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Book Categories |
Preface | ||
1 | Background | 1 |
2 | Types of Managed Care Organizations and Products | 15 |
3 | Forms of Provider Payment | 25 |
4 | Capitation as a Preferred Payment Mechanism | 37 |
5 | Managed Care Contracts and Terms | 49 |
6 | The Importance of the Managed Care Relationship, Who Receives Payment, and Who Accepts Risk | 73 |
7 | The Development of Organizational Structures to Manage Care - Medical Group Development, PHOs, and MSOs | 83 |
8 | More Fully Integrated Structures to Manage Care - Medical Foundations and Fully Integrated Delivery Systems, including the Physician Equity Model | 105 |
9 | Physician Compensation | 119 |
10 | Managing Care | 127 |
11 | Credentialing | 133 |
12 | Specialty Medical Groups, Networks, and Ancillary Providers - Alternatives to Fully Integrated Delivery Systems | 139 |
13 | Academic Medical Centers | 151 |
14 | Alliance, Contract, or Virtual Integration | 157 |
15 | Replication of the Physician Equity Model to Align Incentives | 163 |
16 | Miscellaneous Legal Issues in Managed Care | 167 |
Endnotes | 177 | |
Index | 179 | |
About the Author | 189 |
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Add Financial Manager's Guide to Managed Care and Integrated Delivery Systems : Strategies for Contracting and Reimbursement, There are over 80 million Americans enrolled in a managed care program. And in the next five years, 80 percent of all health plans will be managed care. This makes understanding managed care even more important for healthcare administrators, financial man, Financial Manager's Guide to Managed Care and Integrated Delivery Systems : Strategies for Contracting and Reimbursement to your collection on WonderClub |