The Physician's Guide to Managed Care

The Physician's Guide to Managed Care
Author: David B. Nash
Publisher: Jones & Bartlett Learning
Total Pages: 280
Release: 1994
Genre: Medical
ISBN: 9780834203938

You'll find the practical guidance you need to transition smoothly int o the managed care environment. You'll learn the pros and cons of prac ticing in a managed care setting, the daily life of managed care physi cians, the role of managed care in medical education and health care r eform. Discover how to take advantage of new opportunities and avoid p itfalls, balance cost consideration with clinical decision-making, and understand the case mix systems most frequently used in managed care. Written almost entirely by physicians, The Physician's Guide to Manag ed Care is a must for any physician interested in meeting future chall enges.

A Physicians Guide to Healthcare Management

A Physicians Guide to Healthcare Management
Author: Daniel M. Albert
Publisher: Wiley-Blackwell
Total Pages: 240
Release: 2002-05-24
Genre: Medical
ISBN: 9780632045815

This book answers the growing need for concise, practical information about the business aspects of medicine. Written for medical students, residents, and physicians interested in medical management, it covers issues such as the forces shaping health care delivery, physician management skills, economic aspects of managed care, medical, scientific and legal considerations in health care delivery and business aspects of medical management. With a focus on the skills and theory behind medical management, rather than on specifics, this book is a must-have primer for medical trainees and professionals.

A Physician's Guide to Thriving in the New Managed Care Environment

A Physician's Guide to Thriving in the New Managed Care Environment
Author: Richard V. Stenson
Publisher: Bookpartners
Total Pages: 386
Release: 2000
Genre: Medical
ISBN: 9781581510300

Options for physicians working within the prepaid medicine system make sense when you understand the pros and cons, strategies, and structures analyzed in this guide to the new managed care environment. -- Evolution of the managed care movement -- Myths about organizational requirements for managed care success -- Pros and cons of solo practice versus IPA, PHO, or group practice -- Working for a hospital or HMO -- Entrepreneurial, legal, and regulatory characteristics of each model -- Best opportunities for primary care and specialist physicians -- The ideal physician organization for managed care -- Future winners and losers, quality of care, reform, and Wall Street Analyze the cost and benefits of practice and managed care proposals, because an informed choice makes good medicine work.

A Guide to Managed Care Medicine

A Guide to Managed Care Medicine
Author: William N. Tindall
Publisher: Jones & Bartlett Learning
Total Pages: 322
Release: 2000
Genre: Managed care plans
ISBN: 9780834217652

Provides physicians, administrators, and other health professionals with information on managed care, from its history, forms and practices to detailed information on managed care contracting, physician compensation, monitoring, reporting, management, risk, productivity, and accountability. Annotati

The Final Hurdle

The Final Hurdle
Author: Dennis Hursh
Publisher: Advantage Media Group
Total Pages: 125
Release: 2012-05-15
Genre: Business & Economics
ISBN: 1599323133

Get Your Career Off on the Right Track! Everything Physicians Need to Know About Employment Contracts COMPENSATION AND BENEFITS *Dangers of productivity compensation *Common incentive compensation formulas - what needs to be included *Benefits to look out for in addition to your compensation *How to determine if you are "disabled," and how the employer should NOTbe able to make this determination *What the employer can, and can't negotiate as far as benefits *Stark law traps, and how to avoid them RESTRICTIVE COVENANTS *What's really important in restrictive covenants, and what isn't worth negotiating over *Minimizing the impact of a restrictive covenant *How you can be released from a restrictive covenant *Negotiation strategies in buy-outs of restrictive covenants CALL COVERAGE *The language you must have DEFINING WHAT IS EXPECTED OF YOU *Patient contact hours expectations *What flexibility an employer will demand THE TERM OF THE AGREEMENT *Issues with hospital and managed care credentialing, and how to work around them *Grounds for termination *"Without cause" termination issues OTHER ISSUES IN AGREEMENTS TO WATCH OUT FOR *Medical record issues *Assignment of location of service *Budgetary weasel language to avoid *Malpractice issues in common provisions MALPRACTICE INSURANCE *The types of coverage, and the significance when you leave *Need for "tail coverage" *How to minimize the devastating cost of "tail coverage" PRIVATE PRACTICE ISSUES *Time to ownership *Concerns with "guaranteed" ownership *Costs of the buy-in *Methodologies for determining the buy-in, and the pros and cons of each *Why a cheap buy-in may not be in your best interest *What provisions are absolutely vital in regard to future ownership

Physicians Guide to Managed Care

Physicians Guide to Managed Care
Author: James R. Lyle
Publisher: Healthcare Consultants Incorporated
Total Pages: 404
Release: 1996
Genre: Medical
ISBN:

Discusses various types of managed care organizations including physician organizations (PO), physician-hospital organizations (PHO), preferred provider organizations (PPO), management services organizations (MSO), and health maintenance organizations (HMO).

Avoiding Medical Malpractice

Avoiding Medical Malpractice
Author: William Choctaw
Publisher: Springer Science & Business Media
Total Pages: 107
Release: 2008-03-26
Genre: Medical
ISBN: 0387730648

Written by an MD/JD, this book offers a unique perspective on medical-legal issues surrounding daily clinical practice. It covers all the essentials and tells the inside secrets of how to avoid cases that cost the medical community millions each year. Readers will learn basic law and the ways laws are interpreted. In addition, the book focuses on the law-medicine-politics triangle and its effect on physicians, the impact of — and issues related to — diversity in medical malpractice, and other essential topics. Physicians who better understand malpractice laws are better clinical decision makers who feel more confident in their ability as doctors.

The Physician's Guide to Disease Management

The Physician's Guide to Disease Management
Author: James B. Couch
Publisher: Jones & Bartlett Learning
Total Pages: 338
Release: 1997
Genre: Medical
ISBN: 9780834210035

This book is designed to provide the physician with a working knowledge of disease management. In today's health care market where pressure is on both providers and managed care organizations to deliver high quality care to defined populations efficiently, knowledge of disease management is crucial. It includes discussions of evidence-based medicine, clinical practice guidelines, and outcomes management.

The Managed Care Answer Book

The Managed Care Answer Book
Author: Gayle McCracken Tuttle
Publisher: Routledge
Total Pages: 164
Release: 2013-09-05
Genre: Health & Fitness
ISBN: 1135062366

This text aims to provide answer to questions such as what happens when you get dropped from a managed care panel? How do you get paid? Why can't you get on a managed care panel? This book is an extended question and answer session where issues are tackled from the providers perspective.; Armed with the resources, examples and explanations provided in this book, clinicians will be positioned to make the decisions that contribute to success under managed care.