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Książki na temat „Managed health care model”

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Autor: Grafiati
Data publikacji: 4 czerwca 2021
Data aktualizacji: 13 lutego 2022

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1

Baker, Laurence Claude. The effect of managed care on health care providers. Cambridge, MA: National Bureau of Economic Research, 1997.

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2

Frank, Richard G. Measuring adverse selection in managed health care. Cambridge, MA: National Bureau of Economic Research, 1998.

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3

R, Pope Clyde, red. Promise and performance in managed care: The prepaid group practice model. Baltimore, Md: Johns Hopkins University Press, 1994.

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4

Baker, Laurence Claude. Managed care and health care expenditures: Evidence from Medicare, 1990-1994. Cambridge, MA: National Bureau of Economic Research, 1997.

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5

Frank, Richard G. Parity for mental health and substance abuse care under managed care. Cambridge, MA: National Bureau of Economic Research, 1998.

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6

Audits, California Bureau of State. Medi-Cal Managed Care Program: The Departments of Managed Health Care and Health Care Services could improve their oversight of local initiatives participating in the Medi-Cal two-plan model. Sacramento, CA: California State Auditor, Bureau of State Audits, 2011.

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7

Cutler, David M. Prices and productivity in managed care insurance. Cambridge, MA: National Bureau of Economic Research, 1998.

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8

W, Veeder Nancy, i Pearce Carole W, red. Nurse-social worker collaboration in managed care: A model of community case management. New York: Springer Pub. Co., 1998.

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9

McLane, Shelley. Evolving managed care organizations and Ohio health maintenance organizations: Enrollment, tax status, model type, sources of revenue, sources of expense, NCQA accreditation status, financial ratios : (1993 & 1994). Columbus, Ohio: House Insurance Committee, 1996.

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10

Belli, Paolo. How adverse selection affects the health insurance market. Washington, D.C: World Bank, Development Research Group, Public Economics, 2001.

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11

Baker, Laurence Claude. HMOs and fee-for-service health care expenditures: Evidence from Medicare. Cambridge, MA: National Bureau of Economic Research, 1995.

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12

Escarce, José J. Hospital competition, managed care and mortality after hospitalization for medical conditions: Evidence from three states. Cambridge, Mass: National Bureau of Economic Research, 2006.

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13

Davies, Bleddyn. Capitated/premium-financed risk-bearing managed care models for community and health care: Are they of relevance to the UK?. Canterbury: PSSRU, University of Kent at Canterbury, 1993.

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14

Diagnosis documentation and coding: The key to reimbursement and capitation. [Oak Brook, Ill.]: Healthcare Financial Management Association, 1997.

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15

Implementing managed health care. New York, NY: Conference Board, 1991.

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16

K, Hurley Linda, red. Managing managed care. New York: Plenum Press, 1997.

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17

Senn, Deborah. Navigating managed care: A consumer's guide to managed care. [Olympia, Wash.]: Washington State Insurance Commissioner, 1998.

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18

Rognehaugh, Richard. The managed health care dictionary. Gaithersburg, Md: Aspen Publishers, 1996.

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19

The managed health care dictionary. Wyd. 2. Gaithersburg, Md: Aspen Publishers, 1998.

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20

Health professions managed care activities. [Rockville, Md.?]: U.S. Dept. of Health and Human Services, Health Resources & Services Administration, Bureau of Health Professions, 1996.

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21

Humiston, David M. Managed care litigation. Redaktor American Bar Association. Health Law Section. Arlington, VA: Bloomberg BNA, 2013.

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22

L, Gallagher Mary, i Weller Charles D. 1944-, red. Managed care contracts manual. Gaithersburg, Md: Aspen Publishers, 1996.

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23

The well-managed health care organization. Wyd. 3. Ann Arbor, Mich: AUPHA Press/Health Administration Press, 1995.

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24

Hoy, Elizabeth W. Insurer-sponsored managed health care 1990. Washington D.C: Health Insurance Association of America, 1991.

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25

California. Managed Health Care Improvement Task Force. Improving managed health care in California. [Sacramento, Calif.]: Managed Health Care Improvement Task Force, 1998.

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26

Bautista, Victoria A. Forging community-managed primary health care. [Diliman, Quezon City]: College of Public Administration, University of the Philippines and Community Health Service, Dept. of Health, 1998.

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27

Pope, Clyde R., i Donald K. Freeborn. Promise and Performance in Managed Care: The Prepaid Group Practice Model. The Johns Hopkins University Press, 2000.

