Managed health care in the new millennium : innovative financial modeling for the 21st century /
"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...
Clasificación: | Libro Electrónico |
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Autor principal: | |
Formato: | Electrónico eBook |
Idioma: | Inglés |
Publicado: |
Boca Raton, FL :
CRC Press,
[2012]
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Temas: | |
Acceso en línea: | Texto completo |
Tabla de Contenidos:
- 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.