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Health plans unmasked :a physician's guide to working with health insurers /
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Health plans unmasked :a physician's guide to working with health insurers /

紀錄類型 : 書目-語言資料,印刷品: 單行本

作者 : Lustick, Martin,

出版項 : Baltimore :Johns Hopkins University Press,2023.

面頁冊數 : 1 online resource (177 p.)

內容註 : 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.

標題 : Health insurance claims - United States. -

標題 : Health insurance - United States. -

標題 : Insurance, Health, Reimbursement -

標題 : Value-Based Health Insurance -

標題 : Insurance, Health -

標題 : National Health Insurance, United States -

標題 : United States -

ISBN : 1421446774

ISBN : 9781421446776

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504 $aIncludes bibliographical references and index.

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Lustick, Martin,1956-

Health plans unmasked :a physician's guide to working with health insurers /Martin Lustick, MD. - 1 online resource (177 p.)

Includes bibliographical references and index.

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.


Electronic reproduction.
Ipswich, MA





Available via World Wide Web.

ISBN: 1421446774Subjects--Topical Terms:

97770
Health insurance claims
--United States.Subjects--Geographical Terms:

11982
United States


LC Class. No.: RA412.3 / .L87 2023

Dewey Class. No.: 368.38200973
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