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Managed Care Ombudsman Programs: New approaches to assist consumers and improve the health care system

Managed Care Ombudsman Programs: New approaches to assist consumers and improve the health care system PDF Author: Lee, Peter V.
Publisher:
ISBN:
Category : Consumer protection
Languages : en
Pages : 110

Book Description


Managed Care Ombudsman Programs: New approaches to assist consumers and improve the health care system

Managed Care Ombudsman Programs: New approaches to assist consumers and improve the health care system PDF Author: Lee, Peter V.
Publisher:
ISBN:
Category : Consumer protection
Languages : en
Pages : 110

Book Description


Real People, Real Problems

Real People, Real Problems PDF Author: Jo Harris-Wehling
Publisher: National Academies
ISBN:
Category : Long-term care facilities
Languages : en
Pages : 314

Book Description


Quality First

Quality First PDF Author: United States. Advisory Commission on Consumer Protection and Quality in the Health Care Industry
Publisher: U.S. Government Printing Office
ISBN:
Category : Law
Languages : en
Pages : 338

Book Description


Protecting American Health Care Consumers

Protecting American Health Care Consumers PDF Author: Eleanor DeArman Kinney
Publisher: Duke University Press
ISBN: 0822383535
Category : Medical
Languages : en
Pages : 289

Book Description
Despite the attention to the problem of protecting the health care interests of Americans, there is little consensus on what should be done politically or otherwise to address this problem. In Protecting American Health Care Consumers Eleanor DeArman Kinney, a nationally regarded expert on health policy and law, tackles the serious and ongoing debate among state and federal policymakers, health care providers, third-party payers, and consumers about how to provide procedural justice to patients in the present health care climate. To promote and ensure consumer protection in an increasingly adversarial and complicated health-care culture, Kinney first analyzes the procedures by which consumer concerns are presently discerned and resolved and then explains why these systems are unsatisfactory. She also discusses problematic procedures for making coverage policy and quality standards and proposes reforms in a variety of processes that would enable all consumers, including the uninsured, to influence key policies and standards and also to raise concerns and obtain appropriate remedies. As the first comprehensive treatment of administrative procedures in American health plans and other such institutions, Protecting American Health Care Consumers will be welcomed by state and federal policymakers, managed care executives, and lawyers charged with designing and implementing protections for consumers in public and private health plans.

Improving the Quality of Long-Term Care

Improving the Quality of Long-Term Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344

Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Managed Care Ombudsman Programs: Background and source material from programs nationally

Managed Care Ombudsman Programs: Background and source material from programs nationally PDF Author: Lee, Peter V.
Publisher:
ISBN:
Category :
Languages : en
Pages : 450

Book Description


Closing the Quality Gap

Closing the Quality Gap PDF Author: Kaveh G. Shojania
Publisher:
ISBN: 9781587632594
Category : Disaster hospitals
Languages : en
Pages : 7

Book Description


Regulating Managed Care

Regulating Managed Care PDF Author: Stuart H. Altman
Publisher: Jossey-Bass
ISBN:
Category : Health & Fitness
Languages : en
Pages : 408

Book Description
What should be government's role in a market-oriented health caresystem? What's the appropriate amount of regulation? Who should regulate-states, federal government, or marketforces? What role do the courts play in this regulation? Are there existing models that might guide leaders in designing aneffective regulatory structure? Welcome to the great managed care debate. In Regulating ManagedCare, twenty-six of the nation's leading health policy experts givehealth care administrators, clinicians, and policy makers insightinto the issues behind this critical exchange and provide leaderswith a road map to assess the policy options available to protectthe quality of our health care delivery system. "This collection of papers, from an extraordinary group of authors,makes a valuable contribution to the ongoing policy debate and willbe of interest to anyone concerned with the future of our healthcare system."---Charles A. Sanders, retired chairman and CEO GlaxoInc. and former general director, Massachusetts General Hospital

Healthplan

Healthplan PDF Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 984

Book Description


Patient Appeals in Health Care

Patient Appeals in Health Care PDF Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Law
Languages : en
Pages : 104

Book Description