Essentials of Managed Health Care

Essentials of Managed Health Care
  • Author : Peter Reid Kongstvedt
  • Publisher : Jones & Bartlett Learning
  • Pages : 883
  • Relase : 2003
  • ISBN : 0763724963

Essentials of Managed Health Care Book Review:

Essentials of Managed Health Care

Essentials of Managed Health Care
  • Author : Peter R. Kongstvedt
  • Publisher : Jones & Bartlett Publishers
  • Pages : 694
  • Relase : 2012-04-03
  • ISBN : 9781449604646

Essentials of Managed Health Care Book Review:

Rev. ed. of: Essentials of managed health care / edited by Peter R. Kongstvedt. 5th ed. c2007.

Health Insurance and Managed Care

Health Insurance and Managed Care
  • Author : Peter R. Kongstvedt
  • Publisher : Jones & Bartlett Learning
  • Pages : 324
  • Relase : 2019-02-14
  • ISBN : 9781284152098

Health Insurance and Managed Care Book Review:

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.

Essentials of the US Health Care System

Essentials of the US Health Care System
  • Author : Leiyu Shi,Douglas A. Singh
  • Publisher : Jones & Bartlett Learning
  • Pages : 351
  • Relase : 2005
  • ISBN : 076373151X

Essentials of the US Health Care System Book Review:

This book is intended for all medical professionals including doctors, nurses, physician assistants, nurse practitioners, paramedics, and emergency medical technicians. This book will be especially useful for any physician assistant educational programs as well as for nurse practitioner programs.

Essentials of Health Care Finance

Essentials of Health Care Finance
  • Author : William O. Cleverley,Paula H. Song,James O. Cleverley
  • Publisher : Jones & Bartlett Learning
  • Pages : 575
  • Relase : 2010-10-22
  • ISBN : 9780763789299

Essentials of Health Care Finance Book Review:

Health Sciences & Professions

Essentials of Managed Health Care

Essentials of Managed Health Care
  • Author : Peter R Kongstvedt
  • Publisher :
  • Pages : 694
  • Relase : 2021-05-12
  • ISBN : 1284246698

Essentials of Managed Health Care Book Review:

As the most widely-used textbook on managed care, Essentials of Managed Health Care provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well. The Sixth Edition is a thorough revision that addresses the impact of HR 3590, the Patient Protection and Affordable Care Act, as well as other new laws such as the Genetic Information Non-disclosure Act (GINA).

The Managed Health Care Handbook

The Managed Health Care Handbook
  • Author : Peter R. Kongstvedt
  • Publisher : Aspen Pub
  • Pages :
  • Relase : 1997-01-01
  • ISBN : 083420861X

The Managed Health Care Handbook Book Review:

Considered the "bible" of the managed care industry, this third edition is greatly expanded with 30 new chapters and extensively updated to double file size of the last edition! The Managed Health Care Handbook is a key strategic an operational resource for use in planning and decision-making. It includes first-hand advice from experienced managers on how to succeed in every aspect of managed care: quality management, claims and benefits administration, managing patient demand, as well as risk management, subacute care, physician compensation and much more! This seminal resource is a must for providers, purchasers, and payers for everyone involved in the managed care industry.

Managed Care Pharmacy Practice

Managed Care Pharmacy Practice
  • Author : Robert P. Navarro
  • Publisher : Jones & Bartlett Publishers
  • Pages : 633
  • Relase : 2009-10-01
  • ISBN : 9780763788834

Managed Care Pharmacy Practice Book Review:

Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, as well as the evolving role of pharmacists.

Essentials of Managed Health Care

Essentials of Managed Health Care
  • Author : Peter Reid Kongstvedt
  • Publisher : Jones & Bartlett Learning
  • Pages : 874
  • Relase : 2007
  • ISBN : 0763739839

Essentials of Managed Health Care Book Review:

Managed Care

Essentials of Health Care Marketing

Essentials of Health Care Marketing
  • Author : Eric N. Berkowitz
  • Publisher : Jones & Bartlett Publishers
  • Pages : 525
  • Relase : 2016-08-15
  • ISBN : 9781284094312

Essentials of Health Care Marketing Book Review:

Essentials of Health Care Marketing, Fourth Edition will provide your students with a foundational knowledge of the principles of marketing and their particular application in health care. Moreover, the text offers a perspective on how these principles must shift in response to the changing environmental forces that are unique to this market.

