Author: United States. Medicaid Bureau. Division of Analysis and EvaluationPublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 48
Book Description
Medicaid Data
Author: United States. Medicaid Bureau. Division of Analysis and EvaluationPublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 48
Book Description
Health Insurance and Managed Care
Author: Peter R. KongstvedtPublisher: Jones & Bartlett Learning
ISBN: 128415209X
Category : Medical
Languages : en
Pages : 355
Book Description
Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Historical Tables, Budget of the United States Government
Author: United States. Office of Management and BudgetPublisher:
ISBN:
Category : Budget
Languages : en
Pages : 316
Book Description
Essentials of Managed Health Care
Author: Peter Reid KongstvedtPublisher: Jones & Bartlett Learning
ISBN:
Category : Business & Economics
Languages : en
Pages : 926
Book Description
How can you help students master the complexities of managed health care? For years, instructors nationwide have counted on one text to convey a solid understanding of fundamental concepts -- Peter R. Kongstvedt's "Essentials of Managed Health Care". Now in its Fourth Edition, this best selling textbook continues to supply a clear and accessible explanation of how managed care actually works. Web site serves as a launching pad to numerous activities and resources where ready-to-use PowerPoint slides, additional readings organized by chapter, and a test bank for instructors are available.
Medicaid Eligibility Quality Control
Author: United States. Social and Rehabilitation ServicePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 460
Book Description
Managing Managed Care
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309175054
Category : Medical
Languages : en
Pages : 394
Book Description
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
State Data Book
Author: United States. Rehabilitation Services Administration. Division of Monitoring and Program Analysis. Statistical Analysis and Systems BranchPublisher:
ISBN:
Category : Rehabilitation
Languages : en
Pages : 56
Book Description
The Politics of Medicaid
Author: Laura Katz OlsonPublisher: Columbia University Press
ISBN: 0231521596
Category : Political Science
Languages : en
Pages : 609
Book Description
In 1965, the United States government enacted legislation to provide low-income individuals with quality health care and related services. Initially viewed as the friendless stepchild of Medicare, Medicaid has grown exponentially since its inception, becoming a formidable force of its own. Funded jointly by the national government and each of the fifty states, the program is now the fourth most expensive item in the federal budget and the second largest category of spending for almost every state. Now, under the new, historic health care reform legislation, Medicaid is scheduled to include sixteen million more people. Laura Katz Olson, an expert on health, aging, and long-term care policy, unravels the multifaceted and perplexing puzzle of Medicaid with respect to those who invest in and benefit from the program. Assessing the social, political, and economic dynamics that have shaped Medicaid for almost half a century, she helps readers of all backgrounds understand the entrenched and powerful interests woven into the system that have been instrumental in swelling costs and holding elected officials hostage. Addressing such fundamental questions as whether patients receive good care and whether Medicaid meets the needs of the low-income population it is supposed to serve, Olson evaluates the extent to which the program is an appropriate foundation for health care reform.
Improving the Medicare Market
Author: Institute of MedicinePublisher: 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.
Managed Competition
Author: Publisher: DIANE Publishing
ISBN: 9780788100260
Category : Medical
Languages : en
Pages : 120
Book Description
Pamphlet from the vertical file.