|Other titles||Best practices of managed care organizations.|
|Contributions||United States. Health Care Financing Administration. Office of Managed Care.|
|LC Classifications||RA413.5.U5 S873 1994|
|The Physical Object|
|Pagination||129 leaves :|
|Number of Pages||129|
|LC Control Number||95143419|
Health maintenance organizations (HMOs), preferred provider organizations (PPOs), point-of-service plans, and other forms of managed care networks, such as managed behavioral health care organizations, differ in their organizational structures, types of practitioners and services, access strategies, payment for practitioners, and other features. The role of case management in healthcare settings is continuously evolving to meet the needs of patients and manage the quality, financial, and legal risks health systems and accountable care organizations (ACO) face. Case Management Models: Best Practices for . Reduce: Organizations can modify their current practices to reduce the amounts of waste generated by changing the design, manufacture, purchase, or use of materials or products. For example, your organization could encourage employees to only print what they need and ensure that printer settings are defaulted to print double sided to save paper. Documentation and Coding Practices for Risk Adjustment and Hierarchical Condition Categories. Risk adjustment is a statistical process that considers the underlying health status and health spending of patients when examining their healthcare outcomes or healthcare : Monica M Watson.
A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration | Observations From Exemplary Sites vi. Executive Summary. Table of Contents Background Methodology Findings Conclusion Professional Practices. As part of advocacy work, organization leadership. marketed the model and vision for integrated care,File Size: 1MB. Managed care organizations are concerned about the risk adjustment problems with some measures, the cost of collecting data, the high-stakes business risks that can follow questionable performance, and the plethora of reporting requirements that are being imposed under multiple reporting systems. The quest for best practices and affordable. Only a small body of empirical research assesses particular diversity practices to determine whether they will produce desired or optimum results. 27 Organizations wishing to implement the best diversity management practices for their circumstances and goals need guidance. This section will examine two comprehensive, practice-based descriptions Cited by: The MOM Chronicles ISA Best Practices Book - Kindle edition by Gifford, Charlie. Download it once and read it on your Kindle device, PC, phones or tablets. Use features like bookmarks, note taking and highlighting while reading The MOM Chronicles ISA Best Practices Book Price: $
IT services management (ITSM) aims to align the delivery of IT services with the needs of the organization, employees and customers. At the enterprise level, ITSM often incorporates the Information Technology Infrastructure Library (ITIL), a globally recognized collection of best practices for IT services management, as well as lean or Agile best practices aimed at optimizing efficiency and. The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most widely used performance improvement tools. million people are enrolled in plans that report HEDIS results. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA. This publication, Thriving With Managed Care: An OPEN MINDS Readings Book On Organizational Competencies & Best Practices In Health Plan Contract Management, is available at no charge to Premium. An E-Book of Cloud Best Practices for Your Enterprise. are now available in my book Ahead in the Cloud: Best Practices for Follow all the topics you care about, and we’ll deliver the Author: Stephen Orban.