Managed Care: What It Is and How It Works, 3rd Edition
Peter Kongstvedt, MD, FACP
Softcover: 275 pages
Jones & Bartlett
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Managed Care: What It Is and How It Works provides readers with a solid grounding and clear understanding of managed health care.
"International policymakers and health professionals are looking at managed care to improve quality, expand access, and mitigate rising costs. This book is an extremely helpful primer for health reformers, governmental officials, health plan executives and academics all over the world. Readable, well-organized, and practical... it belongs in every health library." --Jonathan Lewis, President, Academy for International Health Studies
Managed Care: What It Is and How It Works is enhanced with learning objectives at the beginning of every chapter and an extensive glossary of key managed health care terms. It is written in clear and concise fundamental terms, beginning with an historical overview of managed care, to organizational structures, concepts, and practices of the managed care industry. Its chapters include:
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
Medicare and Medicaid
Regulation and Accreditation in Managed Care
This book is by the foremost authority in the managed care industry, Dr. Peter Kongstvedt.
The new Managed Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry.
This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.
"In the current environment, knowing how managed care plans function is essential to the success of academic health centers and physician practices everywhere. Managed Care: What It Is and How It Works does a great job of explaining one of the controversial and pervasive topics in health care today." --Besty Jessup Caine, Executive Director, the Learning Network, Georgetown University Medical Center
(information from the publisher)
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