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Record Nr. |
UNINA9910817255603321 |
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Autore |
Samuels David I |
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Titolo |
Managed health care in the new millennium : innovative financial modeling for the 21st century / / David I. Samuels |
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Pubbl/distr/stampa |
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Boca Raton : , : CRC Press, , 2012 |
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ISBN |
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0-429-25099-1 |
1-4398-4030-X |
1-4398-4031-8 |
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Edizione |
[1st edition] |
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Descrizione fisica |
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1 online resource (291 p.) |
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Altri autori (Persone) |
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Disciplina |
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Soggetti |
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Marketing of Health Services - United States |
Capitation Fee - United States |
Managed Care Programs - economics - United States |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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"A Productivity Press book." |
Update of: Capitation / David I. Samuels. c1996. |
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Nota di contenuto |
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Front Cover; Contents; Preface; Acknowledgments; About the Author; Chapter 1: An Updated Introduction to Managed Care and Capitation; Chapter 2: Understanding Managed Care Industry Operations; Chapter 3: Managed Care Provider and Practitioner Operations; Chapter 4: Managed Care Organization Quality Benchmarking; Chapter 5: Managing the Managed Care Enrollee; Chapter 6: Enrollee-Based Financial and Mathematical Prediction Models; Chapter 7: Management of Managed Care Information for Modeling Purposes; Chapter 8: Managed Care Legal and Regulatory Compliance |
Chapter 9: Innovative Managed Care Modeling for the 21st CenturyChapter 10: Innovative MCO Financial Modeling for the 21st Century; Back Cover |
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Sommario/riassunto |
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"Thoroughly exploring how capitation has evolved domestically and internationally in recent years, this book discusses actuarial assumptions and the difficulties in payers transitions from community-based underwriting to experience-based ratings. It explores what the future holds in the areas of clinical pathways and population-based risk assumption tools and approaches. It covers what happens when the |
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