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Health Insurance and Managed Care: What They Are and How They Work
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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.
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Ce qui se démarque
Détails du produit
- Comprehensive guide to understanding health insurance and managed care
- Covers the fundamentals of health insurance and its operation
- Provides insights into the functioning of managed care organizations
- Includes updates relevant to the current healthcare landscape
- Useful for students, professionals, and anyone seeking knowledge about healthcare financing
- Authored by Peter R. Kongstvedt, a recognized expert in health policy and management
| Publisher | Jones & Bartlett Learning |
| Publication date | February 28, 2019 |
| Edition | 5th |
| Language | English |
| Print length | 324 pages |
| ISBN-10 | 128415209X |
| ISBN-13 | 978-1284152098 |
| Item Weight | 1.25 pounds (570 grams) |
| Dimensions | 7 x 0.75 x 9 inches (17.8 x 1.9 x 22.9 cm) |
À qui est-ce destiné ?
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Students of Healthcare
Ideal for college students studying healthcare management or public health, providing foundational knowledge of insurance systems.
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Healthcare Professionals
Beneficial for healthcare providers wanting to understand the complexities of managed care and insurance policies impacting patients.
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Policy Makers
Useful for government officials and policy makers interested in health reform and improving healthcare accessibility and quality.
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Casual Readers
May not engage casual readers who are not interested in detailed healthcare systems and insurance mechanisms.
DESCRIPTION DU PRODUIT
Health Insurance and Managed Care: What They Are and How They Work
About This Item
Are you looking for a comprehensive guide on health insurance and managed care? Look no further than the "Health Insurance and Managed Care: What They Are and How They Work 5th Edition." This book is the ultimate resource for individuals seeking to understand the ins and outs of health insurance and managed care. Whether you are searching for the best health insurance plan, affordable options, or private coverage, this book will provide you with invaluable insights. Written by experts in the field, it covers the various health insurance plans available, including the different types of coverage and policies offered by health insurance companies and providers. Understanding the benefits of health insurance and the options available to you is essential. This book explores the costs associated with health insurance, including premiums, deductibles, and out-of-pocket expenses.
It also delves into the intricate details of health insurance networks, enrollment processes, and claims assistance. Regardless of your current situation – whether you are an individual, part of a family, a senior, self-employed, a small business owner, a freelancer, a student, an immigrant, or unemployed – this book offers valuable guidance on finding suitable health insurance options that cater to your unique needs. With this comprehensive guide, you will gain a thorough understanding of the complex world of health insurance and managed care. Empower yourself with knowledge and make informed decisions about your health insurance coverage. Order the "Health Insurance and Managed Care: What They Are and How They Work 5th Edition" today and take control of your healthcare journey.
Questions et réponses des clients
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question:
What is the main focus of 'Health Insurance and Managed Care: What They Are and How They Work 5th Edition'?
répondre: The book primarily focuses on the mechanisms of health insurance and managed care systems. It provides in-depth insights into how these systems operate, their historical context, and their impact on the healthcare landscape. By exploring various models of care, the text illustrates the relationships between health plans, providers, and patients, helping readers understand the complexities of healthcare financing and delivery. -
question:
Who is the target audience for this book?
répondre: This book is ideally suited for students, educators, healthcare professionals, and policy-makers interested in understanding the landscape of health insurance and managed care. It serves as an essential resource for those studying healthcare administration, public health, and insurance policy, providing valuable knowledge for enhancing their understanding of the systems that influence patient care and healthcare costs. -
question:
How does this edition differ from earlier editions?
répondre: The 5th edition features updated statistics, recent regulatory changes, and new case studies that reflect the evolving healthcare environment. It addresses contemporary challenges and trends such as the impact of technology on healthcare delivery and the rise of consumerism in health insurance, providing readers with the latest information and perspectives necessary for navigating today’s complex healthcare landscape. -
question:
What topics are covered in this edition?
répondre: This edition covers a wide range of topics including the fundamentals of managed care, the structure of health insurance markets, financing models, and the role of government regulations. It also discusses issues related to quality of care, access, and the future of health insurance in response to healthcare reforms, making it comprehensive for anyone studying or working in the field. -
question:
How useful is this book for professionals already working in healthcare?
répondre: For professionals in the healthcare sector, this book serves as a valuable reference to refresh their understanding of health insurance and managed care. Its practical examples and case studies highlight real-world applications, making it a useful tool for decision-making and strategic planning within healthcare organizations, whether at a policy level, administrative role, or clinical practice. -
question:
Does the book include real-world case studies?
répondre: Yes, the book includes various real-world case studies that illustrate key concepts in health insurance and managed care. These case studies provide concrete examples of how theories and systems apply in practice, offering readers a clearer understanding of the challenges faced by healthcare providers and insurers, and potential pathways to solutions. -
question:
What is the importance of understanding managed care in today’s healthcare system?
répondre: Understanding managed care is crucial as it shapes the way healthcare is delivered and financed. With the growing emphasis on cost containment and quality improvement, knowledge of managed care systems helps stakeholders make informed decisions about care models, insurance plans, and patient interactions, ultimately leading to better health outcomes and more efficient use of resources. -
question:
Can this book help in preparing for healthcare policy exams?
répondre: Absolutely! The book's comprehensive coverage of health insurance and managed care provides foundational knowledge necessary for healthcare policy exams. It outlines key concepts, terminologies, and frameworks that are often tested, enabling students and professionals to develop a thorough understanding of health policy challenges and solutions as they prepare for their assessments. -
question:
How current is the information in the 5th edition of this book?
répondre: The 5th edition contains the most current information available, reflecting updates in healthcare policies, regulations, and market dynamics. It includes recent trends, such as telemedicine and value-based care, making it relevant for understanding contemporary issues in health insurance and managed care, which are critical for students, educators, and practitioners alike. -
question:
Where can I buy 'Health Insurance and Managed Care: What They Are and How They Work 5th Edition' in Saint Pierre and Miquelon?
répondre: You can purchase 'Health Insurance and Managed Care: What They Are and How They Work 5th Edition' on Ubuy, a reputable e-commerce platform that offers a variety of books and other products. Ubuy provides a user-friendly shopping experience, making it convenient to find and order this essential resource.
Health Law Editorial Review
The 5th edition of "Health Insurance and Managed Care: What They Are and How They Work" receives mixed reviews. While some customers appreciate the book's affordable price and good condition, others express frustration with its content and lack of visual aids. One reviewer mentions that the book had water stains on many pages, which they found unpleasant. Another reviewer states that the front cover of the book was folded and damaged upon delivery. However, there are positive aspects. One customer praises the book for its great price and excellent quality. Another customer reports that the book was in good condition with only a few folded pages. Overall, the reception of this textbook appears to be tarnished by complaints about its content, including its dry and lengthy writing style, lack of succinctness, and abundance of irrelevant stories. Customers also mention the absence of diagrams and tables, which makes the book challenging to read and navigate.
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- Water stains on pages
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Caractéristiques et avantages
- Written in clear and accessible language
- Addresses the current status of The Patient Protection and Affordable Care Act (ACA)
- Explores changes in provider payment models and medical management methodologies
- New or expanded coverage of topics including 'moral hazard' and benefits design
- Discusses limitations on sales, governance, and administrative costs and profits
- Covers Medicare Part D, Medicare Advantage payment plans, Medicaid expansion, and more
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