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Managed health care in the new millennium : innovative financial modeling for the 21st century / / David I. Samuels



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Autore: Samuels David I Visualizza persona
Titolo: Managed health care in the new millennium : innovative financial modeling for the 21st century / / David I. Samuels Visualizza cluster
Pubblicazione: Boca Raton : , : CRC Press, , 2012
Edizione: 1st edition
Descrizione fisica: 1 online resource (291 p.)
Disciplina: 368.38/2
Soggetto topico: Marketing of Health Services - United States
Capitation Fee - United States
Managed Care Programs - economics - United States
Altri autori: SamuelsDavid I  
Note generali: "A Productivity Press book."
Update of: Capitation / David I. Samuels. c1996.
Nota di contenuto: 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
Sommario/riassunto: "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.
Titolo autorizzato: Managed health care in the new millennium  Visualizza cluster
ISBN: 0-429-25099-1
1-4398-4030-X
1-4398-4031-8
Formato: Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione: Inglese
Record Nr.: 9910817255603321
Lo trovi qui: Univ. Federico II
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