商品簡介
A roadmap to managed care
This book represents a pioneering effort by one of the most knowledgeable experts in the industry. It is must reading for students training in psychiatry, psychology, clinical social work, marriage and family therapy, and related fields.
--Larry J. Bloom, professor of psychology and licensed clinical psychologist, Colorado State University
An experienced clinician and expert in the field of managed health care, Gayle Zieman has created an introductory guide that can serve as a textbook to help navigate the often complex roads of managed care. Comprehensive in scope, the book is written for graduate students and veteran professionals alike. The Handbook of Managed Behavioral Healthcare offers an informative and often surprising overview of managed care's history, including information on its unexpected beginnings as a not-for-profit enterprise. The author also includes samples of commonly used contracts, forms, and protocols, and offers useful suggestions and recommAndations on a breadth of topics including: how to get on managed care panels; how to attract clients; how to provide services that benefit both the client and the customer or third-party payer; how to navigate the ins and outs of compensation; and much more. This book is a timely addition to the literature on the topic of managed care and offers behavioral health care professionals a practical and much-needed resource.
作者簡介
GAYLE L. ZIEMAN is cofounder and vice president of Mesa Mental Health, a regional managed behavioral health care organization. A pioneer in training providers and group practices in managed care readiness, Zieman is an international speaker and workshop leader. He is the editor of The Complete Capitation Handbook and coauthor of The Comprehensive Group Practice Tool Kit and The Comprehensive Managed Care Tool Kit.
目次
Managed Care: Healthcare's New Foundation.
Nearly 100 Years of Managed Care.
Anatomy and Physiology of a Managed Care Organization.
What Managed Care Plans Look for in Clinicians.
Assessing Managed Plans: A Clinician's Perspective.
Understanding the Provider Subcontract.
The Credentialing Process.
The Finances of Managed Care.
The Emphasis Upon Quality Improvement.
Managed Care in the Public Sector.
Today's Managed Behavioral Healthcare Organizations.
Ethical Issues in Managed Care.
A Future in Managed Care.
