As a result of intense lobbying by consumers and health care providers, managed care organizations are under close scrutiny. More and more frequently, states are taking assertive roles in governing managed care operations, including monitoring how they contract with providers and what types of benefits they provide to enrollees. In this volume, you'll learn how MCOs nationwide are being held accountable to a complex array of new laws -- and what you can expect and demand from MCOs according to new laws.
Coverage Exceptions in These Two Cases In Mr. Ryan's case , the plan denied his request for a simultaneous kidney - pancreas transplant as investigational , defined in the contract as " those techniques or services that have been ...
Many prescription drugs are copies of A drug's therapeutic each other ; not all may need to be included . Many similar effect is the way it drugs , on the other hand , may have slightly different works to cure or heal the therapeutic ...
(S. Lundin, H. Paul, J. Christensen) Rich Dad Poor Dad (R. Kiyosaki, S. Lechter) 7 Habits of Highly Effective People (Stephen Covey) Side by Side Leadership (Dennis A. Romig) Now, Discover Your Strengths (M. Buckingham, ...
Managed Competition : Implications for the U.S. Pharmaceutical Industry Kenneth R. Cohen INTRODUCTION : THOUGHTS ON REFORM Health care reform - a term made readily recognizable to most Americans thanks to intense media attention - is a ...
Managed Care
Economics and Nursing: Critical Professional Issues
“ Ryan ? ... Ryan Raymer , isn't it ? ” A large man wearing a convention name tag stuck out his hand . Ryan Raymer's hand remained by his side . With more important things on his mind , he was in no mood for petty conversation ...
Feinstein , A.R. “ An Additional Basic Science for Clinical Medicine : II . The Limitations of Randomized Trials . ” Annals of Internal Medicine 99 ( 1983 ) : 54450 . 14. Feinstein , A.R. “ An Additional Basic Science for Clinical ...
Whether you are new to managed care credentialing or are taking on delegated credentialing responsibilities, this book will help you: Learn the regulatory and accreditation requirements related to managed care credentialing Streamline the ...
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