Coverart for item
The Resource Health insurance and managed care : what they are and how they work, Peter R. Kongstvedt, MD, FACP, Senior Health Policy Faculty, Department of Health Administration and Policy, George Mason University, Fairfax, VA, Principal, P. R. Kongstvedt Company, LLC, McLean, VA

Health insurance and managed care : what they are and how they work, Peter R. Kongstvedt, MD, FACP, Senior Health Policy Faculty, Department of Health Administration and Policy, George Mason University, Fairfax, VA, Principal, P. R. Kongstvedt Company, LLC, McLean, VA

Label
Health insurance and managed care : what they are and how they work
Title
Health insurance and managed care
Title remainder
what they are and how they work
Statement of responsibility
Peter R. Kongstvedt, MD, FACP, Senior Health Policy Faculty, Department of Health Administration and Policy, George Mason University, Fairfax, VA, Principal, P. R. Kongstvedt Company, LLC, McLean, VA
Creator
Author
Subject
Language
eng
Summary
"Health Insurance and Managed Care: What They Are and How They Work 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 Fifth Edition is a thorough update that addresses the current status of the Affordable Care Act 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 insurers in many ways. The Fifth Edition also offers new or expanded coverage of: The history of health insurance and managed care; Instability in the public exchange marketing and sales channels; The impact of limitations on sales, governance and administrative (SG&A) costs and profits; Continued changes in Accountable Care Organizations (ACOs); Continued changes in payment mechanisms such as value-based payment under the Medicare Improvement for Patients and Providers Act (MIPPA); Continued consolidation of the health sector market place"--
Member of
Assigning source
Provided by publisher
Cataloging source
N$T
http://library.link/vocab/creatorName
Kongstvedt, Peter R.
Dewey number
362.1/04258
Index
index present
LC call number
RA413.5.U5
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
W 130.AA1
http://library.link/vocab/subjectName
  • Managed care plans (Medical care)
  • Managed Care Programs
  • United States
  • Health insurance
  • Managed care plans (Medical care)
  • POLITICAL SCIENCE / Public Policy / Social Security
  • POLITICAL SCIENCE / Public Policy / Social Services & Welfare
  • United States
Label
Health insurance and managed care : what they are and how they work, Peter R. Kongstvedt, MD, FACP, Senior Health Policy Faculty, Department of Health Administration and Policy, George Mason University, Fairfax, VA, Principal, P. R. Kongstvedt Company, LLC, McLean, VA
Instantiates
Publication
Copyright
Note
Revision of: Managed care / Peter R. Kongstvedt. 2009. 3rd ed
Bibliography note
Includes bibliographical references and index
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
A history of managed health care and health insurance in the United States -- Health benefits coverage, and types of health plans and payers -- The provider network -- Provider payment -- Utilization management, quality management, and accreditation -- Sales, governance, and administration -- Medicare advantage and medicaid managed care -- Laws and regulations in health insurance and managed care
Control code
1083671087
Edition
Fifth edition.
Extent
1 online resource.
Form of item
online
Isbn
9781284152104
Media category
computer
Media MARC source
rdamedia
Media type code
c
Specific material designation
remote
System control number
(OCoLC)1083671087
Label
Health insurance and managed care : what they are and how they work, Peter R. Kongstvedt, MD, FACP, Senior Health Policy Faculty, Department of Health Administration and Policy, George Mason University, Fairfax, VA, Principal, P. R. Kongstvedt Company, LLC, McLean, VA
Publication
Copyright
Note
Revision of: Managed care / Peter R. Kongstvedt. 2009. 3rd ed
Bibliography note
Includes bibliographical references and index
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
A history of managed health care and health insurance in the United States -- Health benefits coverage, and types of health plans and payers -- The provider network -- Provider payment -- Utilization management, quality management, and accreditation -- Sales, governance, and administration -- Medicare advantage and medicaid managed care -- Laws and regulations in health insurance and managed care
Control code
1083671087
Edition
Fifth edition.
Extent
1 online resource.
Form of item
online
Isbn
9781284152104
Media category
computer
Media MARC source
rdamedia
Media type code
c
Specific material designation
remote
System control number
(OCoLC)1083671087

Library Locations

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