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Author: Allan Fine Publisher: Jones & Bartlett Learning ISBN: 9780834211773 Category : Medicare Languages : en Pages : 276
Book Description
Provider Sponsored Organizations: Emerging Opportunities for Growth is a comprehensive, practitioner-oriented source addressing strategic, operational, financial, structural, legislative, marketing, legal, actuarial, & medical management issues germane to PSO development & implementation.
Author: Allan Fine Publisher: Jones & Bartlett Learning ISBN: 9780834211773 Category : Medicare Languages : en Pages : 276
Book Description
Provider Sponsored Organizations: Emerging Opportunities for Growth is a comprehensive, practitioner-oriented source addressing strategic, operational, financial, structural, legislative, marketing, legal, actuarial, & medical management issues germane to PSO development & implementation.
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher: ISBN: Category : Business & Economics Languages : en Pages : 132
Author: Peter N. Grant Publisher: Jossey-Bass ISBN: Category : Health & Fitness Languages : en Pages : 88
Book Description
Congress has adopted sweeping changes to the Medicare program that will have a significant impact on integrated delivery systems, physicians, IPA's, medical groups, hospitals, and health plans. This legislation is a significant step by the federal government as it provides the framework to transition the Medicare program from an open access fee-for-service system to a managed care-oriented program. This concise guide to developing and achieving certifications will be invaluable to understanding the new PSO regulations.
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment Publisher: ISBN: Category : Medical Languages : en Pages : 120
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309175364 Category : Medical Languages : en Pages : 384
Book Description
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.
Author: Michael Bilirakis Publisher: DIANE Publishing ISBN: 0788185535 Category : Managed care plans (Medical care) Languages : en Pages : 115
Book Description
A hearing on the important issue of establishing provider-sponsored networks, called PSNs, in the Medicare program. Although all sides agree that PSNs should be able to participate as Medicare risk contractors, there is a fundamental disagreement on how they should be regulated, particularly in regard to solvency standards. Testimony from the following organizations: Amer. Acad. of Actuaries; Amer. Medical Assoc.; Health Insur. Assoc. of Amer.; Blue Cross & Blue Shield; Amer. Medical Group Assoc.; Amer. Hospital Assoc.; various insurers; Amer. Assoc. of Health Plans; & the Premier Inst.
Author: Allan Fine
Author: Allan Fine
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Author: Peter N. Grant
Author: Keith M. Korenchuk
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Author: Keith J. Mueller
Author: Institute of Medicine
Author: Michael Bilirakis
Author: 
Author: United States. General Accounting Office