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CHAPTER 2TYPES OF MANAGED CARE ORGANIZATIONS
CHAPTER 3INTEGRATED HEALTH CARE DELIVERY SYSTEMS
CHAPTER 4ELEMENTS OF THE MANAGEMENT CONTROL
Management Control Structure
CHAPTER 6PRIMARY CARE IN MANAGED HEALTH CARE PLANS
CHAPTER 7COMPENSATION OF PRIMARY CARE PHYSICIANS
Withholds and RiskBonus Arrangements
Desired Characteristics of Provider Profiles
Selection of a Profiling Vendor
General Approaches to Changing Behavior
CHAPTER 20INFORMATION SYSTEMS IN MANAGED HEALTH CARE PLANS
CHAPTER 21CLAIMS AND BENEFITS ADMINISTRATION
CHAPTER 22MEMBER SERVICES AND CONSUMER AFFAIRS
Full Professional Risk Capitation
Fee for Service
Problems with FFS in Managed Health Care Plans
Civil Liability in Physician Compensation Programs
How Many Specialty Care Physicians?
Organizational Models for Capitating Specialty Services
CHAPTER 9NEGOTIATING AND CONTRACTING WITH
PART IIIMEDICAL MANAGEMENT
The Role of Physicians in Care Management
CHAPTER 12CLINICAL SERVICES REQUIRING AUTHORIZATION
CHAPTER 13CASE MANAGEMENT AND MANAGED CARE
CHAPTER 14FUNDAMENTALS AND CORE COMPETENCIES
CHAPTER 15PRESCRIPTION DRUG BENEFITS IN MANAGED CARE
CHAPTER 16MANAGED BEHAVIORAL HEALTH CARE
Benefit Plan Design
Provider Structures for Integrated Delivery Systems To Meet Managed Care Objectives
BH Information Systems
CHAPTER 17QUALITY MANAGEMENT IN MANAGED CARE
CHAPTER 18USING DATA AND PROVIDER PROFILING IN MEDICAL
Data Elements and the Application of Reports
General Types of Reports
CHAPTER 23SALES AND MARKETING IN MANAGED
An Overview of the Managed Care Market
How the Managed Care Team Delivers
CHAPTER 24THE EMPLOYERS VIEW OF MANAGED
CHAPTER 25THE IMPACT OF CONSUMERISM ON MANAGED HEALTH CARE
CHAPTER 26ACCREDITATION AND PERFORMANCE MEASUREMENT
The Utilization Review Accreditation Commission
CHAPTER 29UNDERWRITING AND RATING FUNCTIONS
CHAPTER 31MEDICAID MANAGED CARE
PART VIREGULATORY AND LEGAL ISSUES
CHAPTER 33LEGAL LIABILITY RELATED TO MEDICAL
Negligence Actions Related to Medical Management Activities
CHAPTER 34THE HEALTH INSURANCE PORTABILITY
New Access Initiatives
HIPAA Administration and Enforcement
GLOSSARY OF TERMS AND ACRONYMS
Journal of Cardiopulmonary Rehabilitation and Prevention ...
March/April 1997, 17:2 > Essentials of Managed Health Care. ... Essentials of Managed Health Care Peter R. Kongstvedt, MD, FAACP Aspen Publishers, Inc., ...
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Essentials of Managed Health Care
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Essentials of Managed Health Care
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Becker Medical Library Catalog
Also rev. ed. of: Essentials of managed health care. 4th ed. 2001. Includes bibliographical references and index. Synopsis or Comments: Provides an ...
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Essentials of managed health care Change Catalog Display ... Also rev. ed. of: Essentials of managed health care. 4th ed. 2001. ...
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Essentials of managed health care / edited by Peter R. Kongstvedt. Gaithersburg, Md. : Aspen Publishers, 2001. Subjects, Managed Care Programs ...
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Managed Care and Health Insurance : Readings
Essentials of Managed Health Care, 4th edition. Bartlett & Jones, 2001. Full Reading List: Includes required readings and additional suggested readings. ...
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Managed Health Care
Essentials of Managed Health Care: Fourth Edition. An Aspen Publication, MD. Evaluation Criteria:. This course is designed to give students a broad ...
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Managed Care Plans - Definition, Purpose, Description, Normal results
Kongstvedt, pr Essentials of Managed Health Care, 4th Edition. Boston: Jones & Bartlett, 2003. Kongstvedt, pr, and W. Knight. Managed Care: What It Is and ...
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