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Health plans unmasked : a physician's guide to working with health insurers / Martin Lustick, MD.
- Format:
- Book
- Author/Creator:
- Lustick, Martin, 1956- author.
- Language:
- English
- Subjects (All):
- Health insurance claims--United States.
- Health insurance claims.
- Health insurance--United States.
- Health insurance.
- Insurance, Health, Reimbursement.
- Value-Based Health Insurance.
- Insurance, Health.
- United States.
- Medical Subjects:
- Insurance, Health, Reimbursement.
- Value-Based Health Insurance.
- Insurance, Health.
- United States.
- Physical Description:
- 1 online resource (177 p.)
- Place of Publication:
- Baltimore : Johns Hopkins University Press, 2023.
- Contents:
- Cover
- Half Title
- Title
- Copyright
- Dedication
- Contents
- Preface
- Acknowledgments
- Part I The Basics
- Chapter 1 Historical Context
- Chapter 2 What Is a Health Plan?
- Chapter 3 Medicare
- Chapter 4 Medicaid
- Chapter 5 Commercial Insurance
- Chapter 6 Brokers and Consultants
- Part II Reimbursement Basics
- Chapter 7 The ABCs of Fee-for-Service
- Chapter 8 What Happens to a Claim?
- Chapter 9 Payment Errors
- Chapter 10 Health Plan Strategic Concerns
- Chapter 11 Analytics
- Chapter 12 Cost Management Strategies
- Chapter 13 Quality
- Chapter 14 Care Management
- Chapter 15 Health Plan Committees
- Part III Contracting
- Chapter 16 Health Plan Contracting 101
- Chapter 17 Value-Based Budgeting
- Chapter 18 Incentive Payments
- Chapter 19 Risk Mitigation
- Part IV Opportunities and Obstacles in Value-Based Care
- Chapter 20 Price Transparency
- Chapter 21 Subrogation
- Chapter 22 Pharmacy Benefit Management
- Chapter 23 On Becoming a Payvider
- Part V A Shifting Paradigm
- Chapter 24 Closing Thoughts
- Acronyms and Abbreviations
- Notes
- Index
- Notes:
- Includes bibliographical references and index.
- Electronic reproduction. Ann Arbor, MI Available via World Wide Web.
- Description based upon print version of record.
- Other Format:
- Print version: Lustick, Martin Health Plans Unmasked
- ISBN:
- 1421446774
- 9781421446776
- Publisher Number:
- 99994053267
- Access Restriction:
- Restricted for use by site license.
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