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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...

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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:
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.