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 ...
Read More
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 amp 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.
Read Less
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $8.76, good condition, Sold by ZBK Books rated 5.0 out of 5 stars, ships from Woodland Park, NJ, UNITED STATES, published 2015 by Jones & Bartlett Learning.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
Used book in good and clean conditions. Pages and cover are intact. Limited notes marks and highlighting may be present. May show signs of normal shelf wear and bends on edges. Item may be missing CDs or access codes. May include library marks. Fast Shipping.
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $9.75, good condition, Sold by ThriftBooks-Dallas rated 5.0 out of 5 stars, ships from Dallas, TX, UNITED STATES, published 2015 by Jones & Bartlett Publishers.
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $9.75, fair condition, Sold by ThriftBooks-Atlanta rated 5.0 out of 5 stars, ships from Austell, GA, UNITED STATES, published 2015 by Jones & Bartlett Publishers.
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $12.00, good condition, Sold by HPB-Red rated 5.0 out of 5 stars, ships from Dallas, TX, UNITED STATES, published 2015 by Jones & Bartlett Learning.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
Good. Connecting readers with great books since 1972! Used textbooks may not include companion materials such as access codes, etc. May have some wear or writing/highlighting. We ship orders daily and Customer Service is our top priority!
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $12.00, fair condition, Sold by HPB-Red rated 5.0 out of 5 stars, ships from Dallas, TX, UNITED STATES, published 2015 by Jones & Bartlett Learning.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
Fair. Connecting readers with great books since 1972. Used textbooks may not include companion materials such as access codes, etc. May have condition issues including wear and notes/highlighting. We ship orders daily and Customer Service is our top priority!
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $14.50, very good condition, Sold by Half Price Books Inc rated 4.0 out of 5 stars, ships from Dallas, TX, UNITED STATES, published 2015 by Jones & Bartlett Learning.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
Very good. Connecting readers with great books since 1972! Used books may not include companion materials, and may have some shelf wear or limited writing. We ship orders daily and Customer Service is our top priority!
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $39.15, good condition, Sold by TEXTSHUB rated 5.0 out of 5 stars, ships from Franklin Lakes, NJ, UNITED STATES, published 2015 by Jones & Bartlett Learning.
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $41.35, good condition, Sold by Book Words rated 4.0 out of 5 stars, ships from Midland Park, NJ, UNITED STATES, published 2015 by Jones & Bartlett Learning.
Add this copy of Health Insurance and Managed Care: What They Are and to cart. $44.20, good condition, Sold by Bonita rated 4.0 out of 5 stars, ships from Santa Clarita, CA, UNITED STATES, published 2015 by Jones & Bartlett Learning.