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
|
| Titolo: |
Managed health care in the new millennium : innovative financial modeling for the 21st century / / David I. Samuels
|
| 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 | |
| Soggetto genere / forma: | Electronic books. |
| 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 |
| 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.: | 9910463838803321 |
| Lo trovi qui: | Univ. Federico II |
| Opac: | Controlla la disponibilità qui |