The Role of Provider Organizations in Medi-Cal Managed Care
Title | The Role of Provider Organizations in Medi-Cal Managed Care PDF eBook |
Author | Diane R. Rittenhouse |
Publisher | |
Pages | 52 |
Release | 2004 |
Genre | |
ISBN |
The Role of Managed Care Organizations within the Healthcare Industry
Title | The Role of Managed Care Organizations within the Healthcare Industry PDF eBook |
Author | Patrick Kimuyu |
Publisher | GRIN Verlag |
Pages | 19 |
Release | 2018-02-01 |
Genre | Medical |
ISBN | 3668627614 |
Seminar paper from the year 2018 in the subject Medicine - Medical Frontiers and Special Areas, grade: 1, Egerton University, language: English, abstract: This paper will provide a comprehensive overview of managed care, primarily on the advantages and disadvantages of managed care organizations. Over the decades, the United States’ healthcare system has been experiencing challenges. In general, the cost and quality of care has always been considered as the most critical factors that influence healthcare sustainability in the United States and the world, as a whole. As a result, a series of value-based payment reforms have been introduced. For instance, the Affordable Care Act (ACA) of 2010 introduced payment and delivery system reforms. From a critical perspective, the reforms introduced by the ACA have addressed the long-standing problems which have been posing enormous hindrances to the development of the U.S. healthcare system. Above all, it has enhanced managed care through consolidating care, as well as, addressing the problem of unsustainable costs and uneven quality of care. However, managed care seems to exhibit some drawbacks too.
Managed Care: What It Is and How It Works
Title | Managed Care: What It Is and How It Works PDF eBook |
Author | Peter R. Kongstvedt |
Publisher | Jones & Bartlett Publishers |
Pages | 295 |
Release | 2008-09-19 |
Genre | Medical |
ISBN | 1449649823 |
The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.
Managed Care
Title | Managed Care PDF eBook |
Author | Peter Kongstvedt |
Publisher | Jones & Bartlett Learning |
Pages | 295 |
Release | 2009-10-07 |
Genre | Education |
ISBN | 0763759112 |
The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.
Managed Care Organizations
Title | Managed Care Organizations PDF eBook |
Author | Colodia Owens |
Publisher | McGraw-Hill Companies |
Pages | 198 |
Release | 1995 |
Genre | Medical |
ISBN |
Introduction to Managed Care
Title | Introduction to Managed Care PDF eBook |
Author | Robert G. Shouldice |
Publisher | |
Pages | 584 |
Release | 1991 |
Genre | Group medical practice |
ISBN |
Main topics: HMO and alternative delivery systems; history, philosophy and legislative activities; Preferred providers organisations; organizational structure of HMOs; competitive medical plans and government contracting; the providers; consumers and purchasers of managed care; Control, quality and utilization of services and accountability; Development and expansion activities; marketing; financial management
Health Insurance and Managed Care
Title | Health Insurance and Managed Care PDF eBook |
Author | Peter Reid Kongstvedt |
Publisher | Jones & Bartlett Publishers |
Pages | 418 |
Release | 2016 |
Genre | Business & Economics |
ISBN | 1284087115 |