Health plans unmasked a physician's guide to working with health insurers / Martin Lustick, MD.
| Author/creator | Lustick, Martin, 1956- |
| Format | Electronic |
| Publication Info | Baltimore : Johns Hopkins University Press, [2023] |
| Description | 164 pages ; 22 cm |
| Supplemental Content | Full text available from Ebook Central - Academic Complete |
| Subjects |
| Variant title | Physician's guide to working with health insurers |
| Contents | Historical context -- What is a health plan? -- Medicare -- Medicaid -- Commercial insurance -- Brokers and consultants -- The ABCs of fee-for-service -- What happens to a claim -- Payment errors -- Health plan strategic concerns -- Analytics -- Cost management strategies -- Quality -- Care management -- Health plan committees -- Health plan contracting 101-- Value-based budgeting -- Incentive payments -- Risk mitigation -- Price transparency -- Subrogation -- Pharmacy benefit management -- On becoming a payvider -- Closing thoughts. |
| Abstract | "This book is written for leaders of provider organizations as a strategic guide to value-based contracting with health plans. In this book the author describes why insurance companies do the things they do, in order to help show ways to approach them efficiently and successfully. The book also describes how providers can put the pieces in place to make transitions to value-based care as painless as possible"-- Provided by publisher. |
| Bibliography note | Includes bibliographical references and index. |
| Access restriction | Available only to authorized users. |
| Technical details | Mode of access: World Wide Web |
| Genre/form | Electronic books. |
| LCCN | 2022043024 |
| ISBN | 9781421446769 (paperback; alk. paper) |
| ISBN | (ebook) |
Availability
| Library | Location | Call Number | Status | Item Actions |
|---|---|---|---|---|
| Electronic Resources | Access Content Online | ✔ Available |