicare Managed Care written by Geraldine Dallek and published by DIANE Publishing. This book was released on 1998-06 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on both research & reports from organizations representing Medicare beneficiaries, this report analyzes the major problems associated with Medicare HMOs & provides recommendations to achieve protection of Medicare beneficiaries. Addresses: marketing, enrollment & disenrollment; Medicare-covered benefits & the HMO appeals process; access to appropriate providers; data collection, analysis & disclosure; quality-of-care, monitoring & oversight; the AAPCC rate, standardization of plan benefits & risk adjustments; & regulation of managed care entities such as provider sponsored organizations.
Download or read book Medicare Managed Care written by William Scanlon and published by . This book was released on 1997 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author: James C. Cosgrove
Publisher: DIANE Publishing
Published: 2010-10
Total Pages: 35
ISBN-13: 1437927327
DOWNLOAD EBOOKMedicare cost plans ¿ managed care plans paid based on the reasonable costs of delivering Medicare-covered services ¿ enroll a small number of beneficiaries compared to Medicare Advantage (MA), Medicare¿s managed care program in which the plans accept financial risk if their costs exceed fixed payments received for each enrolled beneficiary. This report: (1) determined the MA options available to beneficiaries in cost plans; (2) described key differences for beneficiaries between cost plans, MA plans, and Medicare Fee-For-Service; (3) determined the extent to which organizations offering cost plans also offer MA plans; and (4) described concerns cost plans have about converting to MA plans. Charts and tables.
Download or read book Medicare Managed Care written by James C. Cosgrove and published by DIANE Publishing. This book was released on 2010-10 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare cost plans ¿ managed care plans paid based on the reasonable costs of delivering Medicare-covered services ¿ enroll a small number of beneficiaries compared to Medicare Advantage (MA), Medicare¿s managed care program in which the plans accept financial risk if their costs exceed fixed payments received for each enrolled beneficiary. This report: (1) determined the MA options available to beneficiaries in cost plans; (2) described key differences for beneficiaries between cost plans, MA plans, and Medicare Fee-For-Service; (3) determined the extent to which organizations offering cost plans also offer MA plans; and (4) described concerns cost plans have about converting to MA plans. Charts and tables.
