Managed Care on Trial (Hfma Healthcare Financial Management Series) [Hardcover]

Dennis A. Robbins (Author), Dinnis Robbins (Author), Mark O. Hiepler (Foreword)

Book Description

Series: Hfma Healthcare Financial Management Series | Publication Date: January 1998

Although managed care affects over 100 million Americans and continues to extend its reach across this country, its successes are often overshadowed by a deterioration of consumer confidence, as evidenced by the literally thousands of legislative and regulatory initiatives aimed at taming managed care. Managed Care on Trial explores the ethical and legal issues that arise from managed care and offers a for the eroding confidence in the system by resorting trust, integrity and accountability. Managed Care on Trial seeks to arm the physician and other healthcare providers with knowledge that will better enable them to bridge the gap between fiscal mandates and clinical stamina, and to negotiate with payors as active partners rather than passive recipients in dealing with the challenges of marketplace demands. It is also oriented as a guide for consumers seeking better ways of addressing and solving the problems pose by the rapid transformation of the healthcare system. Included in the book are reviews of some of the most dramatic legal cases involving managed care.

Product Details

• Hardcover: 270 pages
• Publisher: McGraw-Hill Companies; 1 edition (January 1998)
• Language: English
• ISBN-10: 0070530998
• ISBN-13: 978-0070530997
• Product Dimensions: 9.3 x 6.3 x 1 inches
• Shipping Weight: 1.3 pounds (View shipping rates and policies)
• Average Customer Review: 3.5 out of 5 stars  See all reviews (2 customer reviews)
• Amazon Best Sellers Rank: #4,686,628 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews

1 of 1 people found the following review helpful:

5.0 out of 5 stars Captivating, Empowering, Pulls no punches!, July 6, 1998

By A Customer

This review is from: Managed Care on Trial (Hfma Healthcare Financial Management Series) (Hardcover)

This book unpacks many of the hidden agendas in managed care and provides useful and practical advice to the reader on how to better understand and navigate the turbulent waters of managed care. This book is written by a well-known health systems advisor and leader,keynote speaker and expert witness with over 20 years experience in the field coupled with a dynamic foreward and introduction by Mark Hiepler often called the "Rainmaker" or "89 million dollar man" because of his record breaking 89.3 million dollar jury verdict against a large managed care. organization and involved in over 150 cases representing patients and physicians in diverse managed care scenarios. Learn the intricacies of why you have such difficulty getting a referral, how to challenge a denial of care determination,and even how to find the right attorney, if needed. Managed Care on Trial also explains how financial incentives can induce your physician to delay or undertreat and what you can do in such circumstances, Discussion of the key elements of the 1200 legislative and regulatory initiativies to tame managed care last year are highlighted, including helpful guidance and cutting edge information to assist you. State of the art information has been collected from such organizations as the AMA, prominent national trial attorneys and key figures in American Health Care. The book has been reviewed by national figures who say that the "insightful and incisive analyses of emerging controversies and challenges in mananged care are unparalled and offered in a refreshing and captivating style which transforms complicated issues into useful information for the consumer" Jeanne Boling MSN, CCRN,CDMS, CCM Exec Director Case Management Society of America. Another reviewer indicates that "not only does the book deliciously entertain but also offers uselful tactics as well. The book is not only informative but is enjoyable as a courtroom thriller. Indeed in his final chapter Dr. Robbins puts ! managed care on trial brilliantly and provocatively"... Jacek Franaschek M.D. FACEP Past President American College of Emergency Physicians. Philip Corboy, former president of the American Trial Attorneys Assn indicates that "readers as diverse as a lawyer planning to depose the CEO of an HMO or a patient seeking assistance in comparing providers will finds this book a well reasoned resource". Mark Hiepler writes that " if HMOs read and put into action Robbins practical ideas, patients will bypass the courtroom and go directly to the operating room. The patients who value their lives, the doctors who value their practices, and the HMOs that value their bottom lines can all learn life saving as well as cost saving principles by reading Managed Care on Trial".

1 of 2 people found the following review helpful:

2.0 out of 5 stars Rambling, Poorly written., April 9, 1999

By A Customer

This review is from: Managed Care on Trial (Hfma Healthcare Financial Management Series) (Hardcover)

It's true that managed care is on trial--literally and figuratively. But this rambling, disjointed, and wholly incoherent book offers little to justify its publication. Do not take my word for it. Go to the library and pick it up. Open it and read ... you will be shocked that it is for sale at any price.