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Health Insurance and Managed Care: What They Are and How They Work - VERY GOOD

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Last updated on May 27, 2024 12:14:36 PDTView all revisionsView all revisions

Item specifics

Condition
Very Good: A book that does not look new and has been read but is in excellent condition. No obvious ...
Brand
Unbranded
Book Title
Health Insurance and Managed Care: What They Are and How They Wo
MPN
Does not apply
ISBN
9781284152098
Subject Area
Medical
Publication Name
Health Insurance and Managed Care What They Are and How They Work
Item Length
9 in
Publisher
Jones & Bartlett Learning, LLC
Subject
Health Care Delivery, Long-Term Care
Publication Year
2019
Type
Textbook
Format
Trade Paperback
Language
English
Item Height
0.7 in
Author
Peter R. Kongstvedt
Features
Revised
Item Width
7 in
Item Weight
20 Oz
Number of Pages
324 Pages

About this product

Product Information

Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer. The Fifth Edition also offers new or expanded coverage of: -"Moral hazard," and its application in health insurance and managed care -The ever expanding and evolving payment systems and methodologies used in the U.S. Healthcare System -The role of benefits design along with discussion about medical necessity and its impact on benefits coverage -The impact of limitations on sales, governance and administrative (SG&A) costs and profits -Continued changes in payment mechanisms such as value-based payment under the Medicare Improvement for Patients and Providers Act (MIPPA) -Medicare Part D, the drug benefit and the plans that offer it, as well as the complexities of Medicare Advantage payment plans, Medicaid expansion under ACA, and more.

Product Identifiers

Publisher
Jones & Bartlett Learning, LLC
ISBN-10
128415209x
ISBN-13
9781284152098
eBay Product ID (ePID)
13038820496

Product Key Features

Author
Peter R. Kongstvedt
Publication Name
Health Insurance and Managed Care What They Are and How They Work
Format
Trade Paperback
Language
English
Features
Revised
Subject
Health Care Delivery, Long-Term Care
Publication Year
2019
Type
Textbook
Subject Area
Medical
Number of Pages
324 Pages

Dimensions

Item Length
9 in
Item Height
0.7 in
Item Width
7 in
Item Weight
20 Oz

Additional Product Features

Edition Number
5
LCCN
2018-046217
Lc Classification Number
Ra413.5.U5k655 2019
Edition Description
Revised Edition
Table of Content
Chapter1 A History of Managed Health Care and Health Insurance in the United States Chapter2 Health Benefits Coverage, and Types of Health Plans and Payers Chapter3 The Provider Network Chapter4 Provider Payment Chapter5 Utilization Management, Quality Management, and Accreditation Chapter6 Sales, Governance, and Administration Chapter7 Medicare Advantage and Medicaid Managed Care Chapter8 Laws and Regulations in Health Insurance and Managed Care
Copyright Date
2020
Dewey Decimal
362.1/0425
Dewey Edition
23
Illustrated
Yes

Item description from the seller

SecondSalecom

SecondSalecom

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Beyond great price. The media itself (CDs) were in NM (near mint) condition. Packaging was in fair condition, so stating Good in the description was reasonable if not downplaying the media itself. Nothing to complain about. Shipping was free and arrived exactly a week later (5 business days). Would definitely recommend and do business with seller again! A++
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SecondSalecom is one of my go to sellers, because they have a large selection and I can usually find the book or movie that I want from them at a low price if not the lowest price on eBay. Also, when I buy three books/movies I get a fourth book/movie free. Shipping is also free. This was a great transaction. The DVD was packaged well, shipped promptly and is just as described. I will be back to buy again. Thank you!!

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