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.
Seminars, conferences, symposiums and training sessions on managed care topics.
Headline news on managed care. Managed care glossary. Managed care contracting. Cost and quality issues. State regulation of managed care. Newsletters. Statistics. Tutorials. Fact sheets.
Average cost by DRG. Benchmark medical fees. Predictors & descriptors of psychiatric duration, costs and service use. Trends in length of stay, charges and functional outcomes in rehab. 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
Medical outcomes assessment and research studies. Physical Medicine Utilization Review.
JCAHO performance measures. ADA/NCQA Diabetes Measures. AHCPR’s CONQUEST. HEDIS. Health Care Quality Improvement.
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.
JCAHO performance measurement ratings for healthcare facilities. USQA Quality Reports. NCQA Accreditation. HEDIS Report Cards. CVO certification. Health plan ranking reports.