A Guide to Forming Physician-directed Managed Care Networks PDF Download

Author: James J. Unland
Publisher: American Medical Association Press
ISBN:
Category : Medical
Languages : en
Pages : 60

View

Book Description
Designed for physicians who are interested in exploring the formation of physician-directed managed care networks, this indispensable resource provides answers to questions about size, scope, incorporation, marketing, staffing, and more. This easy-to-read, comprehensive text includes charts, graphs, and a resource list of capital funding programs.

Author: David William Lee
Publisher: Amer Medical Assn
ISBN: 9780899707303
Category : Managed care plans (Medical care)
Languages : en
Pages : 61

View

Book Description
This text provides a comprehensive guide to the essential features of capitated medical service payment arrangements. Written by an AMA expert along with prominent legal, financial, and medical consultants, it aims to help prepare practices for accepting more risk in managed care and improve the performance of those practices already treating patients on a capitated basis. It is intended for health service/trust managers.

Author: David B. Nash
Publisher: Jones & Bartlett Learning
ISBN: 9780834203938
Category : Medical
Languages : en
Pages : 280

View

Book Description
You'll find the practical guidance you need to transition smoothly int o the managed care environment. You'll learn the pros and cons of prac ticing in a managed care setting, the daily life of managed care physi cians, the role of managed care in medical education and health care r eform. Discover how to take advantage of new opportunities and avoid p itfalls, balance cost consideration with clinical decision-making, and understand the case mix systems most frequently used in managed care. Written almost entirely by physicians, The Physician's Guide to Manag ed Care is a must for any physician interested in meeting future chall enges.

Author: George B. Moseley
Publisher: Jones & Bartlett Learning
ISBN: 9780834207356
Category : Group medical practice
Languages : en
Pages : 644

View

Book Description
This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems. The second half of the book covers a variety of key topics such as credentialing, reimbursement systems, and utilization management.

Author: William N. Tindall
Publisher: Jones & Bartlett Learning
ISBN: 9780834217652
Category : Managed care plans
Languages : en
Pages : 322

View

Book Description
Provides physicians, administrators, and other health professionals with information on managed care, from its history, forms and practices to detailed information on managed care contracting, physician compensation, monitoring, reporting, management, risk, productivity, and accountability. Annotati

Author: Steven F. Isenberg
Publisher: Thieme
ISBN: 9780865776876
Category : Managed care plans (Medical care)
Languages : en
Pages : 374

View

Book Description
The first section leads us through the complicated and risky business of capitation and examines reimbursement in a managed care environment. The idiosyncrasies of managed care contracts are detailed and you will learn how to negotiate with managed care companies. There is a focus on practice profiling and the presentation of an expertise on referral guidelines. The final chapter explores the ethical issues of managed care. In section II you will find a description of outcome research and youseful information for the implementation of outcomes research in community-based office practices. The third section begins with two chapters on improving office efficiency and managing staff in a managed care environment. The next chapter leads us through the important and complicated software selection process for the individual practitioner's needs. A private practitioner offers his insight into managing a medical practice and the section completes with some helpful pointers to avoid malpractice claims. Section IV provides the physicians' response to managed care. The legal issues of mergers and networks are discussed. Several practicing physicians outline their personal experiences in the rapidly changing world of physician network development. The book's final chapter leaves us with an expertise on how physicians can take back healthcare

Author: Richard V. Stenson
Publisher: Bookpartners
ISBN: 9781581510300
Category : Medical
Languages : en
Pages : 386

View

Book Description
Options for physicians working within the prepaid medicine system make sense when you understand the pros and cons, strategies, and structures analyzed in this guide to the new managed care environment. -- Evolution of the managed care movement -- Myths about organizational requirements for managed care success -- Pros and cons of solo practice versus IPA, PHO, or group practice -- Working for a hospital or HMO -- Entrepreneurial, legal, and regulatory characteristics of each model -- Best opportunities for primary care and specialist physicians -- The ideal physician organization for managed care -- Future winners and losers, quality of care, reform, and Wall Street Analyze the cost and benefits of practice and managed care proposals, because an informed choice makes good medicine work.

Author: David William Lee
Publisher: Aspen Publishers
ISBN: 9780899708676
Category : Capitation fees (Medical care)
Languages : en
Pages : 0

View

Book Description
An invaluable managed care resource published by the American Medical Association. Capitation: The Physician's Guide teaches you the essential features of capitated medical service payment arrangements. With this essential resource, you'll increase your profitability and achieve greater clinical autonomy through learning how to negotiate better contracts and evaluate rates, identify when an expert is needed, and isolate the potential sources of risk.

Author: Kay Stanley
Publisher: Amer Medical Assn
ISBN: 9781579472931
Category : Medical
Languages : en
Pages : 158

View

Book Description
Now is the time to make sure managed care doesn't manage you. This resource provides an overview of today's concepts of managed care as they relate to the business aspects of medical practice. This updated guide relates the current mechanics of managed care and illustrates their application to medical practice management. Invaluable resources such as reviews of the fundamentals and concepts, terminology and definitions, a clarification of various roles of physicians in managed care, and tools for assessing plans and reviewing contracts are included. This book will keep you ahead of managed care trends and ensure that your practice remains fiscally solid while providing the highest quality care possible to patients.

Author: Daniel M. Albert
Publisher: Wiley-Blackwell
ISBN: 9780632045815
Category : Medical
Languages : en
Pages : 240

View

Book Description
This book answers the growing need for concise, practical information about the business aspects of medicine. Written for medical students, residents, and physicians interested in medical management, it covers issues such as the forces shaping health care delivery, physician management skills, economic aspects of managed care, medical, scientific and legal considerations in health care delivery and business aspects of medical management. With a focus on the skills and theory behind medical management, rather than on specifics, this book is a must-have primer for medical trainees and professionals.