Author: José Guimón Publisher: Springer Science & Business Media ISBN: 1461541476 Category : Medical Languages : en Pages : 626
Book Description
"Adapt or perish, now as ever, is Nature's inexorable imperative. " -H. G. Wells, Mind at the End of Its Tether (1946) Doctors are trained to treat people suffering from various diseases. This is the main form of their activity and usually the reason for which they selected medicine as their profession. The notion that they should become managers and engage in activi ties such as programming, calculating cost, assessing cost-benefit ratios, and thinking about pricing in accordance with the social utility of their intervention, is both foreign and abhorrent to them. They are sometimes willing to say how much they need in order to have a well-functioning service: usually they prefer to state what specific apparatus and other things they require without specifying the price of their demand. They can be persuaded to add a price tag to what they think is necessary for their work: but that was about as far as they would go, until recently. The growing emphasis on human rights over the past few decades, the greater emphasis on quality of life and the public's heightened expectations about their health led, in many industrialized countries, to a greater demand for health services. This, com bined with improved possibilities of diagnosis and treatment (at higher cost!), led to a significant increase in financial demands which made governments and health-care systems uneasy and ready to accept any solution that would stop the spiral of seem ingly endless cost augmentation.
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on Health for Families and the Uninsured Publisher: ISBN: Category : Medical Languages : en Pages : 130
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment Publisher: ISBN: Category : Medical Languages : en Pages : 152
Author: Michael Isaiah Bennett Publisher: American Psychiatric Pub ISBN: 1585627615 Category : Medical Languages : en Pages : 103
Book Description
How can behavioral health clinicians provide managed care in an ethical, professionally satisfying way while also dealing with managed care organizations (MCOs)? This concise yet powerful volume will jump-start clinicians in their search for effective answers. Unlike other managed care guides, which tend to view the clinician-managed care relationship as inherently adversarial, this groundbreaking pocket guide (another in American Psychiatric Publishing's Concise Guides series) views resource management as a basic function -- indeed, an ally -- of ethical clinical practice. True managed care both improves the quality of clinical care and protects community resources. It even stimulates patients to become more active managers of their own care. The author, speaking from extensive first-hand experience as both network provider and MCO administrator, asserts that clinicians must know how to manage care themselves to effectively persuade insurance companies to pay for treatment. Toward that end, the author details the practical tools clinicians need in just five chapters: Chapter 1, Managing Care Ethically, discusses basic principles and methods for making clinical decisions about behavioral health care when resources are limited and methods for communicating these decisions to patients and MCOs. Chapter 2, Managing Nonacute Care, applies the principles and methods from Chapter 1 to providing non-acute, usually outpatient, services. Chapter 3, Managing Acute Care, applies the principles and methods from Chapter 1 to providing acute crisis or inpatient services. Chapter 4, Marketing to Managed Care Organizations, details strategies for negotiating contracts to often unreceptive MCOs who consider their networks full, showing how clinicians can enhance their market value by filling MCO needs. Chapter 5, Managing Utilization Review, offers insights on overseeing the clinical work of colleagues and shaping the health care system, assuming that care managers are professionally obligated to help patients receive the care they need and deserve without intruding on the clinician's role, and that the best management manages least, taking responsibility for efficient resource utilization and ongoing system improvement. This practical guide is more than just a handbook for successfully navigating MCO procedures and market dynamics; it also shows that the outcome of truly managed care can be just as satisfying and effective as care provided with infinite resources. Invaluable to clinicians in everyday practice, this remarkable guide with its unique insights, collaborative approach, and case examples will also find a wide audience among clinical administrators in private and public MCOs who train network clinicians and utilization managers.
Author: William H. Reid Publisher: Routledge ISBN: 1134940947 Category : Psychology Languages : en Pages : 572
Book Description
Clinicians who understand mental health care administration in addition to their clinical fields are likely to be valuable to the organizations in which they work. This handbook is an accessible source of information for professionals coming from either clinical or management backgrounds. Sections offer coverage in: mental health administrative principles, mental health care management, business, finance and funding of care, information technology, human resources and legal issues.
Author: Maria K. Todd Publisher: CRC Press ISBN: 1439866570 Category : Business & Economics Languages : en Pages : 334
Book Description
Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations Publisher: ISBN: Category : Managed care plans (Medical care) Languages : en Pages : 156
Author: J. Michael Leger Publisher: Jones & Bartlett Learning ISBN: 1284258750 Category : Medical Languages : en Pages : 291
Book Description
Financial Management for Nurse Managers: Merging the Heart with the Dollar, Fifth Edition is a unique text that addresses the financial management issues faced by nurse leaders in a variety of settings, including hospitals, ambulatory/outpatient clinics, long-term care facilities, and home care. With an evidence-based and practical approach, it covers a wide-range of financial information, including healthcare finance, economics, budgeting, reimbursements, accounting, and financial strategies. The Fifth Edition features additional ambulatory examples, a new exercise on emergency planning, and updated and expanded case studies. Financial Management for Nurse Managers: Merging the Heart with the Dollar brings financial concepts to life for students with practical applications and straightforward budgeting practice activities.
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on Health Care Publisher: ISBN: Category : Medical Languages : en Pages : 272
Author: José Guimón
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on Health for Families and the Uninsured
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment
Author: 
Author: Michael Isaiah Bennett
Author: William H. Reid
Author: Maria K. Todd
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Author: J. Michael Leger
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on Health Care