Managed Care: Integrating the Delivery and Financing of Health Care, Part A

This book is an introduction to the field of managed health care. It explains what managed care is, introduces the theories and concepts it is based on, and describes how it works in the real world. The book presupposes no prior knowledge of either managed care or insurance and would be an excellent choice for anyone interested in gaining a grasp of the basics of what has become the most common form of health insurance in the United States.

Chapter authors all have extensive experience in the health insurance industry, and bring a practical, real-world perspective to their treatment of the subject.

Managed Care Part A is followed by Managed Care Part B and Managed Care Part C. TOC: Chapter 1 - Introduction to Managed Care Chapter 2 - The Development of Managed Care Chapter 3 - Organization of Managed Care Arrangements Chapter 4 - Cost Control Techniques Chapter 5 - Individuals, Employers, and Managed Care Chapter 6 - Government Involvement in Managed Care Chapter 7 - Controlling for Quality Chapter 8 - Data for Quality, Cost, and Utilization Control Appendix A - Health Maintenance Organization Act of 1973 Appendix B - Health Maintenance Organization Model Act Appendix C - Preferred Provider Arrangements Model Act Glossary Index