This book examines the principal methods by which managed care in the USA operates and considers its relevance to the embryonic National Health Service 'internal market'. It provides a greater focus to observations about US health care, management and techniques.
Table of Contents
1. Why study managed care? 2. Managed care: The basic models 3. The anatomy of a managed care company 4. Reimbursement mechanisms-paying doctors and hospitals 5. Quality and utilization review 6. Management information systems 7. The business process 8. Strategic issues in cost-containment