Managed Care on Trial: Recapturing Trust, Integrity, and Accountability in Healthcare (Hfma Healthcare Financial Management Series)

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9780070530997: Managed Care on Trial: Recapturing Trust, Integrity, and Accountability in Healthcare (Hfma Healthcare Financial Management Series)

Although managed care affects over 100 million Americans and continues to extend its reach across this country, its successes are often overshadowed by a deterioration of consumer confidence, as evidenced by the literally thousands of legislative and regulatory initiatives aimed at taming managed care. Managed Care on Trial explores the ethical and legal issues that arise from managed care and offers a prescription for the eroding confidence in the system by resorting trust, integrity and accountability. Managed Care on Trial seeks to arm the physician and other healthcare providers with knowledge that will better enable them to bridge the gap between fscal mandates and clinical standards, and to negotiate with payors as active partners rather than passive recipients in dealing with the challenges of marketplace demands. It is also oriented as a guide for consumers seeking better ways of addressing and solving the problems posed by the rapid transformation of the healthcare system. Included in the book are reviews of some of the most dramatic legal cases involving managed care.

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From the Author:

Great source for the consumer and caregiver alike
I wrote this book to give the reader a more defined sense of the trials and tribulations they face in managed care. It pulls no punches in describing financial incentives that my affect your care and getting a timely and appropriate referral,and the disparity between what you are told you'll get and the diffculty of accessing appropriate care. For the physician, it offers constructive policies and procedures to help you better negotiate with the HMO and avoid conflicts of interests. A chilling analysis of capitation and economic expermentation which focuses on inconsistencies and fiscal arrogance is a major highlight for the reader. So many who work in the health care field are reluctant to voice their concerns about managed care (managed cost) because of the influence it has on their livlihood. I ignored this caveat for the greater good of making the world a safer place. While I am not an enemy of managed care I am a strong critic; I strongly argue that those processes, techniques, and principles which jeopardize human dignity, peace of mind and security be jettisoned in favor of a system which can recapture trust, integrity and accountability in health care,

Dennis Robbins, Author of Managed Care on Trial

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Robbins, Dennis
ISBN 10: 0070530998 ISBN 13: 9780070530997
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