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Health insurance and managed care :w...

Kongstvedt, Peter R.

Health insurance and managed care :what they are and how they work /

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Health insurance and managed care :/ Peter R. Kongstvedt.
其他題名:	what they are and how they work /
作者:	Kongstvedt, Peter R.
出版者:	Burlington, MA :Jones & Bartlett Learning, : c2020.,
版本:	5th ed.
面頁冊數:	xxx, 324 p. :ill. ; : 23 cm.;
附註:	Revision of: Managed care / Peter R. Kongstvedt. 2009. 3rd ed.
提要註:	"Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. The Fifth Edition is a thorough update that addresses the current status of the Affordable Care Act 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 insurers in many ways. The Fifth Edition also offers new or expanded coverage of: The history of health insurance and managed care; Instability in the public exchange marketing and sales channels; The impact of limitations on sales, governance and administrative (SG&A) costs and profits; Continued changes in Accountable Care Organizations (ACOs); Continued changes in payment mechanisms such as value-based payment under the Medicare Improvement for Patients and Providers Act (MIPPA); Continued consolidation of the health sector market place"--
標題:	Insurance, Health - organization & administration. -
標題:	United States. -
ISBN:	9781284152098 (pbk.) :

Health insurance and managed care :what they are and how they work /
Kongstvedt, Peter R.

Health insurance and managed care :what they are and how they work /Peter R. Kongstvedt. - 5th ed. - Burlington, MA :Jones & Bartlett Learning,c2020. - xxx, 324 p. :ill. ;23 cm.

Revision of: Managed care / Peter R. Kongstvedt. 2009. 3rd ed.

Includes bibliographical references and index.

Machine generated contents note: -- Chapter1 A History of Managed Health Care and Health Insurance in the United States Chapter2 Health Benefits Coverage, and Types of Health Plans and Payers Chapter3 The Provider Network Chapter4 Provider Payment Chapter5 Utilization Management, Quality Management, and Accreditation Chapter6 Sales, Governance, and Administration Chapter7 Medicare Advantage and Medicaid Managed Care Chapter8 Laws and Regulations in Health Insurance and Managed Care.

"Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. The Fifth Edition is a thorough update that addresses the current status of the Affordable Care Act 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 insurers in many ways. The Fifth Edition also offers new or expanded coverage of: The history of health insurance and managed care; Instability in the public exchange marketing and sales channels; The impact of limitations on sales, governance and administrative (SG&A) costs and profits; Continued changes in Accountable Care Organizations (ACOs); Continued changes in payment mechanisms such as value-based payment under the Medicare Improvement for Patients and Providers Act (MIPPA); Continued consolidation of the health sector market place"--

ISBN: 9781284152098 (pbk.) :NT2739

LCCN: 2018046217Subjects--Topical Terms:

464547
Insurance, Health
--organization & administration.Subjects--Geographical Terms:

237513
United States.

LC Class. No.: RA413.5.U5 / K655 2020

Dewey Class. No.: 362.1/04258

National Library of Medicine Call No.: W 130 AA1

Health insurance and managed care :what they are and how they work /
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240 1 0 $a Managed care
245 1 0 $a Health insurance and managed care : $b what they are and how they work / $c Peter R. Kongstvedt.
250 $a 5th ed.
260 $a Burlington, MA : $b Jones & Bartlett Learning, $c c2020.
300 $a xxx, 324 p. : $b ill. ; $c 23 cm.
500 $a Revision of: Managed care / Peter R. Kongstvedt. 2009. 3rd ed.
504 $a Includes bibliographical references and index.
505 8 $a Machine generated contents note: -- Chapter1 A History of Managed Health Care and Health Insurance in the United States Chapter2 Health Benefits Coverage, and Types of Health Plans and Payers Chapter3 The Provider Network Chapter4 Provider Payment Chapter5 Utilization Management, Quality Management, and Accreditation Chapter6 Sales, Governance, and Administration Chapter7 Medicare Advantage and Medicaid Managed Care Chapter8 Laws and Regulations in Health Insurance and Managed Care.
520 $a "Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. The Fifth Edition is a thorough update that addresses the current status of the Affordable Care Act 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 insurers in many ways. The Fifth Edition also offers new or expanded coverage of: The history of health insurance and managed care; Instability in the public exchange marketing and sales channels; The impact of limitations on sales, governance and administrative (SG&A) costs and profits; Continued changes in Accountable Care Organizations (ACOs); Continued changes in payment mechanisms such as value-based payment under the Medicare Improvement for Patients and Providers Act (MIPPA); Continued consolidation of the health sector market place"-- $c Provided by publisher.
520 $a "The term "managed care" or "managed healthcare" describes a group of activities ostensibly intended to reduce the cost of providing for-profit health care while improving the quality of that care. One of the most common forms of managed care is the use of a panel or network of healthcare providers to provide care to enrollees. Managed care is so ubiquitous in the US, it has become nearly synonymous with health insurance.Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry"-- $c Provided by publisher.
650 2 2 $a Insurance, Health $x organization & administration. $3 464547
650 1 2 $a aManaged Care Programs $x organization & administration. $3 464546
650 0 $a Managed care plans (Medical care) $z United States. $3 295863
651 2 $a United States. $3 237513