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Health Plans Unmasked : A Physician's Guide to Working with Health Insurers /
"This book is written for leaders of provider organizations as a strategic guide to value-based contracting with health plans. In this book the author describes why insurance companies do the things they do, in order to help show ways to approach them efficiently and successfully. The book also...
| Autor principal: | |
|---|---|
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Baltimore :
Johns Hopkins University Press,
2023.
|
| Colección: | Book collections on Project MUSE.
|
| Temas: | |
| Acceso en línea: | Texto completo |
MARC
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|---|---|---|---|
| 001 | musev2_110684 | ||
| 003 | MdBmJHUP | ||
| 005 | 20230905054503.0 | ||
| 006 | m o d | ||
| 007 | cr||||||||nn|n | ||
| 008 | 220907s2023 mdu o 00 0 eng d | ||
| 010 | |z 2022043024 | ||
| 020 | |a 9781421446776 | ||
| 020 | |z 9781421446769 | ||
| 035 | |a (OCoLC)1381712667 | ||
| 040 | |a MdBmJHUP |c MdBmJHUP | ||
| 100 | 1 | |a Lustick, Martin, |d 1956- |e author. | |
| 245 | 1 | 0 | |a Health Plans Unmasked : |b A Physician's Guide to Working with Health Insurers / |c Martin Lustick. |
| 264 | 1 | |a Baltimore : |b Johns Hopkins University Press, |c 2023. | |
| 264 | 3 | |a Baltimore, Md. : |b Project MUSE, |c 2023 | |
| 264 | 4 | |c ©2023. | |
| 300 | |a 1 online resource (176 pages). | ||
| 336 | |a text |b txt |2 rdacontent | ||
| 337 | |a computer |b c |2 rdamedia | ||
| 338 | |a online resource |b cr |2 rdacarrier | ||
| 505 | 0 | |a Historical context -- What is a health plan? -- Medicare -- Medicaid -- Commercial insurance -- Brokers and consultants -- The ABCs of fee-for-service -- What happens to a claim -- Payment errors -- Health plan strategic concerns -- Analytics -- Cost management strategies -- Quality -- Care management -- Health plan committees -- Health plan contracting 101 -- Value-based budgeting -- Incentive payments -- Risk mitigation -- Price transparency -- Subrogation -- Pharmacy benefit management -- On becoming a payvider -- Closing thoughts. | |
| 520 | |a "This book is written for leaders of provider organizations as a strategic guide to value-based contracting with health plans. In this book the author describes why insurance companies do the things they do, in order to help show ways to approach them efficiently and successfully. The book also describes how providers can put the pieces in place to make transitions to value-based care as painless as possible"-- |c Provided by publisher. | ||
| 588 | |a Description based on print version record. | ||
| 650 | 2 | 2 | |a Insurance, Health, Reimbursement. |
| 650 | 2 | 2 | |a Value-Based Health Insurance. |
| 650 | 1 | 2 | |a Health Insurance. |
| 650 | 0 | |a Health insurance claims |z United States. | |
| 650 | 0 | |a Health insurance |z United States. | |
| 651 | 2 | |a United States. | |
| 655 | 7 | |a Electronic books. |2 local | |
| 710 | 2 | |a Project Muse. |e distributor | |
| 830 | 0 | |a Book collections on Project MUSE. | |
| 856 | 4 | 0 | |z Texto completo |u https://projectmuse.uam.elogim.com/book/110684/ |
| 945 | |a Project MUSE - Custom Collection | ||
| 945 | |a Project MUSE - 2023 Complete | ||
| 945 | |a Project MUSE - 2023 Public Health and Health Policy | ||