Essentials of Managed Health Care, Fourth Edition

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9780763724962: Essentials of Managed Health Care, Fourth Edition
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The fourth edition of this popular textbook provides the basic information needed to learn critical concepts of managed care. Derived from the best-selling Managed Health Care Handbook, Fourth Edition, this text presents basic information on all the critical concepts of managed care; compares myths about managed care to actual facts; progresses from introductory material on the types of managed care organizations to negotiating and contracting, controlling utilization, and using data reports in medical management; illuminates the regulatory landscape, with careful attention to both federal and state law, as well as the legislative environment. Learning objectives open each chapter; useful tables and charts summarize key information at a glance; study questions encourage thoughtful analysis; includes a glossary of terms and common acronyms. Also includes Study Guide.

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Intended to guide students through the seemingly impenetrable rules involved in today's managed health care system, this text is arranged into six sections: an introduction to the history and managed health care and various plans; an overview of the basic provider sectors and how managed health care works within them; how actually manages health care; the nonmedical operations of a health plan; Medicare and Medicaid; and legal and regulatory issues. Includes chapter-end learning objectives, a glossary, acronyms, and study questions. A study guide providing a chapter-by-chapter summary may be purchased separately.Copyright © 2004 Book News, Inc., Portland, OR

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Other Popular Editions of the Same Title

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