Managed care made simple
著者
書誌事項
Managed care made simple
Blackwell Science, c1996
- : pbk
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注記
Includes bibliographical references (p. 101-103) and index
内容説明・目次
内容説明
This is an introduction to the basics of managed care, medical costs, and health care reform. It is intended for medical and nursing students, residents, physicians - anyone who has chosen a career in the health professions. The book discusses the different types of managed care organizations (MCOs). It outlines health care delivery systems in Canada and Great Britain, and reviews current health care proposals in the USA. It also: looks at health insurance, from the patients' perspective; lists retail harmaceutical prices; includes tables of hospital, diagnostic and laboratory costs; sharpens problem-solving skills with actual patient cases; plus board review questions.
目次
- Part 1 Healthcare financing: overview
- traditional insurance and fee-for service
- medicare
- medicaid. Part 2 Managed care: roots of managed care
- growth and development of managed care
- managed care functions
- managed care organizational models
- restrictive practices
- workforce issues
- payment methods
- ethical consideration. Part 3 Healthcare reform: the issues
- current proposal
- examples of other systems. Part 4 Health insurance - the patient perspective: private insurance
- Medicare
- Medicaid
- long-term care
- pharmaceutical costs. Part 5 Problem-solving exercises: managed care exercises
- physician's perspective
- patient's perspective
- problem-solving cases. Part 6 Hospital, laboratory and miscellaneous charges: hospital costs
- diagnostic imaging charges
- clinical pathology diagnostic test costs
- miscellaneous charges
- physician fee for selected procedures. Appendices: answers to problem-solving cases
- board review questions.
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