Hospitals & Health Care Organizations

Hospitals & Health Care Organizations
  • Author : David Edward Marcinko,Hope Rachel Hetico
  • Publisher : CRC Press
  • Pages : 413
  • Relase : 2012-07-06
  • ISBN : 9781439879900

Hospitals & Health Care Organizations Book Review:

Drawing on the expertise of decision-making professionals, leaders, and managers in health care organizations, Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies addresses decreasing revenues, increasing costs, and growing consumer expectations in today’s increasingly competitive health care market. Offering practical experience and applied operating vision, the authors integrate Lean managerial applications, and regulatory perspectives with real-world case studies, models, reports, charts, tables, diagrams, and sample contracts. The result is an integration of post PP-ACA market competition insight with Lean management and operational strategies vital to all health care administrators, comptrollers, and physician executives. The text is divided into three sections: Managerial Fundamentals Policy and Procedures Strategies and Execution Using an engaging style, the book is filled with authoritative guidance, practical health care–centered discussions, templates, checklists, and clinical examples to provide you with the tools to build a clinically efficient system. Its wide-ranging coverage includes hard-to-find topics such as hospital inventory management, capital formation, and revenue cycle enhancement. Health care leadership, governance, and compliance practices like OSHA, HIPAA, Sarbanes–Oxley, and emerging ACO model policies are included. Health 2.0 information technologies, EMRs, CPOEs, and social media collaboration are also covered, as are 5S, Six Sigma, and other logistical enhancing flow-through principles. The result is a must-have, "how-to" book for all industry participants.

Legal and Ethical Essentials of Health Care Administration

Legal and Ethical Essentials of Health Care Administration
  • Author : George D. Pozgar
  • Publisher : Jones & Bartlett Learning
  • Pages : 430
  • Relase : 2020-03-11
  • ISBN : 9781284172560

Legal and Ethical Essentials of Health Care Administration Book Review:

Legal and Ethical Essentials of Health Care Administration, Second Edition is the ideal text for courses that combine a study of both the legal and ethical aspects of healthcare administration. Derived from George Pozgar’s best-selling textbook, Legal Aspects of Health Care Administration, Thirteenth Edition, this more concise text provides the reader with the necessary knowledge to become conversant with both legal and ethical issues pertinent to the healthcare profession. Using reader-friendly language, the book presents actual court cases, state and federal statues, and common-law principles to help the student understand the practical application of the concepts learned. The author includes a broad discussion of the legal system, including the sources of law and government organization as well as basic reviews of tort law, criminal issues, contracts, civil procedure and trial practice, and a wide range of real-life legal and ethical dilemmas.

Essentials of Management for Healthcare Professionals

Essentials of Management for Healthcare Professionals
  • Author : Hari Singh
  • Publisher : Taylor & Francis
  • Pages : 283
  • Relase : 2017-12-15
  • ISBN : 9781351582391

Essentials of Management for Healthcare Professionals Book Review:

Medical care is an industry and private providers and hospitals are the major service providers. They operate on business principles. Hospitals are getting highly specialized and complex. The diagnostics and therapeutics are technology intensive. Private establishments have to compete with one another to remain in business. They strive to induct the best talent and latest technical know-how, resulting in ever-increasing costs to patients. Patients, who pay high charges, demand quality as a matter of right. To meet the challenge, hospitals are constrained to bring in professionalism in their systems and services. They appoint qualified professional managers to manage their clinics and hospitals with a view to sparing health professionals to focus on clinical care. Whether right or wrong, ‘management’ is often associated with authority and power. As a result, the medical professionals are reduced to secondary level in some organizations. To retain commanding positions in medical organizations, it has become necessary for the healthcare professionals to learn ‘management’, at least its basics. On the other hand, non-medical managers while managing healthcare services do not get the required cooperation from the medical professionals, as the latter are often secretive and not willing to share medical knowledge. If medical knowledge is demystified, non-medical managers can perform many functions in healthcare organizations proficiently. Both medical and non-medical managers can complement each other in providing quality healthcare services. The book aims to orient clinicians (including physicians and nurses) and other healthcare professionals on the essentials of business management and to familiarize them with management terms and jargon. They can learn to be effective managers besides being health professionals. Similarly, non- medical managers can get familiarized to nuances of clinical care and special managerial requirements of healthcare facilities. They all will be able to relate processes in healthcare settings with the concepts of business management. They can develop expertise on patient relationship management

Healthcare Risk Adjustment and Predictive Modeling

Healthcare Risk Adjustment and Predictive Modeling
  • Author : Ian G. Duncan
  • Publisher : ACTEX Publications
  • Pages : 338
  • Relase : 2011
  • ISBN : 9781566987691

Healthcare Risk Adjustment and Predictive Modeling Book Review:

This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track. Healthcare Risk Adjustment and Predictive Modeling provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.

