The Physician Leader's Guide


Book Description

The Physicians Leader's Guide, Second Edition was updated and expanded to help you and your staff define your challenges, organize your expa nding responsibilities and take your performance to new levels. Edited by Richard Burton MD, MBA, PhD, this time-saving resource includes 15 additional, all-new, skill-building chapters, to help you excel in yo ur leadership role. From developing effective negotiation skills as a physician...to handling information systems in clinical practice...to using medical practice guidelines and evidence-based medicine to impro ve care.. you'll see how your colleagues in the healthcare industry ma stered the very same challenges you face, and how you can do it too!




Evaluating Capitation Payments


Book Description




The Primary Care Provider's Guide to Compensation and Quality


Book Description

This book links quality and reimbursement issues, using a systems approach that clinicians may incorporate into their practice. Updated to provide practical advice for primary care providers (PCPs) about major trends that have emerged over the past five years, such as growing patient enrollment in managed care health plans, performance evaluation of PCPs by outside agencies, and the dramatic increase in billing being audited.Includes a free CD-ROM with customizable forms and checklists.




A Guide to Managed Care Medicine


Book Description

Provides physicians, administrators, and other health professionals with information on managed care, from its history, forms and practices to detailed information on managed care contracting, physician compensation, monitoring, reporting, management, risk, productivity, and accountability. Annotati




A Case Manager's Study Guide


Book Description

This is the most comprehensive print and electronic combination study guide case management certification! It contains the most up-to-date information, assures a uniform base knowledge for the successful case manager, and provides: study questions and practice exams to help you assess your skills and needs.




The Capitation Sourcebook


Book Description

Here's a challenge to conventional wisdom that will change the way you think about capitation. This hands-on resource is a collection of articles detailing the most advanced methods used by leading healthcare operational experts on how to provide high-quality care at less cost; manage financial risk more efficiently; design operational, clinical and information systems to meet the needs of patients, practitioners and managed care organizations; structure financial incentives to promote successful collaborations and make the transition from fee-for-service to risk-sharing arrangements. You'll find practical examples of how to build the trust necessary to create win-win solutions to problems that arise between competing yet interdependent interests of the various stakeholders. Edited by Peter Boland, PhD, and based on a "best practices" approach, each of the articles in the book illustrate compensation methodologies that have been successfully implemented with the support of physicians and hospitals.







Capitation


Book Description

Capitation is defined as "a type of risk sharing reimbursement method whereby providers in a plan's network receive fixed periodic payments for health services rendered to plan members". This definition doesn't necessarily mean that hospitals need to lose money. This book provides the tools and techniques for minimizing the financial risk that is associated with this process while maintaining the bottom line.




Managing Managed Care in the Medical Practice


Book Description

This practical volume offers expert guidance on understanding, assessing, and evaluating managed care arrangements. It creates a solid foundation for making smart decisions about the business side of medicine, and offers practical, useful information about all aspects of managed care including capitation, ethics, marketing, managed care contracts, and more. One of ten publications in the AMA's popular Practice Success series.




Making Managed Healthcare Work


Book Description

Making Managed Healthcare Work is your comprehensive guide to developing and implementing a new strategic approach to managed care that's practical, performance-based, and results-oriented. Learn how to prepare for, identify, pursue, negotiate and implement a new type of managed care arrangement that can accomplish the objective of delivering quality care at competitive prices.