LEADER 03360oam 2200673I 450 001 9910817255603321 005 20230801231853.0 010 $a0-429-25099-1 010 $a1-4398-4030-X 010 $a1-4398-4031-8 024 7 $a10.1201/b11753 035 $a(CKB)2670000000593774 035 $a(EBL)1447080 035 $a(SSID)ssj0001401054 035 $a(PQKBManifestationID)12510311 035 $a(PQKBTitleCode)TC0001401054 035 $a(PQKBWorkID)11349209 035 $a(PQKB)11353576 035 $a(MiAaPQ)EBC4742798 035 $a(MiAaPQ)EBC1447080 035 $a(CaSebORM)9781439840306 035 $a(Au-PeEL)EBL1447080 035 $a(CaPaEBR)ebr11166209 035 $a(OCoLC)908077754 035 $a(OCoLC)900292030 035 $a(EXLCZ)992670000000593774 100 $a20180706d2012 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aManaged health care in the new millennium $einnovative financial modeling for the 21st century /$fDavid I. Samuels 205 $a1st edition 210 1$aBoca Raton :$cCRC Press,$d2012. 215 $a1 online resource (291 p.) 300 $a"A Productivity Press book." 300 $aUpdate of: Capitation / David I. Samuels. c1996. 311 $a1-322-62048-2 311 $a1-4665-1622-4 327 $aFront 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 327 $aChapter 9: Innovative Managed Care Modeling for the 21st CenturyChapter 10: Innovative MCO Financial Modeling for the 21st Century; Back Cover 330 $a"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. 606 $aMarketing of Health Services$zUnited States 606 $aCapitation Fee$zUnited States 606 $aManaged Care Programs$xeconomics$zUnited States 615 0$aMarketing of Health Services 615 0$aCapitation Fee 615 0$aManaged Care Programs$xeconomics 676 $a368.38/2 700 $aSamuels$b David I$01636239 701 $aSamuels$b David I$01636239 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910817255603321 996 $aManaged health care in the new millennium$93977409 997 $aUNINA