Author: Publisher:
ISBN:
Category : Capitation fees (Medical care)
Languages : en
Pages : 113
Book Description
The Specialist's Guide to Contact Capitation & Other Risk-based Contracting Models
Author: Publisher:
ISBN:
Category : Capitation fees (Medical care)
Languages : en
Pages : 113
Book Description
The Capitation Sourcebook
Author: Peter BolandPublisher: Jones & Bartlett Learning
ISBN: 9780965271707
Category : Capitation fees (Health Insurance)
Languages : en
Pages : 672
Book Description
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.
The Financial Professional's Guide to Healthcare Reform
Author: Mark DietrichPublisher: John Wiley & Sons
ISBN: 111823684X
Category : Business & Economics
Languages : en
Pages : 433
Book Description
A comprehensive reference guide interpreting and applying healthcare reform law for consultants, appraisers, accountants, and attorneys The Financial Consultants'Guide to Healthcare Reform provides an historical backdrop on how the healthcare system got to its present state including the Massachusetts Reform and Medicare Advantage along with an explanation of the principal types of health insurance in the United States and how "insurance" actually works. A review and explanation of each of the reform provisions follows, including an analysis of what the implications are for providers, consumers and business and what responses each of these communities might have to the Reform. Using the authors' insights and firsthand experiences in U.S. healthcare finance, this book explains the new healthcare law for individuals and businesses alike, what to expect from it and what actions they need to take to comply. Interprets and applies the health care reform law Provides examples of what the impact of the law might look like Extensive use of sidebars to provide in-depth analysis or background on particular topics of import, where the reader may need more detail to understand the context of Reform's changes. Written for consultants, appraisers, accountants, and attorneys Written by major figures in the world of healthcare valuation and consulting The Financial Consultants' Guide to Healthcare Reform provides a complete handbook to healthcare reform for financial consultants, both for understanding this important legislation as well as for planning responses to it.
Value-Based Health Care in Orthopaedics
Author: Eric C. MakhniPublisher: Lippincott Williams & Wilkins
ISBN: 1975223098
Category : Medical
Languages : en
Pages : 366
Book Description
Providing an expert overview of the current structure of health care and how it affects today’s orthopaedic surgeons, Value-Based Health Care in Orthopaedics addresses the healthcare system’s transition from a fee-for-service model to value-based health care. This transition aligns the incentives of all stakeholders, including payers, purchasers, clinicians, and most importantly, patients, by prioritizing health over care, and facilitating competition based on health outcomes and cost. Developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS) and edited by Eric C. Makhni, MD, MBA, FAAOS, Benedict Nwachukwu, MD, MBA, and Kevin J. Bozic, MD, MBA, FAAOS, this unique, authoritative text covers essential information not often covered in medical school or orthopaedic residency training—offering a comprehensive discussion of the principles of value-based health care as applied to orthopaedics.
The Clinician's Guide to Managed Behavioral Care
Author: Norman WinegarPublisher: Psychology Press
ISBN: 9780789060129
Category : Business & Economics
Languages : en
Pages : 356
Book Description
Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician's Guide to Managed Behavioral Care, called "a survival kit" and "must reading," helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more "managed care friendly." It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician's Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more "managed care friendly," and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO's, and self-insured employers. It allows readers to consider a payor's view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care.Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician's Guide to Managed Behavioral Care and invaluable resource.It is often said that in the future, all in the treatment community will be involved in "managing care" and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how!Important topics in The Clinician's Guide to Managed Behavioral Care: the changing marketplace for mental health/substance abuse treatment services assessing market opportunities in light of managed care influences clinical service needs of managed care systems clinical innovations: examples, case studies, vignettes strategies for managing utilization review marketing strategies for office-based practitioners hospital-managed care partnerships contemporary office management strategies to control costs consumers and managed care directory of America's HMOs directory of America's Managed Mental Health Care Companies glossary of key terms
The Clinician's Guide to Managed Behavioral Care
Author: William WinstonPublisher: Routledge
ISBN: 1317786297
Category : Business & Economics
Languages : en
Pages : 347
Book Description
Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician’s Guide to Managed Behavioral Care, called “a survival kit” and “must reading,” helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more “managed care friendly.” It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician’s Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more “managed care friendly,” and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO’s, and self-insured employers. It allows readers to consider a payor’s view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care.Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician’s Guide to Managed Behavioral Care and invaluable resource.It is often said that in the future, all in the treatment community will be involved in “managing care” and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how!Important topics in The Clinician’s Guide to Managed Behavioral Care: the changing marketplace for mental health/substance abuse treatment services assessing market opportunities in light of managed care influences clinical service needs of managed care systems clinical innovations: examples, case studies, vignettes strategies for managing utilization review marketing strategies for office-based practitioners hospital-managed care partnerships contemporary office management strategies to control costs consumers and managed care directory of America’s HMOs directory of America’s Managed Mental Health Care Companies glossary of key terms
Integrating Behavioral Health and Primary Care
Author: Dr. Robert FeinsteinPublisher: Oxford University Press
ISBN: 0190276916
Category : Medical
Languages : en
Pages : 593
Book Description
Integrated care incorporates behavioral and physical health services into primary care and specialty medical environments. Integrated care models are patient-centered; delivered by teams of medical professionals, utilize care coordination, and a population-based approach. This book is practical, office-based, and comfortably accessible to students, residents, faculty, and all mental health professionals, primary care and medical specialists. We examine and recommend applying collaborative care and other existing models of integrated care based on existing literature. When there is no literature supporting a specific approach, our experts offer their ideas and take an aspirational approach about how to manage and treat specific behavioral disorder or problems We assume the use of integrated team staffing including a primary care or specialist provider(s), front desk staff, medical assistant(s), nurse(s), nurse practitioners, behavioral health specialist(s), health coaches, consulting psychiatrist, and care coordinator(s)/manager(s).
How to Succeed in Psychiatry
Author: Andrea FiorilloPublisher: John Wiley & Sons
ISBN: 1119961947
Category : Medical
Languages : en
Pages : 346
Book Description
Aimed at recently qualified psychiatrists or those looking to qualify soon, How to Succeed in Psychiatry is not a source of clinical information but a survival guide to help you through the first years practising psychiatry. This book covers the topics you won't find in standard textbooks. It deals with daily problems and practical solutions for young psychiatrists. Psychiatric training is less team based than other specialties, so there is less opportunity for learning from colleagues than one would expect: this book helps to fill that gap. The book opens with an overview of psychiatry training, describing the similarities and differences among various countries. Subsequent chapters address the opportunities for research and how to publish the results. Psychotherapy and community psychiatry each merit their own chapter on training. Next, the book guides you through the transition phase into a job, discussing opportunities in both the public and private sectors and considering how to choose the best career for you. It reviews important general considerations, such as ethics, professionalism, leadership and management, how to avoid stress and burn out, and how to liaise with other specialties. The book closes with an account of the role of psychiatry associations and continuing professional development. Written by early career psychiatrists from around the world, this book provides invaluable first-hand experience to all those wishing to embark on a career in this exciting discipline. Practical tips for young psychiatrists starting their careers on the wards or in private practice Advice on the transition phase at the end of training, career choice and job opportunities
HCISPP HealthCare Information Security and Privacy Practitioner All-in-One Exam Guide
Author: Sean P. MurphyPublisher: McGraw Hill Professional
ISBN: 126046007X
Category : Computers
Languages : en
Pages : 480
Book Description
HCISPP® HealthCare Information Security and Privacy Practitioner All-in-One Exam Guide Prepare for the current release of the HealthCare Information Security and Privacy Practitioner (HCISPP) exam using the detailed information contained in this effective self-study resource. Written by a healthcare information security and privacy expert and a founding contributor to the HCISPP credential, HCISPP HealthCare Information Security and Privacy Practitioner All-in-One Exam Guide contains complete coverage of all seven security and privacy exam domains along with examples and practice questions that closely match those on the actual test. Designed to help you pass the rigorous exam with ease, this guide also serves as an ideal on-the-job reference. Covers all exam domains: Healthcare industry Information governance in healthcare Information technologies in healthcare Regulatory and standards environment Privacy and security in healthcare Risk management and risk assessment Third-party risk management Online content includes: 250 practice exam questions Test engine that provides full-length practice exams and customizable quizzes
Crossing the Quality Chasm
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359
Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.