Understanding Managed Care


Book Description

A unique series of cases based on a fictional family selecting and using a health plan is presented and a glossary is provided which defines basic concepts frequently encountered in the managed care field.




Essentials of Managed Health Care


Book Description




Managing Managed Care


Book Description

Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.




Understanding Managed Care


Book Description




The Complete Idiot's Guide to Managed Health Care


Book Description

Managed health care is one of the most confusing areas any consumer can deal with. Rules and regulations are constantly changing, providers are always merging and changing their offerings, and paperwork abounds. In easy-to-understand language, this book explains how to understand options, how to get treatment for chronic and long-term illnesses, how to get the most care for the least cost, and more.




Managed Care


Book Description




Managed Care


Book Description

The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.




The Nurse's Guide to Managed Care


Book Description

An essential reference for nursing students in developing and implementing the competencies necessary in caring for critically ill patients! Synergy for Clinical Excellence: The AACN Synergy Model for Patient Care enhances the understanding of The Synergy Model in practice. Based on a decade of work by the American Association of Critical-Care Nurses, the text encompasses the history and development of the nurse and patient characteristic inherent in The Synergy Model, and then thoroughly addresses each characteristic individually and applies the model in practice. Includes sample test questions relevant to the model that will assist nursing students in preparing for certification through AACN, and provide further examples of the integration of the Synergy Model in practice.







Understanding Medical Surgical Nursing


Book Description

Here’s everything you need to know to care for adult medical-surgical patients and pass the NCLEX-PN®. Easy-to-understand guidance helps you confidently grasp the principles, concepts, and skills essential for practice.