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Essentials of Managed Health Care (Essentials of Managed Care)
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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.The Sixth Edition is a thorough revision that addresses the impact of HR 3590, the Patient Protection and Affordable Care Act, as well as other new laws such as the Genetic Information Non-disclosure Act (GINA).
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Product details
Series: Essentials of Managed Care
Paperback: 694 pages
Publisher: Jones & Bartlett Learning; 6 edition (April 20, 2012)
Language: English
ISBN-10: 9781449653316
ISBN-13: 978-1449653316
ASIN: 1449653316
Product Dimensions:
8.4 x 1.4 x 10.8 inches
Shipping Weight: 3.6 pounds (View shipping rates and policies)
Average Customer Review:
4.2 out of 5 stars
36 customer reviews
Amazon Best Sellers Rank:
#239,967 in Books (See Top 100 in Books)
I am a physician who recently started working for a managed care organization. While I had some previous experience in managed care, I needed to have a fundamental tool to help me with areas I was not familiar with. This book fits that description entirely. It is an outstanding book which is designed for both and novice and intermediate level and I would highly recommend it.One of the nice things about this book is that the chapters themselves are self-contained; in other words, you can choose to read the individual chapters in whatever order you like, without reference to the prior chapters. There are sections in which it makes logical sense to read them in a specific order, but this is not an absolute.If you want to learn about managed care, brush up on what you know, or improve your baseline knowledge, I think that this book is for you. It's well-written, well-researched, and easy to read. A very worthy investment.
It feels like the authors of this book were paid by the word. Chapters have irrelevant sections and sections have unnecessary details. Some examples:-The section on member services describes a call center, including that call centers typically have cubicles with low walls to foster teamwork, an apparently critical detail for students of the healthcare system.-"24 hours per day, 7 days per week (referred to as 24/7)" for those who've never heard the term "24/7"-A section describing a system that used to be separate but has since been combined, followed by a description of how the two used to work when separate, "for clarity". I don't remember if the book even describes how it works now that it's combined.-List after list that include failed systems and ideas or outdated terminology. In some cases knowing what hasn't worked is useful, but mostly it's just clutter that detracts from the important points.-Lists of "keys" to success that include more than a dozen items, with questionable items such as "compassion"Yes, the book is comprehesive; however, the unnecessary detail clouds key points and bores the reader. This book could easily be cut in half without losing any critical information.
I'm a healthcare administration and management student and this is a really great resource even after the class was complete. I have found myself going to this book for references for my other courses. If you want to have a great managed care resource, this is your book. I first rented this book and bought it afterwards because I found it so useful.
As described
When I got my MHA I studied this book. I find it updated with new information and resources. A wonderful reference for individuals in the field.I would definitely recommend it to others interested in learning about Managed Health Care.
Great book! So much valuable information for individuals in and out the healthcare field.
perfect
Great book in preparing for my Managed Care Nursing Certification
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