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Get an in-depth look at financial management for the rapidly changing managed care field with this new book! Financial Management in the Managed Care Environment provides a clear overview of health management organizations with detailed information on the related financial issues. Topics covered include insurance and reimbursement, Medicare, quality assurance, delivery systems, and more. An emphasis on the managed care environment makes this an essential learning tool for health care professionals.
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INTRODUCTION: Overview Of The Book. The Health Maintenance Organization As Prototype. IMPACT OF MANAGED CARE ON THE DELIVERY SYSTEM :Inpatient Delivery Under A Managed Care System. Ambulatory Care In A Managed Care Environment. The Emergence Of Integrated Delivery System. FINANCIAL MANAGEMENT IN A MANAGED CARE ENVIRONMENT: Medicare, Traditional Insurance And Reimbursement. Reimbursement Under Managed Care. Business And Financial Risk Under Alternative Payment Systems. Utilization Management Under Capitation. Cost Accounting And Control Under Capitation. Operating Budgets Under Capitation. Capital Investment And Financing. Cash Budgeting Under Capitation. Quality And Outcomes Management. Impact On Future Health Information Managers.
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