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28

Greeneich, Diane Maree Sturdy. A MODEL OF PATIENT SATISFACTION AND BEHAVIORAL INTENTION IN MANAGED CARE (NURSE PRACTITIONERS). 1995.

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29

Health care contracting, 2000: New models for the managed care era. New York, N.Y: Practicing Law Institute, 1999.

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30

Reorganizing health care delivery systems: Problems of managed care and other models of health care delivery. Amsterdam: JAI, 2004.

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31

Reorganizing health care delivery systems: Problems of managed care and other models of health care delivery. Amsterdam: JAI, 2003.

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32

Interdependence between HMO's and health care providers: A theoretical model for the growth of managed care. 1987.

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33

Flood, Colleen M. Comparing models of health care reform: Internal markets and managed competition. 1998.

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34

Jonathan, Seltzer, Nash David B i Faulkner & Gray's Healthcare Information Center., red. Models for measuring quality in managed care: Analysis and impact. New York, NY: Faulkner & Gray's Healthcare Information Center, 1997.

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35

Kronenfeld, Jennie Jacobs. Reorganizing Health Care Delivery Systems, Volume 21: Problems of Managed Care and Other Models of Health Care Delivery (Research in the Sociology of Health Care). JAI Press, 2003.

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36

Janus, Katharina. Managing Health Care In Private Organizations: Transaction Costs, Cooperation And Modes Of Organization In The Value Chain. Peter Lang Publishing, 2003.

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Managing Health Care in Private Organizations: Transaction Costs, Cooperation and Modes of Organization in the Value Chain. Peter Lang Publishing, 2003.

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38

Have, Steven Ten, i Ciaran Walsh. Key Management Models. Financial Times Prentice Hall, 2006.

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39

B, Seaburn David, red. Models of collaboration: A guide for mental health professionals working with health care practitioners. New York, NY: Basic Books, 1996.

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40

Feinstein, Robert, Joseph Connelly i Marilyn Feinstein, red. Integrating Behavioral Health and Primary Care. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190276201.001.0001.

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This book describes real-world examples and practical approaches for integrating behavioral and physical health services in primary care and some specialty medical environments. Integrated care models are patient-centered; delivered by teams of medical professionals, utilize care coordination, and a population-based approach. This book is comfortably accessible to students, residents, faculty, and all mental health professionals, primary care and medical specialists who are working in ambulatory/office-based practices. We examine the integrated care literature and recommend applying collaborative care and other existing models of integrated care based on the existing evidence-based research. When there is no literature supporting a specific approach, our experts offer their ideas and take an aspirational approach about how to manage and treat specific behavioral disorder or problems. We assume the use of a fully integrated team staffing model while also recognizing this an ideal that may need modification based on local resources and practice cultures. The full integrated team includes a primary care or specialist provider(s), front desk staff, medical assistant(s), nurse(s), nurse practitioners, behavioral health specialist(s), health coaches, consulting psychiatrist, and care coordinator(s)/manager(s). The book has four sections: Part 1: Models of Integrated Care provides an overview of the principles and the framework of integrated care focusing on five highly successful integrated practices. We also discuss team-based care, financing, tele-behavioral health, and use of mental health assessments and outcome measures. Part 2: Integrative Care for Psychiatry and Primary Care is a review of existing and proposed models of integrated care for common psychiatric disorders. Our continuity approach emphasizes problem identification, differential diagnosis, brief treatment, and yearlong critical pathways with tables and figures detailing “how to” effectively deliver mental health care and manage substance misuse in an integrated care environment. Part 3: Integrated Care for Medical Sub-Specialties & Behavioral Medicine Conditions in Primary Care focuses on two models of integrating behavioral health care: (1) integrating wellness with behavioral health and (2) integrating psychiatry and neurology. Other chapters are “Women’s Mental Health Across the Reproductive Lifespan,” “Assessing and Treating Sexual Problems in an Integrated Care Environment,” “Integrated Chronic Pain and Psychiatric Management,” and “Death and Dying: Integrated Teams.” Part 4: Psychosocial Treatments in Integrated Care describes brief office-based counseling and psychosocial treatment approaches including: health coaching, crisis intervention, family, and group interventions. All of these brief treatment approaches are patient–centered, tailored to be used effectively integrated care settings and as an important contribution to population management.
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41

(Editor), Jonathan Seltzer, i David Nash (Editor), red. Models for Measuring Quality in Managed Care: Analysis and Impact (Medical Outcomes & Practice Guidelines Library. II). Faulkner & Gray, Incorporated, 1997.

