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Managed Health Care in the New Millennium
Innovative Financial Modeling for the 21st Century
Sofort lieferbar | Lieferzeit: Sofort lieferbar I
ISBN-13:
9781439840313
Veröffentl:
2011
Seiten:
306
Autor:
David I. Samuels
eBook Typ:
PDF
eBook Format:
EPUB
Kopierschutz:
0 - No protection
Sprache:
Englisch
Beschreibung:
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.
An Updated Introduction to Managed Care and Capitation. Understanding Managed Care Industry Operations. Managed Care Provider and Practitioner Operations. Managed Care Organization Quality Benchmarking. Managing the Managed Care Enrollee. Enrollee-Based Financial and Mathematical Prediction Models. Management of Managed Care Information for Modeling Purposes. Managed Care Legal and Regulatory Compliance. Innovative Managed Care Modeling for the 21st Century. Innovative MCO Financial Modeling for the 21st Century.
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