Author: American Medical Association
Edition:
Binding: Paperback
ISBN: 0899708706
Edition:
Binding: Paperback
ISBN: 0899708706
Developing a Managed Care Business Plan
Managed Care Outlook helps you identify the opportunities in your industry to develop products and services and increase your market share. Managed Care Outlook gives you the tools you need to understand consumer, provider, purchaser and competitive trends as well as emerging legislation and policy in your market, or markets in which you plan to do business. Make more profitable strategic business decisions and stay ahead of the competition with answers to questions such as: Will merger-mania mean the end of small and mid-sized managed care plans - or will it create new opportunities for plans to form more solid strategic alliances? What strategies are plans using to negotiate effectively with physician-hospital organizations - and what steps are they taking to blunt competition from provider groups that contract directly with purchasers? What is the profit potential for your business in Medicare - and what business opportunities exist for you on a state-by-state basis in Medicaid? Every other week you'll discover cutting-edge trends and techniques in the managed care industry that succeed and dominate at the regional and national level.
Developing Managed Care Business Plan
By Hough. ISBN 10: 0899708706. ISBN 13: 9780899708706. Used condition. Paperback published 1998 by American Medical Association.
"Today's managed care contract arrangements require that the provider understand the mechanics, legal aspects and market share implications of single signature, network-oriented, capitated and discounted fee-for-service payment arrangements. This work provides this information and shows the reader how to: evaluate both payer-proposed and self-authored managed care agreements; position their facility and services to secure and maintain managed care agreements that will yield oportunity for more patients and new business; negotiate a profitable managed care contract using suggested techniques fo
M]eaningful, candid, honest, and visionary. This guide will get you started and keep you moving forward . A]n excellent tool for any advanced practice nurse, faculty member, or student who wants to practice in the community. --Susan Sherman President, Independence Foundation (From the Foreword) Wellness centers continue to play a key role in enhancing access to health care and providing high-quality care for patients. Nurse-Managed Wellness Centers serves as a step-by-step guide to starting and sustaining an effective wellness center, whether non-profit or academic. Written for nurse and healt
David Samuels, a leading authority on financial models in healthcare, draws on his multidisciplinary background in all aspects of managed care to provide an expansive yet detailed perspective of this complex field. Grounded in evidence-based modeling, the books multidisciplinary focus puts the spotlight on core concepts from the standpoints of health plans, hospitals, physician practice, and their respective integrated network models. Youll learn what happened when a countrys national health care plan is developed with problematic underwriting, why hospitals will always be victimized at their
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