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008			031121r20032001maua b 001 0 eng
010			_a 2003047430
035			_a(OCoLC)ocm51937177
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020			_a9780763724962 (pbk.)
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029	1		_aAU@ _b000025557728
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035			_a(OCoLC)51937177
042			_apcc
043			_an-us---
050	1	4	_aRA413 _b.E87 2003
082	0	0	_a362.1/04258 _221
084			_a44.05 _2bcl
096			_aW 130 AA1 E7 2003
049			_aGRAL
245	0	0	_aEssentials of managed health care / _cedited by Peter R. Kongstvedt.
250			_a4th ed.
260			_aSudbury, Mass. : _bJones and Bartlett Publishers, c2003.
300			_axvii, 883 p. : _bill. ; _c26 cm.
504			_aIncludes bibliographical references and index.
505	0		_aIntroduction to managed care. An overview of managed care -- Types of managed care organizations -- Integrated health care delivery systems -- Elements of the management control and governance structure -- Examining common assertions about managed care. The health care delivery system. Primary care in managed health care plans -- Compensation of primary care physicians in managed health care -- Contracting and reimbursement of specialty physicians -- Negotiating and contracting with hospitals, institutions, and ancillary services. Medical management. Care management and clinical integration.
505	0		_acomponents -- Managing basic medical-surgical utilization -- Clinical services requiring authorization -- Case management and managed care -- Fundamentals and core competencies of disease management -- Prescription drug benefits in managed care -- Managed behavioral health care and chemical dependency services -- Quality management in managed care -- Using data and provider profiling in medical management -- Physician behavior change in managed health care. Operational marketing and management. Information systems in managed health care plans -- Claims and benefits administration
505	0		_aMember services and consumer affairs -- Sales and marketing in managed health care plans : the process of distribution -- The employer's view of managed health care : show me the value -- The impact of consumerism on managed health care -- Accreditation and performance measurement programs for managed care organizations -- Common operational problems in managed health care plans -- Operational finance and budgeting -- Underwriting and rating functions common to most markets. Medicare and Medicaid. Medicare and managed care -- Medicaid managed care. Regulatory and legal issues. Legal issues in.
505	0		_aprovider contracting -- Legal liability related to medical management activities -- The Health Insurance Portability and Accountability Act of 1996 -- State regulation of managed care -- Managed care's regulatory evolution : driving change in the new century -- Epilogue : Managed health care at the millennium.
650		0	_aManaged care plans (Medical care) _xManagement.
650		2	_aDelivery of Health Care _xeconomics _zUnited States.
650		2	_aManaged Care Programs _xorganization & administration _zUnited States.
650	1	7	_aGezondheidszorg. _2gtt
650	1	7	_aManagement. _2gtt
700	1		_aKongstvedt, Peter R. _q(Peter Reid)
938			_aBaker and Taylor _bBTCP _n2003047430
938			_aYBP Library Services _bYANK _n2028468
938			_aIngram _bINGR _n9780763724962
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