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Author: George B. Moseley Publisher: Jones & Bartlett Learning ISBN: 9780834207356 Category : Group medical practice Languages : en Pages : 644
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: George B. Moseley Publisher: Jones & Bartlett Learning ISBN: 9780834207356 Category : Group medical practice Languages : en Pages : 644
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: David B. Nash Publisher: Jones & Bartlett Learning ISBN: 9780834203938 Category : Medical Languages : en Pages : 280
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: Richard V. Stenson Publisher: Bookpartners ISBN: 9781581510300 Category : Medical Languages : en Pages : 386
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: Junlin Liao Publisher: LAP Lambert Academic Publishing ISBN: 9783838311333 Category : Languages : en Pages : 116
Book Description
Over the last two decades, managed care has overtaken the traditional fee for service insurance structures. By 1998, fee for service business had become almost a novelty. Managed care, with its aggressive utilization management techniques and added paperwork requirements, had not been embraced by physicians and consumers. There came the managed care backlash. The assault by physicians and patients on managed care did not halt the growth of managed care, but it did change the composition of the managed care market. The most aggressive form of managed care, HMO, retracted while the less restrictive forms of managed care, such as PPO and POS, flourished. How do physicians personally respond to managed care? This research utilizes large scale national survey data to look into physicians' work effort within a managed care environment. The information should be useful for considering physician response and work force issues in policy changes that could potentially change existing market structure, especially for national policy makers as well as citizens participating in discussions on health care reform in the United States.
Author: Publisher: Jones & Bartlett Publishers ISBN: 1449604641 Category : Managed care plans (Medical care) Languages : en Pages : 715
Book Description
Peter Kongstvedt provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well.
Author: W.B. Bondeson Publisher: Springer Science & Business Media ISBN: 9401704139 Category : Philosophy Languages : en Pages : 189
Book Description
This collection provides a philosophical and historical analysis of the development and current situation of managed care. It discusses the relationship between physician professionalism and patient rights to affordable, high quality care. Its special feature is its depth of analysis as the philosophical, social, and economic issues of managed care are developed. It will be of interest to educated readers in their role as patients and to all levels of medical and health care professionals.
Author: James J. Unland Publisher: American Medical Association Press ISBN: Category : Medical Languages : en Pages : 60
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: Daniel M. Albert Publisher: Wiley-Blackwell ISBN: 9780632045815 Category : Medical Languages : en Pages : 240
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.
Author: Scott Becker Publisher: ISBN: Category : Law Languages : en Pages : 420
Book Description
Broad changes in the methods of paying for health care services have led to vast changes in the practice of medicine. This book provides the basic tools, including checklists, sample contracts, and key terms a physician needs to take charge of his or her future in the evolving health care system. It explains models and concepts that are available from market to market. More important, this book provides numerous tested strategies for responding to opportunities and the basic principles and means by which to judge situations and proposals. It will guide today's physicians through the managed care maze as they develop business plans and negotiate contracts. * Helps you take and maintain control over patient care by maximizing your autonomy. * Outlines differences in practice type and summarizes the pros and cons of your various options within the managed care environment. * Uses real-life examples throughout, discussing both successes and failures of other entrepreneurial physicians.
Author: George B. Moseley
Author: George B. Moseley
Author: David B. Nash
Author: Richard V. Stenson
Author: Peter Reid Kongstvedt
Author: Junlin Liao
Author: 
Author: W.B. Bondeson
Author: James J. Unland
Author: Daniel M. Albert
Author: Scott Becker