Author : Jill Brown
Publisher : Elsevier Health Sciences
Page : 554 pages
File Size : 50,89 MB
Release : 2013-08-02
Category : Medical
ISBN : 0323277012
- Features completely updated information that reflects the many changes in the insurance industry. - Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. - Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
Author : Frank Lalli
Publisher : Simon and Schuster
Page : 352 pages
File Size : 28,25 MB
Release : 2016-09-20
Category : Health & Fitness
ISBN : 1501132903
Inspired by his viral New York Times article, prize-winning investigative journalist Frank Lalli details how he mastered the ins and outs of health care—and how you, too, can get the best care for your money. Frank Lalli, the former editor of Money and George magazines, has devoted his career to getting to the bottom of a good story. When he was diagnosed with Multiple Myeloma, a rare but potentially deadly blood cancer, he put his reporter’s instincts to work and got the wonder drug he needed at an affordable price—thousands of dollars less than he was told he would have to spend. Amazed by the complex and arbitrary nature of the health care system, he decided to share what he has learned as his own Health Care Detective so that others can find their best care and save money, too. Based on three years of research and more than 300 first-hand interviews with experts, Your Best Health Care Now is your easy-to-follow, real-world guide to making today’s health system work for you. You’ll learn all the smart moves and timely tips to get better care and save hundreds, if not thousands, of dollars—no matter what your concerns may be. Whether you’re trying to book a free check-up or negotiate with a surgeon, looking for an effective generic drug or the best price for a brand-name, or worrying about high insurance deductibles and rising premiums or a stack of surprise bills, Your Best Health Care Now has the answers you need to take charge of your wellbeing.
Author : Maura Loughlin Carley
Publisher : Ampersand, Incorporated
Page : 207 pages
File Size : 34,56 MB
Release : 2012
Category : Health insurance
ISBN : 9781450795913
In this volatile time, healthcare coverage has become entirely too complex and expensive. Understanding the issues is more important than ever. Lack of good health coverage protection can be financially and emotionally devastating. This book will help you avoid costly traps and gaps.
Author : Bisys Educational Services
Publisher : Pearson Education
Page : 605 pages
File Size : 14,69 MB
Release : 2004
Category : Business & Economics
ISBN : 0789732602
If you are studying for your life and health insurance licensing exam, we have the ultimate study tool for you. Life and Health Insurance License Exam Cram is a great resource to help you learn the concepts, laws, rate calculations and state and federal regulations that will be covered on the exam. You'll also receive a CD that includes a fully-customizable test engine, detailed score report and state-specific law supplement. No matter where you are taking your exam or which area you need to focus on during your studying, Life and Health Insurance License Exam Cram is your smartest way to get certified. Please note The CD-ROM and test engine is NOT Mac iOS compatible.
Author : Thomas G. McGuire
Publisher : Academic Press
Page : 659 pages
File Size : 43,2 MB
Release : 2018-08-06
Category : Business & Economics
ISBN : 012811326X
Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment. - Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection - Brings together international experience from many different countries that apply regulated competition in different ways - Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness
Author : Institute of Medicine
Publisher : National Academies Press
Page : 296 pages
File Size : 36,2 MB
Release : 2002-09-18
Category : Medical
ISBN : 0309169054
Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 355 pages
File Size : 47,72 MB
Release : 2019-02-14
Category : Medical
ISBN : 128415209X
Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Author : Thomas Rice
Publisher : Elsevier
Page : 366 pages
File Size : 26,25 MB
Release : 2021-05-10
Category : Business & Economics
ISBN : 0128160721
Health Insurance Systems: An International Comparison offers united and synthesized information currently available only in scattered locations - if at all - to students, researchers, and policymakers. The book provides helpful contexts, so people worldwide can understand various healthcare systems. By using it as a guide to the mechanics of different healthcare systems, readers can examine existing systems as frameworks for developing their own. Case examples of countries adopting insurance characteristics from other countries enhance the critical insights offered in the book. If more information about health insurance alternatives can lead to better decisions, this guide can provide an essential service. Delivers fundamental insights into the different ways that countries organize their health insurance systems Presents ten prominent health insurance systems in one book, facilitating comparisons and contrasts, to help draw policy lessons Countries included are Australia, Canada, France, Germany, Japan, the Netherlands, Sweden, Switzerland, the United Kingdom, and the United States Helps students, researchers, and policymakers searching for innovative designs by providing cases describing what countries have learned from each other
Author : Diana J. Mason
Publisher : Elsevier Health Sciences
Page : 829 pages
File Size : 11,28 MB
Release : 2013-10-01
Category : Medical
ISBN : 0323244785
Featuring analysis of healthcare issues and first-person stories, Policy & Politics in Nursing and Health Care helps you develop skills in influencing policy in today’s changing health care environment. 145 expert contributors present a wide range of topics in policies and politics, providing a more complete background than can be found in any other policy textbook on the market. Discussions include the latest updates on conflict management, health economics, lobbying, the use of media, and working with communities for change. The revised reprint includes a new appendix with coverage of the new Affordable Care Act. With these insights and strategies, you’ll be prepared to play a leadership role in the four spheres in which nurses are politically active: the workplace, government, professional organizations, and the community. Up-to-date coverage on the Affordable Care Act in an Appendix new to the revised reprint. Comprehensive coverage of healthcare policies and politics provides a broader understanding of nursing leadership and political activism, as well as complex business and financial issues. Expert authors make up a virtual Nursing Who's Who in healthcare policy, sharing information and personal perspectives gained in the crafting of healthcare policy. Taking Action essays include personal accounts of how nurses have participated in politics and what they have accomplished. Winner of several American Journal of Nursing "Book of the Year" awards! A new Appendix on the Affordable Care Act, its implementation as of mid-2013, and the implications for nursing, is included in the revised reprint. 18 new chapters ensure that you have the most up-to-date information on policy and politics. The latest information and perspectives are provided by nursing leaders who influenced health care reform with the Patient Protection and Affordable Care Act of 2010.
Author : Alexander S. Preker
Publisher : World Bank Publications
Page : 894 pages
File Size : 37,19 MB
Release : 2013-05-31
Category : Business & Economics
ISBN : 0821385798
This book presents an in-depth review on the role of health care financing in improving access for low-income populations to needed care, protecting them from the impoverishing effects of illness, and addressing the important issues of social exclusion in government financed programs.
