2 edition of The National Directory of Managed Care Organizations found in the catalog.
The National Directory of Managed Care Organizations
Gwen B. Lareau
by Managed Care Information Center
Written in English
|The Physical Object|
As managed care organizations expand their programs of quality assurance and physician evaluation, more medical malpractice lawsuits may be brought against managed care organizations on the ground that, like hospitals, they are legally responsible for negligent corporate acts that injure by: The Local Management Entity-Managed Care Organization (LME-MCO) Performance Summary is a monthly report which gives an overview of the administrative functions of the LME-MCOs. It includes self-report data from the LME-MCOs, and includes items such as the timeliness of answering calls, service authorization processing, claims processing, and complaint resolution.
Managed Care Defined Managed care, or managed healthcare, refers to the approaches taken to optimize the delivery of healthcare benefits and increase the quality of care. Managed care principles are utilized by a wide variety of organizations such as Preferred Provider Organizations, Hospitals, Medicare and Medicaid programs, Nursing Homes, and. TennCare services are offered through managed care entities. Medical, behavioral and long-term care services are covered by "at risk" Managed Care Organizations (MCOs) in each region of the state, and each participating MCO creates their own contracts with providers, maintains their own fee schedules, processes their own claims, and has their own in-network specialists and providers.
Managed Care Organizations Question Type Contact Person(s) Contact numbers, addresses. and e-mails. 1 Aetna Better Health: Contracting and. Behavioral Health. Terriana Clark - primary. Network Account Manager. Highland Ave. FLR. #3. Downers Grove, IL Telephone. Mobile. [email protected] Brenda Brown. The two common approaches to managed care for children with SED and adults with SMI are known as “carve in” and “carve out.” Carve In: Integrated managed care approaches include physical health and behavioral health benefits in the same health plans. This means that a managed care organization .
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The National Directory of Managed Care Organizations includes: Section I -- Managed Care Organizations Company name and address, the main telephone number, a toll-free number if applicable, a fax number and a mailing address if that differs from that of Format: Paperback.
The directory covers specialty HMOs and PPOs, and includes details on PBMs, URs, TPAs, PSOs, POSs, EPOs, Medicare and Medicaid Plans, and Medicare Advantage Health plans. The National Directory of Managed Care Organizations contains deep profiles on more than 1, managed care companies including Blue Cross-Blue Shield plans throughout the : Paperback.
The National Directory of Managed Care Organizations (3rd Edition) [Gwen Lareau] on *FREE* shipping on qualifying offers. The National Directory of Managed Care Organizations, Fifth Edition [Phyllis Harris] on *FREE* shipping on qualifying offers.
MCOL is a six-year-old health care Internet company delivering business-to-business managed care resources. MCOL has become the recognized Internet leader in the delivery of knowledge resources to professionals involved in managed care.
Overview: The National Managed Care Leadership Directory is available in three formats: Database/PDF bundle - Electronic PDF version of the book plus the Directory database in multiple database and spreadsheet file formats licensed for unlimited use by the individual licensee, for $ National directory of managed care organizations (OCoLC) Document Type: Journal / Magazine / Newspaper: All Authors / Contributors: Managed Care Information Center.
OCLC Number: Description: volumes ; 28 cm: Other Titles: Managed Care Information Center's the national directory of managed care organizations. Custom Select your Health Care Business Mailing from the B2B Database.
Select f+ professionals from health management and managed care. Selections include standardized organization categories and job levels, in addition to state. Selections can also be randomizedto fit a specified number of requested Size: 2MB.
Any organization that provides managed health care services may apply for the NCQA Health Plan Accreditation if it meets the following criteria: Operates under an insurance license (e.g., HMO, POS, PPO, EPO), and; Issues a contract for insurance for a defined population or contracts with an employer to provide managed care services for a self.
COVID Resources. Reliable information about the coronavirus (COVID) is available from the World Health Organization (current situation, international travel).Numerous and frequently-updated resource results are available from this ’s WebJunction has pulled together information and resources to assist library staff as they consider how to handle coronavirus.
Managed Care Organization Directory. The Managed Care Organization Directory includes all Health Maintenance Organizations, Prepaid Health Services Plans, Special Needs Plans, and Primary Care Partial Capitation Providers certified by the NYS Department of Health. Included are plan contact information and payment programs.
The National Directory of Managed Care Organizations State Edition – Get Yours Today. No need to buy a directory of managed care for the whole country – The National Directory of Managed Care Organizations State Edition is now available, providing key executive contacts and benchmarking business information on the managed care plans in your.
The National Managed Care Leadership Directory $ Soft Cover Book, $ PDF Book or $ Database/PDF Bundle Listing of 8,key decision makers from managed care organizations including health plans, 1.
Managed care is a term used to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care for organizations that use those techniques or provide them as services to other organizations.
It is also used to describe systems of financing and delivering health care to enrollees. The National Managed Care Leadership Directory is the ideal tool for networking, recruitment, research, sales prospecting and more. What makes the Directory unique is that it covers multiple industry segments related to managed care and not just health plans; reports on a broader range of staff positions; and categorizes each position by standard job functions.
Managed care organizations are plans that insurance companies set up as a framework for healthcare benefits, and the idea behind managed care is to drive behavior that minimizes costs for benefits.
Managed Care. Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations.
MCO=Managed care organization -Managed care integrates the functions of financing, insurance, delivery, and payment within one organizational setting, and it exercises formal control over utilization What are the 3 payment methods of managed care organizations.
The Who's Who In Managed Care Directory book or pdf with optional database The Who's Who in Managed Health Care Edition will help you: Be positioned with an ongoing one-stop resource containing detailed profile and contact information for managed care executives and thought leaders, as well as a directory of managed care organization CEOs.
HMOs are what most Americans think of when the term “managed care” is used, even though other managed care models have emerged over the past 40 years.
Public Managed Care Plans. The enactment of the Health Maintenance Organization Act of (P. ) provided a major impetus to the expansion of managed health care.
The national directory of managed & integrated care organizations National directory of managed and integrated care organizations Directory of managed and integrated care organizations Managed Care Information Center's the national directory of managed & integrated care organizations.In Virginia's Medicaid Managed Care program, you are a member of a Managed Care Organization (MCO).
An MCO is a health plan with a group of doctors and other providers working together to give health services to its members. Your MCO will cover all Medicaid services you get now, including medical services, behavioral health services, nursing facility services and “waiver” services for.health insurance and managed care organi-zations have narrowed to the point where it is very difﬁcult to tell whether an entity is an insurance company or an MCO.
In contrast to the situation 20 years ago, when managed care organizations were often referred to as 20 CHAPTER 2: TYPES OF MANAGED CARE ORGANIZATIONS.