Career Opportunities in Health Care Management

Career Opportunities in Health Care Management
  • Author : Sharon Buchbinder,Jon Thompson
  • Publisher : Jones & Bartlett Learning
  • Pages : 252
  • Relase : 2010-10-22
  • ISBN : 9780763759643

Career Opportunities in Health Care Management Book Review:

Career Opportunities in Healthcare Management is a concise, reader-friendly, introductory healthcare management book that covers a wide variety of career opportunities in a broad range of direct healthcare settings--such as hospitals, physician practices, nursing homes, and clinics--and non-direct health care settings, such as associations, managed care and health insurance companies, consulting firms, and medical supplier firms. Filled with first person accounts from health care managers working in the field, these profiles will engage the reader’s imagination, inform them of key issues associated with these important roles, as well as what makes these health care managers happy and eager to go to work in the morning. Beginning with an individualized 'Health Care Management Talent Quotient Quiz' and ending with a guide to finding a job in healthcare management, this hands on student-friendly and teacher-friendly text is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health. Features: • The experienced authors use an active voice to grab the reader’s attention. • An individualized Health Care Management Talent Quotient Quiz to assess each student’s baseline aptitude and identify skills gaps that need to be addressed. • Over forty lively, first person profiles of health care managers working in the field covering everything from educational background and how they first became aware of health care management, through advice to future health care managers. • Detailed appendices that include: resources for learning more about health care management; sample programs of study; job hunting advice; frequently used terms in advertisements, sample position descriptions, do’s and don’ts of interviewing, and a sample cover letter and resume.

Essentials of Kumar and Clark's Clinical Medicine E-Book

Essentials of Kumar and Clark's Clinical Medicine E-Book
  • Author : Anne Ballinger
  • Publisher : Elsevier Health Sciences
  • Pages : 992
  • Relase : 2011-09-29
  • ISBN : 9780702050145

Essentials of Kumar and Clark's Clinical Medicine E-Book Book Review:

Mini Kumar & Clark goes into its fifth edition! New to this best-selling, portable, quick reference to clinical medicine: Fully updated in line with the latest edition of Kumar & Clark’s Clinical Medicine New chapter on malignant disease Practical procedures and therapeutics taken into individual chapters as appropriate. From reviews of the previous edition: ‘This really is an excellent medical textbook ... Easily covers undergraduate medicine.’ ‘Pocket Essentials is a great little book to review the night before you start on a rotation. It is small enough that you can easily read over the chapter and then appear on the ward with a good idea of what is going on.’ ‘In short this book is concise, succinct and gets straight to the point.’ ‘This book summarises everything you need to know: causes, diagnoses and treatments.’ ‘I am finding this book very helpful and more importantly very concise. It has most things you need to know about common clinical pathologies.’ ‘... I turned to Pocket Essentials of Clinical Medicine as my clinical medicine reference guide – and what a guide! An excellent book, which gives you the clinical features, investigations and management for a whole variety of different illnesses. The book is clearly laid out, and even has normal blood chemistry values at the end. Do yourself a favour and buy this book!’ ‘This mini paperback is a must for anyone studying medicine. It gives all the information one would need and all without the pain of carrying around a large book.’ ‘I liked this book ... it was useful having a smaller reference book ... to carry around on wards etc. – it's more digestible and easier to follow than big K&C, and gives a little more background than the Oxford Handbook – and I know people who use it to revise for finals.’

The Accidental System

The Accidental System
  • Author : Michael D Reagan
  • Publisher : Routledge
  • Pages : 192
  • Relase : 2018-03-09
  • ISBN : 9780429976513

The Accidental System Book Review:

With the demise of the Clinton health care reform plan, the debate on health care changed but did not subside. From opinion pieces in newspapers to dinner-table conversations, the debate over whether the right to quality health care is a public right, akin to educating our children, or whether it is a private one, akin to life insurance, continues. In The Accidental System Michael Reagan shows that in the American political context, health care is neither exclusively a public right nor a private privilege. This insightful policy study provides students with an excellent demonstration of how public policy intersects with private markets.

