Managed care, outcomes, and quality: a practical guide

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Thieme, 1998 - Medical - 343 pages
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Practicing physicians in the 1990s are under intense pressure from all sides. Large insurers threaten clinical autonomy while increasing professional risk; complex contracts demand new levels of business expertise; and a skeptical public questions skills and honesty more than ever before. This timely new book is the first to offer real solutions to these problems from the perspective of the working physician. Edited by Dr. Steven Isenberg, and featuring contributions from experts in law and business as well as clinical medicine, MANAGED CARE, OUTCOMES, AND QUALITY gives the physician or administrator the help he or she needs to ensure top-quality care in the 1990's and beyond.

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Contents

Capitation
3
Referral Guidelines
23
The Legal Issues of Managed Care Contracts
51
Copyright

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About the author (1998)

STEVEN F. ISENBERG, M.D., FACS, is the founder of Project Solo/Physicians Information Exchange, a physician organization that pioneered multisite community-based outcomes research, and an associate professor of otolaryngology at Indiana University Medical School. RICHARD E. GLIKLICH Richard E. Gliklich, M.D., is chairman of Outcome Sciences, a physician-led health outcomes company. He is founder of the Clinical Outcomes Research Unit at the Massachusetts Eye and Ear Infirmary and assistant professor at Harvard Medical School.

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