Health Insurance and Managed Care What They Are and How They Work 9781284043259 Medicine Health Science Books PDF File GDP

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Health Insurance and Managed Care What They Are and How They Work (formerly titled Managed 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.
The Fourth Edition is a thorough update that addresses the impact of the Affordable Care Act throughout the industry including
- New underwriting requirements
- New marketing and sales channels
- Limitations on sales, governance, and administrative (SG&A) costs and profits
- New provider organizations such as Patient Centered Medical Homes (PCHMs) and Accountable Care Organizations (ACO’s)
- New payment mechanisms such as shared savings with ACOs, and severity-adjusted diagnosis related groups
- Changes to Medicare Advantage
- Medicaid expansion and reliance on Medicaid managed care
Peter R. Kongstvedt,Health Insurance and Managed Care What They Are and How They Work,Jones Bartlett Learning,1284043258,Health Care Delivery,Insurance - Health,Managed Care Programs - organization administration - United States,Managed Care Programs;organization administration;United States.,BUSINESS ECONOMICS / Insurance / Health,Business Economics,HEALTH CARE PLANNING,HEALTH INSURANCE,Health Risk Assessment,Health systems services,Long-Term Care,MAJORS,MEDICAL,MEDICAL / Health Care Delivery,MEDICAL / Long-Term Care,Medical / Nursing,Medical/Health Risk Assessment,Non-Fiction,Scholarly/Undergraduate,Textbooks (Various Levels),United States,managed care; health insurance; mco; managed care organization; peter kongstvedt; kongstvedt; accountable care organization; aco

Health Insurance and Managed Care What They Are and How They Work 9781284043259 Medicine Health Science Books Reviews :

Health Insurance and Managed Care What They Are and How They Work (formerly titled Managed 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.
The Fourth Edition is a thorough update that addresses the impact of the Affordable Care Act throughout the industry including
- New underwriting requirements
- New marketing and sales channels
- Limitations on sales, governance, and administrative (SG&A) costs and profits
- New provider organizations such as Patient Centered Medical Homes (PCHMs) and Accountable Care Organizations (ACO’s)
- New payment mechanisms such as shared savings with ACOs, and severity-adjusted diagnosis related groups
- Changes to Medicare Advantage
- Medicaid expansion and reliance on Medicaid managed care

Peter R. Kongstvedt,Health Insurance and Managed Care What They Are and How They Work,Jones Bartlett Learning,1284043258,Health Care Delivery,Insurance - Health,Managed Care Programs - organization administration - United States,Managed Care Programs;organization administration;United States.,BUSINESS ECONOMICS / Insurance / Health,Business Economics,HEALTH CARE PLANNING,HEALTH INSURANCE,Health Risk Assessment,Health systems services,Long-Term Care,MAJORS,MEDICAL,MEDICAL / Health Care Delivery,MEDICAL / Long-Term Care,Medical / Nursing,Medical/Health Risk Assessment,Non-Fiction,Scholarly/Undergraduate,Textbooks (Various Levels),United States,managed care; health insurance; mco; managed care organization; peter kongstvedt; kongstvedt; accountable care organization; aco

Health Insurance and Managed Care What They Are and How They Work 9781284043259 Medicine Health Science Books @

 

Product details Paperback 398 pages Publisher Jones & Bartlett Learning; 4 edition (April 10, 2015) Language English ISBN-10 1284043258

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