Essentials of managed health care / [edited by] Peter R. Kongstvedt.
Material type: TextPublisher: Burlington, Mass. : Jones and Bartlett Learning, [2013]Copyright date: ©2013Edition: Sixth editionDescription: xxv, 688 pages : illustrations ; 28 cmContent type:- text
- unmediated
- volume
- 1449653316
- 9781449653316
- 1449604641
- 9781449604646
- Managed health care handbook.
- 362.104258 23
- RA413 .E87 2013
Item type | Current library | Call number | Copy number | Status | Date due | Barcode | |
---|---|---|---|---|---|---|---|
Book | North Campus North Campus Main Collection | 362.104258 ESS (Browse shelf(Opens below)) | 1 | Available | A517899B |
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Revised edition of: The managed health care handbook. 4th ed. 2001. Also revised edition of: Essentials of managed health care. 4th ed. 2001.
Includes bibliographical references and index.
A history of managed health care and health insurance in the United States / Peter D. Fox and Peter R. Kongstvedt -- Types of health insurers, managed health care organizations, and integrated health care delivery systems / Eric R. Wagner and Peter R. Kongstvedt -- Elements of the management and governance structure / Peter R. Kongstvedt -- The provider network / Peter R. Kongstvedt -- Provider payment / Peter R. Kongstvedt -- Legal issues in provider contracting / Mark S. Joffe and Kelli D. Back -- Basic utilization and case management / Peter R. Kongstvedt -- Fundamentals and core competencies of disease management / David W. Plocher -- Physician practice behavior and managed health care / Jay Want and Peter R. Kongstvedt -- Data analysis and provider profiling in health plans / David W. Plocher and Nancy Garrett -- Prescription drug benefits in managed care / Robert P Navarro, Craig S. Stern, and Rusty Hailey -- Introduction to managed behavioral health care organizations / Joanna Albright [and others] -- Disease prevention in managed health care plans / Marc Manely -- Quality management in managed health care / Pamela B. Siren -- Accreditation and performance measurement programs in managed health care / Margaret E. O'Kane -- Marketing and sales / Richard Birhanzel -- Enrollment and billing / Karl V. Kovacs, Scott McDaniel, and Peter R. Kongstvedt -- Claims and benefits administration / Donald L. Fowler, Jr. and Elizabeth A. Pascuzzi -- Health care fraud and abuse / Christie A. Moon -- Member service / Kevin Knarr and Peter R. Kongstvedt -- Operational finance and budgeting / Dale F. Cook and Christopher R. Campbell -- Underwriting and rating / Michael G. Strum and Troy M Filipek -- Information systems and electronic data interchange in managed health care / James S. Slubowski -- Health plans and Medicare / John K. Gorman [and others] -- Medicaid managed health care -- Rodney C. Armstead, Catherine K. Anderson, and Elizabeth Cabot Nash -- The military managed care health system / M. Nicholas Coppola [and others] -- Managed care in global context / Johnathan P. Weiner [and others] -- State regulation of managed health care / Tom Wilder -- Federal regulation of health insurance and managed health care / Tom Wilder -- The Patient Protection and Affordable Care Act / Tom Wilder.
Machine converted from AACR2 source record.
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