A Study Guide to Essentials of Managed Health Care, Fourth Edition

A Study Guide to Essentials of Managed Health Care, Fourth Edition
Author: Peter Reid Kongstvedt
Publisher: Jones & Bartlett Publishers
Total Pages: 104
Release: 2001
Genre: Business & Economics
ISBN:

How can you help students master the complexities of managed health care? For years, instructors nationwide have counted on one text to convey a solid understanding of fundamental concepts -- Peter R. Kongstvedt's "Essentials of Managed Health Care". Now in its Fourth Edition, this best selling textbook continues to supply a clear and accessible explanation of how managed care actually works. Web site serves as a launching pad to numerous activities and resources where ready-to-use PowerPoint slides, additional readings organized by chapter, and a test bank for instructors are available.

Health Insurance and Managed Care

Health Insurance and Managed Care
Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Learning
Total Pages: 355
Release: 2019-02-14
Genre: Medical
ISBN: 128415209X

Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.

Database Principles

Database Principles
Author: Stephen Morris
Publisher: South Western Educational Publishing
Total Pages: 736
Release: 2012-03-13
Genre: Database design
ISBN: 9781133311973

Practical and easy to understand Database Principles: Fundamentals of Design, Implementation, and Management, 10/e, International Edition gives readers a solid foundation in database design and implementation. Filled with visual aids such as diagrams, illustrations, and tables, this market-leading book provides in-depth coverage of database design, demonstrating that the key to successful database implementation is in proper design of databases to fit within a larger strategic view of the data environment. Renowned for its clear, straightforward writing style, the tenth edition has been thoroughly updated to include hot topics such as green computing/sustainability for modern data centers, the role of redundant relationships, and examples of web-database connectivity and code security. In addition, new review questions, problem sets, and cases have been added throughout the book so that readers have multiple opportunities to test their understanding and develop real and useful design skills.

Managed Care

Managed Care
Author: Peter Kongstvedt
Publisher: Jones & Bartlett Learning
Total Pages: 295
Release: 2009-10-07
Genre: Education
ISBN: 0763759112

The origins of managed health care -- Types of managed care organizations and integrated health care delivery systems -- Network management and reimbursement -- Management of medical utilization and quality -- Internal operations -- Medicare and Medicaid -- Regulation and accreditation in managed care.

The Handbook of Employee Benefits: Health and Group Benefits 7/E

The Handbook of Employee Benefits: Health and Group Benefits 7/E
Author: Jerry S. Rosenbloom
Publisher: McGraw Hill Professional
Total Pages: 1009
Release: 2011-06-17
Genre: Business & Economics
ISBN: 0071763090

The essential resource for designing and implementing employee benefits—bringing you up to date on critical new industry changes For nearly three decades, HR professionals and consultants have depended on The Handbook of Employee Benefits for authoritative answers to their questions about designing and implementing competitive employee benefits packages. Covering everything from general objectives to costs, this classic reference brings you up to date on critical changes driven by legislative developments, such as the new health-care reform law enacted by the passing of the Patient Protection and Affordable Care Act. The seventh edition of The Handbook of Employee Benefits features the knowledge and insights of the leading scholars and practitioners in the field. Filled with new and updated information and real-world examples, this edition focuses on health and group benefits: Health Benefits: health-care reform’s impact on employee benefits, new approaches to cost containment, how to access quality care, consumer-driven health-care plan designs along with dental, behavioral, prescription, and long-term care programs Life Insurance: group term, universal life, and corporate-owned life programs Work/Life Programs: traditional time off and family leave, child and elder care, and assistance for education, financial planning, and voluntary benefits Social Insurance Programs: Social Security, Medicare, and workers’ and unemployment compensation programs Group and Health Benefit Plan Financial Management: federal tax laws, funding health benefit plans—insured, self-funded, and captive arrangements Employee Benefit Administration: flexible benefit plans, fiduciary liability issues, and communications Issues of Special Interest: retiree welfare benefits, small company benefits, multiemployer plans, and international employee benefit planning An innovative, efficient employee benefit program has become one of the primary prerequisites to success in today’s lean business battleground. The Handbook of Employee Benefits provides the knowledge and tools you need to create plans that benefit the greatest number of employees, while allowing employers to maintain fiscal integrity and competitive advantage.

The Managed Care Contracting Handbook

The Managed Care Contracting Handbook
Author: Maria K. Todd
Publisher: CRC Press
Total Pages: 334
Release: 2009-03-26
Genre: Business & Economics
ISBN: 1439866570

Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer