From Book News, Inc.
Intended to guide students through the seemingly impenetrable rules involved in today's managed health care system, this text is arranged into six sections: an introduction to the history and managed health care and various plans; an overview of the basic provider sectors and how managed health care works within them; how actually manages health care; the nonmedical operations of a health plan; Medicare and Medicaid; and legal and regulatory issues. Includes chapter-end learning objectives, a glossary, acronyms, and study questions. A study guide providing a chapter-by-chapter summary may be purchased separately.
Copyright © 2004 Book News, Inc., Portland, OR
--This text refers to an out of print or unavailable edition of this title.
Book Description
The fourth edition of this popular textbook provides the basic information needed to learn critical concepts of managed care. Derived from the best-selling Managed Health Care Handbook, Fourth Edition, this text presents basic information on all the critical concepts of managed care; compares myths about managed care to actual facts; progresses from introductory material on the types of managed care organizations to negotiating and contracting, controlling utilization, and using data reports in medical management; illuminates the regulatory landscape, with careful attention to both federal and state law, as well as the legislative environment. Learning objectives open each chapter; useful tables and charts summarize key information at a glance; study questions encourage thoughtful analysis; includes a glossary of terms and common acronyms. Also includes Study Guide.
--This text refers to an out of print or unavailable edition of this title.
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