Managed Care Strategies

Managed Care Strategies
Author: George B. Moseley
Publisher: Jones & Bartlett Learning
Total Pages: 644
Release: 1999
Genre: Medical
ISBN: 9780834207356

This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems. The second half of the book covers a variety of key topics such as credentialing, reimbursement systems, and utilization management.

Making Sense of Strategy

Making Sense of Strategy
Author: Anthony D. Manning
Publisher: AMACOM/American Management Association
Total Pages: 124
Release: 2002
Genre: Business & Economics
ISBN: 9780814426548

Business strategy is not rocket science. Its about using pertinent information to make smart decisions, and doing it fast enough to keep your business ahead of the curve. And while many companies have embraced the 24/7 business paradigm, their strategies come from the 9-to-5 era. Plain and simple, most strategic planning efforts fail because they cant keep up with the evolving demands of the market.Standing apart from the piles of discarded management wisdom, Making Sense of Strategy provides real, practical insights and advice for 21st-century businesses. Top strategy consultant Tony Manning cuts through layer after layer of guru babble to bring the reader only the most genuinely valuable information: the questions that need to be asked, the principles that every organization and its people must adopt, and the tools that every company needs in order to develop their core business strategies and create profit. Mannings refreshingly streamlined approach to strategy encompasses: * The value of shared ideas* The importance of creating and sustaining unique communities for your products or services* The link between a companys values and those of its customers and shareholders* And why strategic management is ultimately a conversation, one that empowers its participants with a sense of purpose and ownership.A real-world, no-nonsense guide, Making Sense of Strategy is the key to turning plans into action - fast

The Preferred Provider's Handbook

The Preferred Provider's Handbook
Author: William L. Poynter
Publisher: Routledge
Total Pages: 188
Release: 2013-10-28
Genre: Psychology
ISBN: 1135063842

First published in 1994. A revolution has been taking place in behavioral health financing, and only those practitioners who know how to successfully market themselves to managed care organizations are likely to maintain their hold in this rapidly changing system. Realistic, clear, insightful and highly practical, The Preferred Provider's Handbook will help therapists to understand the managed care marketplace and to develop the strategies necessary to meet its many challenges. You will learn how to: Get accepted on preferred provider lists of managed care organizations (M.C.O.s); Generate patient referrals once you are accepted onto a panel of preferred providers; Retain active referral status over the long term; Zero in on the higher quality networks that produce higher income and have minimal legal risk; Break into closed provider lists-one of the most difficult but important tasks. The Handbook clearly sets forth the basics of managed care with the aim of helping psycho therapists gain an understanding and acceptance of this new system. The volume addresses strategic marketing, whereby therapists can select and pursue those managed care organizations best suited to their needs; provides tools for designing and implementing a marketing plan; and gives a framework for understanding and making profitable use of future trends-in a profes sional and ethical manner. Of particular value is a chapter discussing marketing implications for behavioral health arising from the Clinton administration's new "managed competition" plans. Armed with specific information on how to fill out an M.C.O. application, how to analyze a contract, which specialties are most desirable and which should be avoided, how to network, and much, much more, you will be well on your way to professional success. This is an essential resource for all practitioners in the managed care marketplace.

Medicaid Managed Care

Medicaid Managed Care
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
Total Pages: 156
Release: 1993
Genre: Managed care plans (Medical care)
ISBN:

Health Care Supply Chain Management: Elements, Operations, and Strategies

Health Care Supply Chain Management: Elements, Operations, and Strategies
Author: () (Jerry) R. R. R. Ledlow
Publisher: Jones & Bartlett Learning
Total Pages: 605
Release: 2016-06-09
Genre: Health & Fitness
ISBN: 1284123626

Ledlow BCC Supplies currently account for up to 45% of a healthcare organization’s annual operating expense. The supply chain ensures that the technology of care is available to the health care professional at the right time, at the right place and in sufficient quantity and quality for superior health outcomes for patients within the health system. As such, a clear understanding of the workings of the healthcare supply chain is vital to successful healthcare management today. Health Care Supply Chain Management examines supply chain management within the unique context of healthcare services delivery. The authors, with over 60 years combined experience in healthcare administration, supply chain, and academia, examine the critical topics of sourcing, logistics, security and compliance, purchasing, storage and inventory management, distribution, vendor management, as well as future challenges in health care. Students of health administration, public administration, public health, nursing and other allied health professions will learn the most current and effective methods for the management of the supply chain that will contribute to success in the delivery and financing of healthcare services. Key Features: • Offers an overview of the elements of the healthcare supply chain • Examines both the operational and the strategic aspects of supply chain management • Includes a discussion of the integration of the supply chain with the clinical delivery of care • Provides a sound basis of knowledge for students so that healthcare supply chain improvements can be achieved for the mutual benefit of the healthcare industry

Handbook of Geriatric Care Management

Handbook of Geriatric Care Management
Author: Cathy Jo Cress
Publisher: Jones & Bartlett Publishers
Total Pages: 590
Release: 2015-10-26
Genre: Medical
ISBN: 1284115348

Handbook of Geriatric Care Management, Fourth Edition is a comprehensive and practical guide for care managers that addresses the multiple needs of aging adults and their families. An ideal teaching tool, it guides students and professionals along the journey of becoming a successful care manager. New to this edition are two new chapters on working with older veterans and helping clients with depression. Completely updated and revised, the Fourth Edition provides updated ethics and standards, a focus on credentialing and certification, numerous case studies, sample forms and letters, and tips for building and growing a care manager business.