Managed Care, Outcomes, and Quality - Steven F. Isenberg

Managed Care, Outcomes, and Quality

A Practical Guide
Buch | Softcover
366 Seiten
1997
Thieme-Stratton Corp (Verlag)
978-0-86577-687-6 (ISBN)
59,95 inkl. MwSt
Practicing physicians in the 1990s are under intense pressure from all sides. Large insurers threaten clinical autonomy while increasing professional risk; complex contracts demand new levels of business expertise; and a skeptical public questions skills and honesty more than ever before.


This timely new book is the first to offer real solutions to these problems from the perspective of the working physician. Edited by Dr. Steven Isenberg, and featuring contributions from experts in law and business as well as clinical medicine, MANAGED CARE, OUTCOMES, AND QUALITY gives the physician or administrator the help he or she needs to ensure top-quality care in the 1990's and beyond.

Otolaryngology/Head and Neck Surgery, Community Hospital, Indianapolis, IN, USA

I. The Essentials of Managed Care and Capitation

1. Capitation

2. Reimbursement Systems and Managed Care

3. Referral Guidelines

4. Negotiating Managed Care Contracts

5. The Legal Issues of Managed Care Contracts

6. Understanding Profiling

7. Ethical Challenges of Managed Care

II. Utilizing Outcomes in a Managed Care Environment

8. Outcomes Research: Where We Have Been, Where We Need to Go

9. Meaningful Outcomes Research

10. Improving Health Care: Measuring Outcomes and Implementing Change

11. Project Solo/Physicians' Information Exchange: Organizing Physicians Around Quality

III. Quality in the Front and the Back Office

12. Improving Office Efficiency in a Managed Care Environment

13. Staffing Requirements in Managed Care

14. Surviving and Thriving as an Independent Practitioner: The Search for Continuous Quality Improvement

15. Information Management in Managed Care and Capitation

16. Malpractice Issues

IV. The Physician's Response to Managed Care

17. Network Mergers and IPAs: The Legal Issues

18. Physician Organizations

19. Single-Specialty Networks: The Mature Network

20. Single-Specialty Networks: Initial Stages

21. Mergers and Acquisitions

22. Evolving a Single Specialty Into a Multispecialty Network

23. Will Doctors Take Back Health Care?

Verlagsort New York, NY
Sprache englisch
Maße 279 x 216 mm
Gewicht 865 g
Themenwelt Medizin / Pharmazie Gesundheitswesen
Medizin / Pharmazie Medizinische Fachgebiete Medizinethik
Medizin / Pharmazie Pflege
Studium Querschnittsbereiche Prävention / Gesundheitsförderung
ISBN-10 0-86577-687-3 / 0865776873
ISBN-13 978-0-86577-687-6 / 9780865776876
Zustand Neuware
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