Managed Care Made Simple

Robert A. Baldor is the author of Managed Care Made Simple, 2nd Edition, published by Wiley.

• Preface;. Acknowledgement;.Illustration Credits;.I. Introduction;.II. Healthcare Financing:.A. Overview;.B. Traditional Insurance and Fee-For-Service;.C. Medicare;.D. Medicaid;.E. Payments;.III. Healthcare Reform:.A. The Issues;.B. The Reform Debate;.C. The Current Situation;.D. Examples of Other Countries;.E. State Initiatives;.IV. Managed Care:.A. Roots of Managed Care;.B. Growth and Development of Managed Care;.C. Managed Care Organization Models;.D. Managed Care Functions;.E. Workforce Issues;.F. Payment Methods;.G. Ethical Considerations;.H. Legislative Initiatives;.V. Health Insurance - The Patient Perspective:.A. Introduction;.B. Private Insurance;.C. Medicare;.D. Medicaid;.E. Long Term Care;.VI. Pharmaceutical Costs;.VII. Problem Solving Exercises:.A. Managed Care Exercise;.B. Problem Solving Cases;.References;.Glossary;.Appendices:.A. Answers to Problem Solving Cases;.B. Board Review Questions;.C. Hospital Costs;.D. Diagnostic Imaging Charges;.E. Clinical Pathology Diagnostic Test Costs;.F. Miscellaneous Charges;.G. Physician Fee for Selected Procedures