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

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"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 o...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Samuels, David I. (Autor)
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Boca Raton, FL : CRC Press, [2012]
Temas:
Managed care plans (Medical care)
Fundholding (Medical economics)
Capitation fees (Medical care)
Managed Care Programs > economics
Capitation Fee
Marketing of Health Services
Managed Care Programs
Soins intégrés de santé.
Capitation (Économie de la santé)
BUSINESS & ECONOMICS > Insurance > Risk Assessment & Management.
United States
Acceso en línea:Texto completo

MARC

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245 1 0 |a Managed health care in the new millennium :  |b innovative financial modeling for the 21st century /  |c David I. Samuels. 
246 3 0 |a Innovative financial modeling for the 21st century 
264 1 |a Boca Raton, FL :  |b CRC Press,  |c [2012] 
264 4 |c ©2012 
300 |a 1 online resource (xxii, 265 pages) :  |b illustrations 
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588 0 |a Online resource; title from title page (Safari, viewed January 8, 2015). 
505 0 |a Ch. 1. An updated introduction to managed care and capitation -- ch. 2. Understanding managed care industry operations -- ch. 3. Managed care provider and practitioner operations -- ch. 4. Managed care organization quality benchmarking -- ch. 5. Managing the managed care enrollee -- ch. 6. Enrollee-based financial and mathematical prediction models -- ch. 7. Management of managed care information for modeling purposes -- ch. 8. Managed care legal and regulatory compliance -- ch. 9. Innovative managed care modeling for the 21st century -- ch. 10. Innovative MCO financial modeling for the 21st century. 
520 |a "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. 
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650 0 |a Managed care plans (Medical care) 
650 0 |a Fundholding (Medical economics) 
650 0 |a Capitation fees (Medical care) 
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650 2 2 |a Capitation Fee 
650 2 2 |a Marketing of Health Services 
651 2 |a United States 
650 2 |a Managed Care Programs 
650 6 |a Soins intégrés de santé. 
650 6 |a Capitation (Économie de la santé) 
650 7 |a BUSINESS & ECONOMICS  |x Insurance  |x Risk Assessment & Management.  |2 bisacsh 
650 7 |a Fundholding (Medical economics)  |2 fast 
650 7 |a Capitation fees (Medical care)  |2 fast 
650 7 |a Managed care plans (Medical care)  |2 fast 
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776 0 8 |i Print version:  |a Samuels, David I.  |t Managed Health Care in the New Millennium : Innovative Financial Modeling for the 21st Century.  |d Hoboken : CRC Press, ©2011  |z 9781439840306 
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