| Author |
Samuels, David I.,
|
| Subject |
Managed care plans (Medical care)
|
|
Managed Care Programs -- economics.
|
|
Capitation Fee.
|
|
Marketing of Health Services.
|
|
United States.
|
| Add Title |
Innovative financial modeling for the 21st century |
| Description |
1 online resource (xxii, 265 pages) : illustrations |
| Note |
Online resource; title from title page (Safari, viewed January 8, 2015). |
| Contents |
Ch. 1. An updated introduction to managed care and capitation -- ch. 2. Understanding managed care industry operations -- ch. 3. Managed care provider and practitioner operations -- ch. 4. Managed care organization quality benchmarking -- ch. 5. Managing the managed care enrollee -- ch. 6. Enrollee-based financial and mathematical prediction models -- ch. 7. Management of managed care information for modeling purposes -- ch. 8. Managed care legal and regulatory compliance -- ch. 9. Innovative managed care modeling for the 21st century -- ch. 10. Innovative MCO financial modeling for the 21st century. |
| Summary |
"Thoroughly exploring how capitation has evolved domestically and internationally in recent years, this book discusses actuarial assumptions and the difficulties in payers transitions from community-based underwriting to experience-based ratings. It explores what the future holds in the areas of clinical pathways and population-based risk assumption tools and approaches. It covers what happens when the underlying actuarial and risk assumptions are ignored or trivialized. The author also discusses the challenges capitation-based pricing faces from an international perspective, including Latin America and the Caribbean"--Provided by publisher. |
| ISBN |
9781439840313 (electronic bk.) |
|
1439840318 (electronic bk.) |
|
1439840318 |
|
9781466514041 |
|
1466514043 |
|
9781466516229 |
|
1466516224 |
|
9781466514058 |
|
1466514051 |
|
9781466516236 |
|
1466516232 |
|
143984030X |
|
9781439840306 |
| OCLC # |
900292030 |
| Additional Format |
Print version: Samuels, David I. Managed Health Care in the New Millennium : Innovative Financial Modeling for the 21st Century. Hoboken : CRC Press, 2011 9781439840306 |
|
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