Making Sense of Managed Care

Editors: Kimball Austin Miller, MD, MHSA, and Elaine King Miller, PhD

Non Member Price: $20.00

Member Price: $15.00 - You Save $5.00

 

Making Sense of Managed Care

*Also available in value package
It takes three volumes, but it's everything you need to know about managed care—a must-read for providers, payers, patients, consumers, and policy makers. Everyday language makes this complex topic easy to understand. Volume One reviews the basic organizational building blocks and theoretical models fundamental to the integrated managed care environment. Volume Two examines changes in the external environment and provides suggestions for market-driven programs to help organizations thrive financially. Volume Three addresses operational management issues, legal concerns, essential organizational alignments, and strategic planning processes.

141, 185, and 299 Pages © 1997

Table of Contents

Volume One
Building Blocks and Fundamentals

Chapter 1
Lexicon of Managed Care Concepts and Terms

Chapter 2
Understanding the Fundamentals of Managed Health Care

Chapter 3
Health Maintenance Organizations

Chapter 4
Independent Practice Association Model of Managed Care

Chapter 5
Overview of Physician Hospital Organizations

Chapter 6
Management Service Organizations

Chapter 7
Managed Care Contracting Models

Chapter 8
Vertically Asset Integrated Health Care Systems

Chapter 9
Virtually Integrated Health Care Systems

Chapter 10
Capstone View: The Integration Paradigm Shift

Volume Two
Strategic Positioning

Chapter 1
Economic Issues in Managed Care: Why Health Policy Changes Are about to Ruin Your Life as a Health Care Provider

Chapter 2
Patient Patients No More: Aging Baby Boomers and Health Care

Chapter 3
Mergers and Acquisitions

Chapter 4
Capitation

Chapter 5
Using Patient Satisfaction as a Strategic Weapon

Chapter 6
Medical Care Marketing in the Managed Care World

Chapter 7
Selecting a Managed Care Plan Partner: Indicators You Can Use

Chapter 8
Positioning a Health Care Organization Using Value Purchasing Information

Chapter 9
Pharmacoeconomics

Chapter 10
Information Tools and Managed Care: What You Need to Survive

Chapter 11
Getting beyond the Legal Issues in Managed Care

Chapter 12
Managing Health: Determinants of Clinical Practice

Volume Three
Operational Issues and Practical Answers

Chapter 1
Managed Care from the Health Plan Perspective

Chapter 2
Improving Organizational Performance through Total Quality Management

Chapter 3
Organizational Behavior: Tools and Practices for Success in Managed Care Environments

Chapter 4
Cost Control and Practice Management

Chapter 5
Retooling, Restructuring, and Repositioning Medicine to Meet the Consumer Challenge

Chapter 6
Managed Care Contract Negotiations

Chapter 7
Management in Practice: A Case of Risks and Rewards

Chapter 8
The Role of Guidelines in Successful Managed Care Practice

Chapter 9
Positive Approaches to Clinical Practice Improvement

Chapter 10
Measuring Performance of Health Care Providers

Chapter 11
The Role of Patient Satisfaction Surveys in the Assessment of Quality

Chapter 12
Measuring Medical Practice: The Practice Profile

Chapter 13
Controlling Access: The Cutting Edge Operational Issue in Managed Care