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Financial Manager's Guide to Managed Care and Integrated Delivery Systems : Strategies for Contracting and Reimbursement Book

Financial Manager's Guide to Managed Care and Integrated Delivery Systems : Strategies for Contracting and Reimbursement
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 has a rating of 3 stars
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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
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  • Financial Manager's Guide to Managed Care and Integrated Delivery Systems : Strategies for Contracting and Reimbursement
  • Written by author Paul R. DeMuro
  • Published by Irwin Professional Publishing, 1995/05/01
  • 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
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Authors

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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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

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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

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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

Financial Manager's Guide to Managed Care and Integrated Delivery Systems : Strategies for Contracting and Reimbursement

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