Dictionary of Health Insurance and Managed Care (Paperback)

by David E. Marcinko MBA CFP CMP (Editor), Hope Rachel Hetico RN MHA CPHQ (Editor)
Key Phrases: small market insurance, adjusted total charges, see capitation, United States, Blue Cross, Blue Shield (more...)

Editorial Reviews

Product Description
To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today.

About the Author

Dr. David Edward Marcinko, MBA, CFP, CMP, is a health care economist, lexicographer, and board certified surgical fellow at Temple University. In the past, he has edited four practice-management textbooks, three medical texts in two languages, and six financial planning books, and two CD-ROMs for physicians, hospitals, financial advisors, accountants, attorneys, and health care business consultants. Internationally recognized for his work, he provides litigation support and expert witness testimony in State and Federal Court, with clinical publications archived in the Library of Congress and the Library of Medicine at the National Institutes of Health.

Dr. Marcinko also has numerous editorial and reviewing roles to his credit. His most recent offerings from Springer Publishing Company are Dictionary of Health Economics and Finance (2006) and the forthcoming Dictionary of Health Information Technology and Security (early 2007), both co-edited with Hope Hedico. He has also edited the classic The Business of Medical Practice: Advanced Profit Maximization Techniques for Savvy Doctors, now in its second edition (Springer Publishing Company, 2004). A favorite on the lectuer circuit and often quoted in the media, he speaks frequently to medical and financial societies throughout the country.

Hope Rachel Hedico, RN, MSHA, CPHQ, CMP, received her nursing degree from Valparaiso University, and Master's of Science Degree in Healthcare Administration (MSHA) from the University of St. Francis in Joliette, Illinois. She is author or editor of a dozen major textbooks and a nationally-known expert in managed medical care, medical reimbursement, case management, health insurance, security and risk management, utilization review, HIPPAA, NACQA, HEDIS, and JCAHO rules and regulations.

Initially a devotee of pedagogy, Ms. Hetico became an apostle of adult-learning using the andragogic principles of iMBA for corporate, professional, and practitioner audiences. She continually recruits and hosts a think tank of talented thought-leadership visionaries, essayists, and experts for the firm. With this documented history of identifying innovations in education and accelerating their adoption by the medical and financial services industries, she is frequently quoted in the health care business media and brings a decade of entrepreneurship and creative leadership skills to the iMBA National Network of independent advisors.

Prior to joining the iMBA as Chief Operating Officer, Ms. Hetico was a hospital executive, financial advisor, insurance agent, Certified Professional in Healthcare Quality, and distinguished visiting instructor of Healthcare Administration for the University of Phoenix, Graduate School of Business and Management. She was also national corporate Director for Medical Quality Improvement at Apria Heatlh Care, a public company in Costa Mesa.

Currently a Senior Linguistic Docent for iMBA, and devotee of econometric heutagogy and andragogy, Ms. Hetico is responsible for leading www.MedicalBusinessAdvisors.com to the top of the exploding adult educational marketplace, expanding the online and on-ground Certifed Medical Planner charter designation program, and continuing to nurture the company's rapidly growing list of financial services colleagues and medical and institutional clients (www.CertifiedMedicalPlanner.com).

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Product Details

• Paperback: 372 pages
• Publisher: Springer Publishing Company; 1 edition (March 22, 2006)
• Language: English
• ISBN-10: 0826149944
• ISBN-13: 978-0826149947
• Product Dimensions: 7.2 x 4.4 x 1.3 inches
• Shipping Weight: 10.4 ounces (View shipping rates and policies)
• Average Customer Review: 5.0 out of 5 stars See all reviews (2 customer reviews)
• Amazon.com Sales Rank: #805,524 in Books (See Bestsellers in Books)

Customer Reviews

Most Helpful Customer Reviews

1 of 1 people found the following review helpful:

5.0 out of 5 stars Dictionary of Health Insurance And Managed Care, A must have for every Health Care Provider and Health Care Professional, April 27, 2006

By	Christy Lodwick "Health Care Executive" (Columbus, Ohio USA) - See all my reviews (REAL NAME)

The need for the Dictionary of Health Insurance And Managed Care has been a necessity for a long time. Clear, concise references tools are very much needed by all Health Care providers, Managers, Administrator and every health care professional. The information contained in this book can be the difference between barley getting by in a practice and hoping to keep up with the changes to really having a true understanding of the industry and how the topics relate to an active practice or health care operation.

I found the Dictionary of Health Insurance And Managed Care to be very well thought out and the terms are easy to understand.

When you receive raw information from a reference resource such as the Federal Register or other reference resources everyone does not easily decipher the information contained. Having this type of reference book will greatly enhance the readers ability to not only understand the terms and meanings but how to apply them in a active day to day operation of medical practice.

I would highly recommend the Dictionary of Health Insurance And Managed Care to everyone who has chosen a career in any health care discipline.

Christy S. Lodwick, MHA
PhD Candidate
Health Care Administration & Policy
Rushmore University
President/Business Development
IMPACT Health Care Solutions
Columbus, Ohio

5.0 out of 5 stars From the Foreword, February 8, 2006

By	Dr. Krieger - See all my reviews

Why do we need the Dictionary of Health Insurance and Managed Care, and, why do payers, providers, benefits managers, consultants, and consumers need a credible and unbiased source of explanations for their health insurance needs and managed care products?

The answer is clear!

Health care is the most rapidly changing domestic industry. The revolution occurring in health insurance and managed care delivery is particularly fast. Some might even suggest these machinations were malignant, as many industry segments, professionals, and patients suffer because of them. And so, because knowledge is power in times of great flux, codified information protects all people from physical, as well as economic harm.

For example, federal government forecasts reveal that total expenditures on health services will surpass $2 trillion in 2007, and account for 17% of the gross domestic product. As a country, Americans spend dramatically more total dollars on health care, and more as a percentage of the economy, than they did two decades ago. Along with these growing expenditures, the government is assuming greater control. Currently, almost 50% of health care costs are under federal or state mandates through Medicare and Medicaid entitlement programs. The recent prescription drug program and implementation of the Health Insurance Portability and Accountability Act adds more confusion for medical providers and facilities, insurance agents, health plans, and patients. This tumult occurred so rapidly that Americans can no longer assume operative definitional stability. The resulting chaos is as expected.

Fortunately, the Dictionary of Health Insurance and Managed Care provides desperately needed nomenclature stability to health insurance policy issues and managed care procedural concerns. With almost 10,000 definitions, abbreviations, acronyms, and references, the Dictionary is the most comprehensive and authoritarian compendium of its kind, to date.

Health care economist Dr. David Edward Marcinko, MBA, and his colleagues at the Institute of Medical Business Advisors, Inc., should be complimented for conceiving and completing this laudable project. The Dictionary of Health Insurance and Managed Care lifts the fog of confusion surrounding the most contentious topic in the health care industrial complex today. My suggestion, therefore, is to "read it, refer to it, recommend it, and reap."

Michael J. Stahl, PhD
Director, Physician Executive MBA Program
William B. Stokely Distinguished Professor of Business
College of Business Administration
The University of Tennessee