This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program, written in the classic answer book format. You'll find extensive sections providing basic understanding of managed care, cost containment strategies, and advice on organization and implementation of programs. The topic is covered from the ground up, with crucial questions and authoritative, up-to-date answers on every facet of managed care, including such valuable features as: Contract negotiation strategies and dispute resolution techniques Maximizing utilazation review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; important issues covered from both purchaser's and provider's perspectives; and discussion on information technology and telemedicine.

From the fundamentals to detailed strategies for managed care product design and execution, Panel's comprehensive Managed Care Answer Book covers the fast-evolving world of managed care in classic answer book format. You'll find extensive sections providing basic understanding of managed care, cost containment strategies, and advice on organization and implementation of programs. The topic is covered from the ground up, with crucial questions and authoritative, up-to-date answers on every facet of managed care, including such valuable features as: Contract negotiation strategies and dispute resolution techniques Maximizing utilization review and outcomes assessment Techniques for managed care implementation and administration Plus payer and provider contracting; advice on legal and regulatory considerations; and important issues covered from both purchaser's and provider's perspectives. This is an indispensable reference for all professionals involved in the design, implementation, financing, or operation of a managed care program.

This text aims to provide answer to questions such as what happens when you get dropped from a managed care panel? How do you get paid? Why can't you get on a managed care panel? This book is an extended question and answer session where issues are tackled from the providers perspective.; Armed with the resources, examples and explanations provided in this book, clinicians will be positioned to make the decisions that contribute to success under managed care.

First Published in 1997. Routledge is an imprint of Taylor & Francis, an informa company.

A well-organized and easy-to-understand reference that provides concise answers to a wide variety of legal questions. All major legal areas are covered: antitrust, credentialing, fraud & abuse, taxation, ERISA, and more!