Managed Care: What It Is and How It Works

Managed Care: What It Is and How It Works

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The new Third Edition of Managed Health 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.HIPAA, a highly significant federal act passed in 1996 by a Republican congress and signed into law by a Democratic president ... stringent than the corresponding provisions in HIPAA, except in one areaa€”electronic transaction standards and code sets (discussed later in this section). ... It states that for a group policy, enrollment cannot be denied to individuals with preexisting medical conditions, nor cananbsp;...

Title:Managed Care: What It Is and How It Works
Author:Peter R. Kongstvedt
Publisher:Jones & Bartlett Publishers - 2009-10-07


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