Health Insurance and Managed Care: What They Are and How They Work

Kongstvedt, Peter R.

ISBN 10: 1284043258 / ISBN 13: 9781284043259

Verlag: Jones & Bartlett Learning (edition 4), 2015

It's a preowned item in good condition and includes all the pages. It may have some general signs of wear and tear, such as markings, highlighting, slight damage to the cover, minimal wear to the binding, etc., but they will not affect the overall reading experience. Bestandsnummer des Verkäufers 1284043258-11-1

Inhaltsangabe:

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

Bibliografische Details

Titel: Health Insurance and Managed Care: What They...
Verlag: Jones & Bartlett Learning (edition 4)
Erscheinungsdatum: 2015
Einband: Paperback
Zustand: Good
Auflage: 4.