Health Insurance And Managed Care: What They Are and How They Work, by Peter R. Kongstvedt
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Health Insurance And Managed Care: What They Are and How They Work, by Peter R. Kongstvedt
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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
Health Insurance And Managed Care: What They Are and How They Work, by Peter R. Kongstvedt- Amazon Sales Rank: #58688 in Books
- Published on: 2015-04-10
- Original language: English
- Number of items: 1
- Dimensions: 1.00" h x 6.00" w x 8.90" l, .0 pounds
- Binding: Paperback
- 398 pages
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Most helpful customer reviews
1 of 1 people found the following review helpful. A staple text for managed health care By VLB A definitive book. Great entry point for employees new to the space, and great refresher for the rest of us.
1 of 1 people found the following review helpful. Have been pleased, book is very informative By R. Mac Using for PhD course. Have been pleased, book is very informative.
0 of 0 people found the following review helpful. Full of good information By Marie S. Very useful book for someone reentering the health insurance/managed care job market after 15+ years.
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