Integrating Managed Care and Ethics: Transforming Challenges Into Positive Outcomes

Front Cover
McGraw-Hill, Jan 1, 1998 - Medical - 327 pages
The fundamental concept behind managed control healthcare costs, services, and delivery, while providing and improving quality, access and availibility. Yet, disparities between theory and practice abound. Managed care successes in terms of quality and performance measurement, evidence-based decision-making and outcomes assessments must be measured against eroding public confidence that their healthcare needs will be appropriately met. This poses new ethical as well as legal challenges. Integrating Managed Care and Ethics identifies and faces these challenges and provides direction to transform such challenges into more positive outcomes. The book provides physicians and other healthcare professionals with knowledge to buttress standards endemic to their practice and profession as well as to negotiate and particpate as active and informed partners rather than passive recipients. The book is also a perfect resource for payor, healthcare executives, case managers and diverse managed care partners seeking better ways of addressing and solving the problems posed by the rapid transformation and emergence of nontraditional healthcare and healthcare financing models. Integrating Managed Care and Ethics addresses legal and ethical challenges that arise in managed care and includes a discussion of trends, alluding to recent legislative/regulatory initiatives, major legal cases, and examines guidance offered through several of the major healthcare trade associations. Its goal is to help the reader develop increased talent, tools, and techniques to help transform challenges and change into more positive outcomes.

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Setting the Stage for Integrating Managed Care and Ethics
Recipes for Failure

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