Essentials of Managed Health Care

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Jones & Bartlett Publishers, Apr 3, 2012 - Medical - 694 pages
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As the most widely-used textbook on managed care, Essentials of Managed Health Care provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
 

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Contents

Introduction to Health Insurance and Managed Health Care
1
Network Contracting and Provider Payment
55
Management of Utilization and Quality
171
Sales Finance and Administration
351
Special Markets
497
Laws and Regulations
593
Glossary of Terms and Acronyms
636
Index
677
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