03392oam 2200685I 450 991046383880332120200520144314.00-429-25099-11-4398-4030-X1-4398-4031-810.1201/b11753 (CKB)2670000000593774(EBL)1447080(SSID)ssj0001401054(PQKBManifestationID)12510311(PQKBTitleCode)TC0001401054(PQKBWorkID)11349209(PQKB)11353576(MiAaPQ)EBC4742798(MiAaPQ)EBC1447080(CaSebORM)9781439840306(Au-PeEL)EBL1447080(CaPaEBR)ebr11166209(OCoLC)908077754(OCoLC)900292030(EXLCZ)99267000000059377420180706d2012 uy 0engur|n|---|||||txtccrManaged health care in the new millennium innovative financial modeling for the 21st century /David I. Samuels1st editionBoca Raton :CRC Press,2012.1 online resource (291 p.)"A Productivity Press book."Update of: Capitation / David I. Samuels. c1996.1-322-62048-2 1-4665-1622-4 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 ComplianceChapter 9: Innovative Managed Care Modeling for the 21st CenturyChapter 10: Innovative MCO Financial Modeling for the 21st Century; Back Cover"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 underlying actuarial and risk assumptions are ignored or trivialized. The author also discusses the challenges capitation-based pricing faces from an international perspective, including Latin America and the Caribbean"--Provided by publisher.Marketing of Health ServicesUnited StatesCapitation FeeUnited StatesManaged Care ProgramseconomicsUnited StatesElectronic books.Marketing of Health ServicesCapitation FeeManaged Care Programseconomics368.38/2Samuels David I902578Samuels David I902578MiAaPQMiAaPQMiAaPQBOOK9910463838803321Managed health care in the new millennium2017563UNINA