1. Essentials Healthcare Finance 6th Edition Jeff Madura
2. Essentials Of Statistics 6th Edition

Instructor Resources Available Now:; As the most widely-used textbook on managed care, Essentials of Managed Health Care provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care.

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An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well. New contributors. New chapter on the Patient Protection and Affordable Care Act of March 2010. New chapter on enrollment and billing. New chapter on fraud and abuse. Completely re-written chapter on information systems and electronic data interchange.

Completely re-written chapter on Medicaid Managed Health Care. Complete restructuring of section 2 with a new focus on structure and payment across all types of health care delivery systems. New chapter on physician practice behavior and managed health care. Introduction 1 Introduction Part One Introduction to Health Insurance and Managed Health Care Chapter 1 A History of Managed Health Care and Health Insurance in the United States By Pete Fox and Peter R.

Kongstvedt Chapter 2 Types of Health Insurers, Managed Health Care Organizations and Integrated Healthcare Delivery Systems By Eric Wagner and Peter R. Kongstvedt Chapter 3 Elements of the Management and Governance Structure By Peter R. Kongstvedt Part Two Network Contracting and Provider Payment Chapter 4 The Provider Network By Peter R. Kongstvedt Chapter 5 Provider Payment By Peter R. Kongstvedt Chapter 6 Legal Issues in Provider Contracting By Mark S.

Joffe and Kelli D. Back Part Three Management of Utilization and Quality Chapter 7 Basic Utilization and Case ManagementBy Peter R. Kongstvedt Chapter 8 Fundamentals and Core Competencies of Disease Management By David W. Plocher Chapter 9 Physician Practice Behavior and Managed Health Care By Jay Want and Peter R. Kongstvedt Chapter 10 Data Analysis and Provider Profiling in Health Plans By David W. Plocher & Nancy Garrett Chapter 11 Prescription Drug Benefits in Managed Care By Robert P. Navarro, Craig Stern, and Rusty Hailey Chapter 12 Introduction to Managed Behavioral Healthcare Organizations By Joann Albright, Deborah Heggie, Anthony M.

Kotin, Connie Salgy, Wanda Sullivan, and Fred Waxenberg Chapter 13 Disease Prevention in Managed Health Care Plans By Mark Manley Chapter 14 Quality Management in Managed Health Care By Pamela B. Siren Chapter 15 Accreditation and Performance Measurement Programs in Managed Health Care By Margaret E. O'Kane Part Four Sales, Finance and Administration Chapter 16 Marketing and Sales By Richard Birhanzel Chapter 17 Enrollment and Billing By Karl V. Kovacs Chapter 18 Claims and Benefits Administration By Donald L. And Elizabeth Pascuzzi Chapter 19 Health Care Fraud and Abuse By Christie Moon Chapter 20 Member Services By Kevin Knarr and Peter R. Kongstvedt Chapter 21 Operational Finance and Budgeting By Dale F.

Cook and Christopher Campbell Chapter 22 Underwriting and Rating By Michael G. Sturm and Troy M. Filipek Chapter 23 Information Systems and Electronic Data Interchange in Managed Health Care By James S.

Slubowski Part Five Special Markets Chapter 24 Health Plans and Medicare By John K. Gorman, Jean D. LeMasurier, William A. MacBain, Stephen J. Balcerzak, Wendy K.

Essentials Healthcare Finance 6th Edition Jeff Madura

Burger and Amy Huang Chapter 25 Medicaid Managed Health Care By Rodney C. Armstead, Catherine K. Anderson, Elizabeth Cabot Nash Chapter 26 The Military Managed Care Health System By M. Nicholas Coppola, Ronald P. Hudak, Forest S. Kim, Lawrence Fulton, Jeffrey P.

Essentials Of Statistics 6th Edition

Harrison, and Bernie Kerr Chapter 27 Managed Care in a Global Context By Jonathan P. Weiner, Emily Adrion, Joanna Case Famadas, Djordje Gikic and Hugh Waters Part Six Laws and Regulations Chapter 28 State Regulation of Managed Health Care By Tom Wilder Chapter 29 Federal Regulation of Health Insurance and Managed Health Care By Tom Wilder Chapter 30 The Patient Protection and Affordable Care Act By Tom Wilder. Kongstvedt, MD Dr. Peter Kongstvedt is an indepenent strategic advisor, and a Senior Health Policy Faculty member in the Department of Health Administration and Policy at George Mason University.

He is a well known national authority on the health care industry with particular expertise in health insurance and managed health care, with over 30 years of industry experience as both a senior-level executive and with global consulting firms. Kongstvedt is also the author of Managed Care, What it Is and How it Works, (Jones & Bartlett), and recently created an online multimedia training program on health insurance and managed care. Prior to passage of health reform, he consulted to and made several appearances on The CBS Evening News, and also appeared on NBC’s Today Show.