As the most widely-used textbook on managed care, Essentials of Managed Health Care provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well. This revision includes updates to all chapters, as well as: New chapters on disease management, case management, pharmacy benefits management, behavioral health management, prevention, and the use of data and analysis in care management. New chapters on claims administration, sales and marketing, healthcare consumerism, and the employer s view of managed health care. Completely revised chapter on the new Medicare/Medicaid laws and programs. New chapters on the military health system and managed care in a global context. New chapter on HIPAA.
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This is the academic version
The Essentials of Managed Health Care 2nd Edition is extracted from the larger parent text, The Managed Health Care Handbook, 3rd Edition. As such, it is aimed at the post-graduate students. It also serves as a useful introduction to managed care for individuals who are not going to be working extensively in the field. Because it is an extract of a comprehensive work, the serious student or reader should look at the parent text. Comments to me are always welcome and will be considered (if not necessarily acted upon) during future revisions.
Forty-seven American health care professionals, consultants, attorneys, and academics contribute 33 chapters on the key strategic, tactical, and operational aspects of managed health care. The text now combines in one book materials previously presented in two related books, The Managed Health Care Handbook, Fourth Ed. (2000) and The Essentials of
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