Managed


Book Description

It started off as a battle of wits. Me: the ordinary girl with a big mouth against Him: the sexy bastard with a big...ego. I thought I’d hit the jackpot when I was upgraded to first class on my flight to London. That is until HE sat next to me. Gabriel Scott: handsome as sin, cold as ice. Nothing and no one gets to him. Ever. He’s a legend in his own right, the manager of the biggest rock band in the world, and an arrogant ass who looks down his nose at me. I thought I’d give him hell for one, long flight. I didn’t expect to like him. I didn’t expect to want him. But the biggest surprise? He wants me too. Only in a way I didn’t see coming. If I accept his proposal,I leave myself open to falling for the one man I can’t manage. But I’m tempted to say yes. Because the real man beneath those perfect suits and that cool façade just might be the best thing that’s ever happened to me. And I just might be the only one who can melt the ice around his heart. Let the battle begin…




Managing the Risks of Managed Care


Book Description

The dominance of managed care is spreading quickly and risk managers are suddenly faced with major new challenges. With Managing the Risks of Managed Care, the risk manager will learn about risk management challenges in an integrated delivery system. The book also presents expert analysis on issues like contracting, peer review, ethical dilemmas, antitrust and more.




Essentials of Managed Health Care


Book Description




Three Realms of Managed Care


Book Description

Glaser and Hamel offer readers an opportunity to step back from the ethical issues connected with modern health care and reflect on what we are doing, how we are doing it, and what impact our actions (and omissions) are having on the common good. While offering a new ethical paradigm that takes into account the three realms of ethical complexity (societal issues, institutional issues, and individual issues), this book offers articles for reflection and self-examination on various aspects of managed care, taking into account specific issues such as rationing, financial incentives, and full disclosure.




Managed Care Pharmacy Practice


Book Description

Written from a practical perspective, Managed Care Pharmacy Practice takes the reader through the issues critical to development and operation of a managed care pharmacy program. The reader will gain new insights into how managed care has altered the delivery of pharmacy services, as well as into the evolving role of pharmacists.Managed Care Pharmacy Practice explains the fundamentals of developing and operating a successful managed care pharmacy benefit, and also supplies insightful guidance on professional careers in the field. This text takes a sequential approach to history, background, program components, program development, operations, and performance measurement, with 25 chapters arranged in three main sections.




Health Insurance and Managed Care


Book Description

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.







Self Managed Superannuation Funds


Book Description

RE: Self Managed Superannuation Funds: A Survival Guide Self managed superannuation funds (SMSFs) are the fastestgrowing sector of the superannuation industry. It’s no wonder, given the almost unlimited investment options available with SMSFs — including investing in property, unlisted managed funds and collectables. So, is it time you joined the increasing number of Australians taking control of their fi nancial future with an SMSF? Self Managed Superannuation Funds: A Survival Guide will help you manage one of the most important fi nancial assets you’ll ever own. Topics covered include: determining if an SMSF is for you selecting your own investments setting up your super fund managing the paperwork understanding trustees’ duties complying with legislation implementing tax-saving strategies.




The Ethics of Managed Care: Professional Integrity and Patient Rights


Book Description

This collection provides a philosophical and historical analysis of the development and current situation of managed care. It discusses the relationship between physician professionalism and patient rights to affordable, high quality care. Its special feature is its depth of analysis as the philosophical, social, and economic issues of managed care are developed. It will be of interest to educated readers in their role as patients and to all levels of medical and health care professionals.




Managed Competition and Pharmaceutical Care


Book Description

As the debate on health care delivery systems in the U.S. continues, the pharmaceutical industry and pharmaceutical care delivery system may well be faced with making significant changes if new drug regulations are enacted. Because there is little discussion on the effects of managed competition on the pharmaceutical care delivery system and the education of pharmacists, those involved in providing pharmaceutical care must arm themselves with the background information and ideas explored in Managed Competition and Pharmaceutical Care. The contributors to this vital sourcebook address these key questions: What are the major components of a managed competition system? What challenges will industry and the pharmaceutical care delivery system face? How should the industry re-engineer--using systems management as opposed to components management--to meet the needs of an evolving health care system? What actions should pharmaceutical companies take to survive difficult days in the future? Why and how should pharmacists move from dispensing drugs to providing total pharmaceutical care? What do employers want for their prescription benefit dollars? How have past and present initiatives to control drug pricing affected the pharmaceutical marketplace? Why is regulating prices not a satisfactory solution to containing health care costs? What criteria are used to determine whether to include a drug in a managed care formulary? How can community pharmacists compete in the marketplace, regardless of which health care system emerges? What is the future likely to bring and how can pharmacists prepare for that future? Managed Competition and Pharmaceutical Care assists those involved in the pharmaceutical care delivery system to prepare for and embrace new, or at the least, drastically changed health care delivery in the coming years.