The Medicare Handbook
Author :
Publisher :
Page : 44 pages
File Size : 20,99 MB
Release : 1988
Category : Health insurance
ISBN :
Author :
Publisher :
Page : 44 pages
File Size : 20,99 MB
Release : 1988
Category : Health insurance
ISBN :
Author : Institute of Medicine
Publisher : National Academies Press
Page : 384 pages
File Size : 25,41 MB
Release : 1996-11-01
Category : Medical
ISBN : 0309175364
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
Author : American Dental Association
Publisher : American Dental Association
Page : 60 pages
File Size : 49,65 MB
Release : 2017-05-24
Category : Medical
ISBN : 1941807712
Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.
Author : Peter R. Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 355 pages
File Size : 31,13 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 : United States. Social and Rehabilitation Service
Publisher :
Page : 460 pages
File Size : 12,44 MB
Release : 1975
Category : Medicaid
ISBN :
Author :
Publisher :
Page : 52 pages
File Size : 29,43 MB
Release :
Category : Health insurance
ISBN :
Author :
Publisher :
Page : 6 pages
File Size : 45,43 MB
Release : 1993
Category : Hospice care
ISBN :
Author : Institute of Medicine
Publisher : National Academies Press
Page : 394 pages
File Size : 33,94 MB
Release : 1997-04-21
Category : Medical
ISBN : 0309175054
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.
Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Learning
Page : 918 pages
File Size : 38,3 MB
Release : 2003
Category : Medical
ISBN : 9780763724962
Author : Medicare Payment Advisory Commission (U.S.)
Publisher :
Page : 184 pages
File Size : 17,98 MB
Release : 1998
Category : Hospitals
ISBN :