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Isenberg
Managed Care, Outcomes, and Quality

Table of Contents


Section I: The Essentials of Managed Care and Capitation
1. Capitation
2. Reimbursement Systems and Managed Care
3. Referral Guidelines
4. Negotiating Managed Care Contracts
5. The Legal Issues of Maged Care Contracts
6. Understanding Profiling
7. Ethical Challenges of Maged Care
Section II: Utilizing Outcomes in a Managed Care Environment
8. Outcomes Research: Where We Have Been, Where We Need to Go
9. Meaningful Outcomes Research
10. Improving Health Care: Measuring Outcomes and Implementing Change
11. Project Solo/Physicians' Information Exchange: Organizing Physicians Around Quality
Section III: Quality in the Front and the Back Office
12. Improving Office Efficiency in a Managed Care Environment
13. Staffing Requirements in Managed Care
14. Surviving and Thriving as an Independent Practitioner
15. Information Management in Managed Care and Capitation
16. Malpractice Issues
Section IV: The Physician's Response to Managed Care
17. Network Mergers and IPAs: the Legal Issues
18. Physician Organizations
19. Single-Speciality Networks: The Mature Network
20. Single-Speciality Networks: Initial Stages
21. Mergers and Acquisitions
22. Evolving a Single Specialty Into a Multispecialty Network
23. Will Doctors Take Back Health Care?

 
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