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EBOOK
Author Samuels, David I.,
Title Managed health care in the new millennium : innovative financial modeling for the 21st century / David I. Samuels.
Imprint Boca Raton, FL : CRC Press, [2012]
2012

LOCATION CALL # STATUS MESSAGE
 OHIOLINK SAFARI EBOOKS    ONLINE  
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LOCATION CALL # STATUS MESSAGE
 OHIOLINK SAFARI EBOOKS    ONLINE  
View online
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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