A Study Guide to Essentials of Managed Health Care

A Study Guide to Essentials of Managed Health Care
  • Author : Peter Reid Kongstvedt
  • Publisher : Jones & Bartlett Learning
  • Pages : 85
  • Relase : 2003
  • ISBN : 076372534X

A Study Guide to Essentials of Managed Health Care Book Review:

Who Killed HealthCare?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure

Who Killed HealthCare?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure
  • Author : Regina Herzlinger
  • Publisher : McGraw Hill Professional
  • Pages : 240
  • Relase : 2007-04-17
  • ISBN : 9780071509886

Who Killed HealthCare?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure Book Review:

A renowned authority from Harvard Business School confronts America's health care crisis-and how consumer control can fix it PRAISE FOR WHO KILLED HEALTHCARE? “A brilliant analysis... A must-read.” – Bill George, Professor, Harvard Business School and Former CEO of Medtronic “As it becomes more and more obvious to everyone that our current health care system is unsustainable, this is the book that had to be written.” – Daniel H. Johnson, Jr. MD, former president of the American Medical Association “Regina Herzlinger’s ideas to tackle the crisis of the U.S. health care system are based on keen knowledge of the system’s existing difficulties along with insights that introduce the reader to new streamlined choices that have the potential of getting both quantity and cost under control.” – Joseph Kennedy, founder, chairman, and president, Citizens Energy Corporation, CEO, Citizens Health Care, former representative (D-Mass) “Regina Herzlinger... offers a vision of the way things can be, should be, and will be sooner or later. The only question is: how long do we have to wait?” – Greg Scandlen, founder, Consumers for Health Choices “Regi Herzlinger has brilliantly articulated a better way – embracing the principles of competition and innovation that cause every other sector of our economy to thrive. Discharging American health care from the ICU can only happen by putting individual Americans – not politicians and bureaucrats – back in charge of their health care decisioins.” – U.S. Senator Tom Coburn (R-Okla), M.D. “Following on the heels of her landmark Market-Driven Health Care, Herzlinger lays it on the line with her expose of what many who work in the health care industry have felt in their gut. Now it is articulated in an entertaining and must-read portrayal, with you and me as the only way out.” – Dennis White, executive vice president for strategic development, National Business Coalition on Health “A wonderful Orwellian romp through issues which carry a deadly irony. The killers of health care are, of course, the third parties, each of which has an itchy palm and a commitment to profit or power which exceeds the commitment to service, with each engaging the others within a politically shaped box. Rarely has the case for the public been made with so much force, foresight, and wit, and a better way forward shown so clearly.” – James F. Fries, MD, Professor of Medicine, Stanford University School of Medicine “You can practically hear the war chants as Professor Herzlinger sets out her view of what’s wrong with the health care system and how to fix it. You’d best read it so you can decide which side you will be on when the battle is joined.” – Paul Levy, CEO, Beth Israel Hospital, Boston, MA “Regina Herzlinger, the nation’s leading expert on consumer-driven health care, has given us a brilliant analysis of the flaws in our health care system and what it will take to get it back on track. Her latest book is a must-read.” – Bill George, Professor of Management Practice, Harvard Business School, Former CEO, Medtronic, and author of Authentic Leadership “You don’t have to agree with her diagnosis and prescription for the U.S. health care system, but you do have to read her book. Once again, Professor Herzlinger has put together a well researched, well written, and very provocative blueprint for the future of health care.” Peter L. Slavin, MD, President, Massachusetts General Hospital

Handbook of Private Practice

Handbook of Private Practice
  • Author : Steven Walfish,Jeffrey Zimmerman
  • Publisher : Oxford University Press
  • Pages : 848
  • Relase : 2017-04-10
  • ISBN : 9780190272166

Handbook of Private Practice Book Review:

Handbook of Private Practice is the premier resource for mental health clinicians, covering all aspects of developing and maintaining a successful private practice. Written for graduate students considering the career path of private practice, professionals wanting to transition into private practice, and current private practitioners who want to improve their practice, this book combines the overarching concepts needed to take a mental health practice (whether solo or in a group) from inception, through its lifespan. From envisioning your practice, to accounting and bookkeeping, hiring staff, managing the practice, and running the business of the practice, a diverse group of expert authors describe the practical considerations and steps to take to enhance your success. Chapters cover marketing, dealing with insurance and managed care, and how to choose your advisors. Ethics and risk management are integrated throughout the text with a special section also devoted to these issues and strategies. The last section features 26 niche practices in which expert practitioners describe their special area of practice and discuss important issues and aspects of their specialty practice. These areas include assessment and evaluation, specialized psychotherapy services, working with unique populations of clients, and more. Whether read cover-to-cover or used as a reference to repeatedly come back to when a question or challenge arises, this book is full of practical guidance directly geared to psychologists, counselors, social workers, and marriage and family therapists in independent practice.