Managed Care
Information on the managed care industry, control of health care costs & quality in medicine. Health plan ratings. Accreditation lists/report cards. Benchmark medical fees - average cost by DRG/ICD-9 code. Practice management resources. Cost, quality & liability issues. State regulation of managed care. Medical outcomes assessment and research studies.
Also refer to Categories: Health (all) Legal - Health Law. Medicine (all) Organizations - Health, Occup Medicine, Medicine. Publications - Health, Occup Medicine, Medicine. Regulations - CMS, Health, Insurance. Risk Mgt - Medical Liability. Safety - Needlesticks. Security - Health Fraud, Medical Privacy. Statistics - Health, Insurance, Mortality.USA Government - Center for Disease Control, Health & Human Svcs, National Institute of Health.
Managed care coursework. Seminars, conferences, symposiums and training sessions on managed care topics.
Managed care requirements in Medicare and Medicaid. Checkpoint comparisons of managed care health plans. American Association of Health Plans. Integrated Healthcare Association - California. What health plans should know about Clinical Practice Guidelines.
Covers the issues related to the management of medical costs versus the quality of care being provided.
Various resources assist the physician in understanding liability in managed care. The Health Administration Responsibility Project (HARP) - seeks to establish liability of managed healthcare organizations for consequences of their decisions. MCO's - the rules are changing for managed care liability.
Headline news on managed care. Managed care glossary. Managed care contracting. International Journal for Quality in Health Care. Cost and quality issues. State regulation of managed care. Newsletters. Statistics. Tutorials. Fact sheets. TQM in health care.
Average cost by DRG for medical care. Trends in length of stay, charges and functional outcomes in rehab. Benchmark medical fees. Predictors & descriptors of psychiatric duration, costs and service use. Medical Expenditure Panel Survey (MEPS) health care expenditures data.
Managed Care and Long-term Services for People with Mental Retardation, Health Policy Report: Managed Care and Mental Health, Parity, Issues in Utilization Management.
Daily and weekly headline news on the managed care industry. Managed Care Magazine. Managed Care Market News. Horror stories.
Medical outcomes assessment and research studies. Medical quality measurements. Physical medicine utilization review.
JCAHO performance measures. ADA/NCQA diabetes measures. AHCPR's CONQUEST. HEDIS. Health care quality improvement. American Academy of Family Physicians Performance Criteria.
Online tutorials for healthcare professionals on how to manage managed care. Examples: Guidance on how a physician can avoid being deselected from health plans. Physician profiling and how it can affect a physician's practice. Expediting MCO Payments. Understanding capitation contracts and stop loss. Full text of the fill-in-the-blanks AMA Model Managed Care Medical Services Agreement. Sample managed care contract. Capitation contracts.
Overview and explanation of the 36-item short-form (SF-36) that was constructed to survey health status. Statistical results of testing conducted in 1995. Sources for online health status questionnaires. HEDIS 2000. CAHPS.
JCAHO performance measurement ratings for healthcare facilities. HEDIS Report Cards. USQA Quality Reports. NCQA Accreditation. CVO certification. Health plan ranking reports.
Medical Costs
