Price: $59.92
(as of Dec 01,2024 17:43:38 UTC – Details)

ASIN ‏ : ‎ B008ETD736
Publisher ‏ : ‎ Jones & Bartlett Learning; 3rd edition (September 19, 2008)
Publication date ‏ : ‎ September 19, 2008
Language ‏ : ‎ English
File size ‏ : ‎ 1347 KB
Text-to-Speech ‏ : ‎ Enabled
Screen Reader ‏ : ‎ Supported
Enhanced typesetting ‏ : ‎ Enabled
X-Ray ‏ : ‎ Not Enabled
Word Wise ‏ : ‎ Not Enabled
Print length ‏ : ‎ 295 pages

Managed Care: What It Is and How It Works

Managed care is a system of healthcare delivery that aims to control costs and improve quality through a variety of mechanisms. In the Managed Health Care Handbook by Peter R. Kongstvedt, the author explores the intricacies of managed care and how it operates within the healthcare industry.

One of the key components of managed care is the use of networks of healthcare providers. These networks typically consist of doctors, hospitals, and other healthcare facilities that have agreed to provide services to members of a particular managed care organization. By contracting with these providers, managed care organizations are able to negotiate lower rates for services, which helps to keep costs down.

Another important aspect of managed care is the use of utilization management techniques. These techniques are used to ensure that patients receive appropriate care in the most cost-effective manner possible. This can include preauthorization requirements for certain procedures, as well as case management for patients with complex medical conditions.

Managed care organizations also often use capitation as a payment model. Under this system, providers are paid a fixed amount per patient per month, regardless of the amount of care that patient receives. This incentivizes providers to deliver care efficiently and effectively, as they are able to keep any savings they generate.

Overall, managed care is a complex system that involves a variety of mechanisms to control costs and improve quality. By understanding how managed care works, patients and providers can make informed decisions about their healthcare options.
#Managed #Care #Works #Managed #Health #Care #Handbook #Kongstvedt