Essentials of Managed Health Care

By Peter R. Kongstvedt

Book Overview

As the most widely-used textbook on managed care, Essentials of Managed Health Care provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well. New contributors New chapter on the Patient Protection and Affordable Care Act of March 2010 New chapter on enrollment and billing New chapter on fraud and abuse Completely re-written chapter on information systems and electronic data interchange Completely re-written chapter on Medicaid Managed Health Care Complete restructuring of section 2 with a new focus on structure and payment across all types of health care delivery systems New chapter on physician practice behavior and managed health care (c) 2013 694 pages

• Format: Paperback
• Language: English
• ISBN: 1449653316
• ISBN13: 9781449653316
• Release Date: April 2012
• Publisher: Jones & Bartlett Publishers
• Length: 694 Pages
• Weight: 3.80 lbs.
• Dimensions: 1.4" x 8.4" x 10.8"

Customer Reviews

Great Purchase

Definitely would buy again from seller. Book was Brand new and price was unbeatable! Book came right on time.

Essentials of Mnagaed Health Care

This text arrived in great condition and is a comprehensive look at all aspects of managed health care over the course of managed care history.

Obviously not the first shot at the material.

The author created an invaluable tool to help begineers understand the rather complicated topic of managed care using a straightforward linear approach to the topic. All topics are covered early with references to indepth coverage found later in the volume. Getting the book is just a tool though, you really gotta want to learn the material because as practiced as the author is at putting the pen to paper, it's a very difficult topic and therefore, read.

Management of Managed Care

The book was easy to understand and was written from the perspective of someone who is unfamiliar with the managed care topic. I recommend it highly

Excellent Overview of Managed Care

Excellent, comprehensive primer on the intricacies of managed care. Covers all the major topics, including delivery systems, public and private sector forms of managed care, regulatory and legal issues, medical management, information systems, and operational issues. Thoughtfully done by Dr. Peter R. Kongstvedt and contributors.