Health Insurance And Managed Care: What They Are And How They Work Download Free (EPUB, PDF)
Health Insurance and Managed Care: What They Are and How They Work (formerly titled 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. The Fourth Edition is a thorough update that addresses the impact of the Affordable Care Act throughout the industry including: - New underwriting requirements - New marketing and sales channels - Limitations on sales, governance, and administrative (SG&A) costs and profits - New provider organizations such as Patient Centered Medical Homes (PCHMs) and Accountable Care Organizations (ACO’s) - New payment mechanisms such as shared savings with ACOs, and severity-adjusted diagnosis related groups - Changes to Medicare Advantage - Medicaid expansion and reliance on Medicaid managed care
Paperback: 398 pages
Publisher: Jones & Bartlett Learning; 4 edition (April 10, 2015)
Language: English
ISBN-10: 1284043258
ISBN-13: 978-1284043259
Product Dimensions: 6 x 1 x 8.9 inches
Shipping Weight: 1.3 pounds (View shipping rates and policies)
Average Customer Review: 5.0 out of 5 stars See all reviews (4 customer reviews)
Best Sellers Rank: #128,338 in Books (See Top 100 in Books) #9 in Books > Medical Books > Nursing > Long-Term Care #11 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Health Risk Assessment #16 in Books > Medical Books > Administration & Medicine Economics > Health Risk Assessment
A definitive book. Great entry point for employees new to the space, and great refresher for the rest of us.
Using for PhD course. Have been pleased, book is very informative.
Very useful book for someone reentering the health insurance/managed care job market after 15+ years.
what a gem!
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