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42

Skorga, Phyllis A. ROLE STRESS AMONG NURSE MIDDLE MANAGERS IN ACUTE CARE HOSPITALS: TEST OF A CONCEPTUAL MODEL. 1988.

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43

Khatri, Parinda, Gregg Perry i Frank deGruy. Integrated Health Care at Cherokee Health Systems. Redaktorzy Robert E. Feinstein, Joseph V. Connelly i Marilyn S. Feinstein. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190276201.003.0002.

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Cherokee Health Systems (CHS) has provided health care throughout east Tennessee for over 50 years. This chapter describes its innovative model of integrated care. CHS offers primary and some specialty medical care, comprehensive behavioral services, dental, pharmacy, school-based, social, and public health services, all within a deeply integrated, comprehensive system of clinics and care settings. Each patient has a team of clinicians and staff that is constituted to deal with that patient’s needs, but usually includes primary care clinicians, behavioral health clinicians (including psychiatrists, if appropriate), clinical pharmacists, care managers, and others working as a team. CHS makes extensive use of telehealth, particularly for psychiatric consultation, pharmacy counseling, primary care, and specialty medical consultation. Psychiatrists operate in multiple roles, including as primary clinicians, consultants to primary care and other behavioral health clinicians, team leaders, and educators. CHS is a growing, financially stable system that continues to expand across east Tennessee.
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44

(Editor), David B. Seaburn, red. Models of Collaboration: A Guide for Mental Health Professionals Working With Health Care Practitioners (Basic Behavioral Science). Basic Books, 1996.

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45

(Editor), David B. Seaburn, Alan D. Lorenz (Editor) i William B., Jr. Gunn (Editor), red. Models of Collaboration: A Guide for Mental Health Professionals Working with Health Care Practitioners (Basic Behavioral Science). Basic Books, 2003.

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46

Aroian, Jane Frances Moran. AN ANALYSIS OF ASSESSMENTS OF NURSE MIDDLE MANAGERS IN PATIENT CARE SETTINGS BEFORE AND AFTER IMPLEMENTATION OF THE MANAGER AS DEVELOPER MODEL. 1986.

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47

Trestman, Robert L. Funding of correctional health care and its implications. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0010.

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Correctional healthcare is funded through a range of mechanisms, reflecting many of the community fee-for-service and managed care parallels. Like community healthcare, utilization of healthcare in correctional settings is increasing. It is however, often under more significant budgetary constraints and tighter management. The funding of correctional healthcare is a complex enterprise, driven by constitutionally mandated care obligations on the one hand, and resource constraints on the other. Along with the dramatic increase in the incarcerated population during the past two decades, correctional healthcare has evolved as well. The costs of care are quite substantial, and the diversity of models of care delivery offer an administrative challenge, a financial challenge to the relevant jurisdiction, and a significant opportunity for cost effectiveness. Unfortunately, as of yet, no comparative study of funding models has been done. As integrated electronic health and financial records are gradually introduced into correctional settings, opportunities for such studies, and the policy guidance provided by those results, may yield important information applicable to health care cost and outcome management in society more broadly. This chapter includes a discussion of global capitation, per inmate costs, at-risk contracting, liability concerns, performance indicators, and a variety of contractual relationships.
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48

Perakslis, Eric D., Martin Stanley i Erin Brodwin. Digital Health. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780197503133.001.0001.

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Digital health has been touted as a true transformation of health care, but all medical interventions have associated risks that must be understood and quantified. The Internet has brought many advancements, which quickly jumped from our computers into our pockets via powerful and completely connected mobile devices that are now being envisioned as devices for medical diagnostics and care delivery. As health care struggles with cost, inequity, value, and rapid virtualization, solid models of benefit-risk determination, new regulatory approaches for biomedical products, and clear risk-based conversations with all stakeholders are essential. Detailed examination of emerging digital health technologies has revealed 10 categories of digital side effects or “toxicities” that must be understood, prevented when possible, and managed when not. These toxicities include cyberthreat, loss of privacy, cyberchondria and cyber addiction, threats to physical security, charlatanism, overdiagnosis and overtreatment, medical/user error, and the plague of medical misinformation. For digital health to realize its promise, these toxicities must be understood, measured, warned against, and managed as concurrent side effects, in the same fashion as any other medical side effect.
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49

Pediatrics, American Academy of, i Robert M. Portman. Model Managed Care Agreement. American Academy of Pediatrics, 1998.

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50

Institute, Pennsylvania Bar, red. Managed care & managed competition. Harrisburg, Pa: Pennsylvania Bar Institute, 1993.

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