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008			111026s2013 maua b 001 0 eng d
010			_a 2011044614
011			_aBIB MATCHES WORLDCAT
020			_a1449653316
020			_a9781449653316
020			_a1449604641 _qpbk.
020			_a9781449604646 _qpbk.
035			_a(ATU)b12739996
035			_a(OCoLC)759084209
040			_aDLC _beng _erda _cDLC _dNLM _dCGU _dEFM _dBTCTA _dYDXCP _dVET _dCDX _dCLU _dATU
042			_apcc
050	0	0	_aRA413 _b.E87 2013
082	0	0	_a362.104258 _223
245	0	0	_aEssentials of managed health care / _c[edited by] Peter R. Kongstvedt.
250			_aSixth edition.
264		1	_aBurlington, Mass. : _bJones and Bartlett Learning, _c[2013]
264		4	_c©2013
300			_axxv, 688 pages : _billustrations ; _c28 cm
336			_atext _btxt _2rdacontent
337			_aunmediated _bn _2rdamedia
338			_avolume _bnc _2rdacarrier
500			_aRevised edition of: The managed health care handbook. 4th ed. 2001. Also revised edition of: Essentials of managed health care. 4th ed. 2001.
504			_aIncludes bibliographical references and index.
505	0		_aA 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.
588			_aMachine converted from AACR2 source record.
650		0	_aManaged care plans (Medical care) _xManagement _9708521
650		2	_aManaged Care Programs _xorganization & administration _9360915
700	1		_aKongstvedt, Peter R. _q(Peter Reid) _eeditor. _9506722
730	0		_aManaged health care handbook.
907			_a.b12739996 _b11-07-17 _c28-10-15
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999			_c1243435 _d1243435