(eBook PDF) Health Insurance and Managed Care 5th Edition – Digital Ebook – Instant Delivery Download
Product details:
- ISBN-10 : 128415209X
- ISBN-13 : 978-1284152098
- Author: Peter R. Kongstvedt
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.
Table contents:
Chapter 1 A History of Managed Health Care and Health Insurance in the United States
Chapter 2 Health Benefits Coverage, and Types of Health Plans and Payers
Chapter 3 The Provider Network
Chapter 4 Provider Payment
Chapter 5 Utilization Management, Quality Management, and Accreditation
Chapter 6 Sales, Governance, and Administration
Chapter 7 Medicare Advantage and Medicaid Managed Care
Chapter 8 Laws and Regulations in Health Insurance and Managed Care
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