Managed Care: Strategies, Networks, and Management
Author: Montague Brown
This collection provides the health care manager with the latest and best thinking about the dynamic field of managed care. Here are expert advice and insightful perspectives on strategies and structures for managed care, the roles of hospitals and physicians, and management issues. Indispensable for providers, insurers, buyers, and anyone seeking the techniques, methods, linkages, and alliances needed to make managed care succeed.
Marten M. Kernis
Edited by a recognized leader in the field of managed care, this book is a compendium of 25 articles published between 1986 and 1993 in Health Care Management Review. The authors of the papers are distinguished scholars and professionals in the field. The papers themselves are arranged in a logical, interesting manner. In light of the current national discussion of health care reform and the directions the proposed policies seem to be taking, the book seems to be designed to provide a single source for selected important previously published papers about managed care. The book is not a handbook for managers of managed care, but instead it is meant to serve as a background for those who currently have policy-making responsibilities and for scholars who will have recognized Health Care Management Review as a vehicle for publication of related papers. The audience is anticipated to include policymakers, managers, scholars, and students of health care management in general and managed care in particular. There are no photographs. Black-and-white figures, graphs, and tables are included in several of the sections. Because the papers have been published over a seven-year time span by many different authors, some references are dated, and there is some variation in the quality of selected bibliographies and selected articles. For persons interested in managed care, the book provides easy reference to a sample of previously published papers. Because the earlier papers contain older data, the reader must be certain to supplement these readings with more current information. The book is most useful to those who have limited access to the journalfrom which the articles were taken.
Doody Review Services
Reviewer: Marten M. Kernis, PhD (University of Illinois at Chicago)
Description: Edited by a recognized leader in the field of managed care, this book is a compendium of 25 articles published between 1986 and 1993 in Health Care Management Review. The authors of the papers are distinguished scholars and professionals in the field. The papers themselves are arranged in a logical, interesting manner.
Purpose: In light of the current national discussion of health care reform and the directions the proposed policies seem to be taking, the book seems to be designed to provide a single source for selected important previously published papers about managed care. The book is not a handbook for managers of managed care, but instead it is meant to serve as a background for those who currently have policy-making responsibilities and for scholars who will have recognized Health Care Management Review as a vehicle for publication of related papers.
Audience: The audience is anticipated to include policymakers, managers, scholars, and students of health care management in general and managed care in particular.
Features: There are no photographs. Black-and-white figures, graphs, and tables are included in several of the sections. Because the papers have been published over a seven-year time span by many different authors, some references are dated, and there is some variation in the quality of selected bibliographies and selected articles.
Assessment: For persons interested in managed care, the book provides easy reference to a sample of previously published papers. Because the earlier papers contain older data, the reader must be certain to supplement these readings with more current information. The book is most useful to those who have limited access to the journal from which the articles were taken.
Rating
3 Stars from Doody
Table of Contents:
Preface | ||
Acknowledgments | ||
Getting To Go in Managed Care | 3 | |
HCMR Diaglogue: Managed Care | 17 | |
Vertical Integration in Health Services: Theory and Managerial Implications | 27 | |
Vertical Integration: Exploration of a Popular Strategic Concept | 41 | |
The Economic Transformation of American Health Insurance: Implications for the Hospital Industry | 55 | |
Health Maintenance Organizations: Improvements in the Regulatory Environment | 63 | |
Hospital-Health Care Plan Affiliations: Considerations for Strategy Design | 79 | |
Strategies Employed by HMOs To Achieve Hospital Discounts: A Case Study of Seven HMOs | 91 | |
The Growth and Effects of Hospital Selective Contracting | 99 | |
Contracts between Hospitals and Health Maintenance Organizations | 107 | |
Product Lines in a Complex Marketplace: Matching Organizational Strategy to Buyer Behavior | 121 | |
A Hospital Administrator's Guide to Successful HMO Negotiations | 127 | |
Critical Factors for Successful Hospital-Based Case Management | 131 | |
Factors for Success: Capitated Primary Physicians in Medicare HMOs | 141 | |
Lessons Learned Hiring HMO Medical Directors | 147 | |
Critical Factors in Recruiting Health Maintenance Organization Physicians | 157 | |
Career Paths of Physician Executives | 169 | |
Physician Managers: Personal Characteristics versus Institutional Demands | 179 | |
The Secret of Medical Management | 185 | |
Impact of IPAs on Fee-for-Service Medical Groups | 193 | |
Determinants of HMO Success: The Case of Complete Health | 205 | |
An Assessment of Employers' Experiences with HMOs: Factors That Make a Difference | 217 | |
Management Information Systems: Their Role in the Marketing Activities of HMOs | 225 | |
Controlling Disenrollment in Health Maintenance Organizations | 231 | |
A Model for Understanding Benefit Segmentation in Preventive Health Care | 239 | |
Index | 251 | |
About the Editor | 259 |
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Texas, Cotton, and the New Deal
Author: Keith Joseph Volanto
"In this book, Keith J. Volanto relates the story of the New Deal's efforts to aid Texas cotton farmers, specifically with the production-control policies introduced by the Agricultural Adjustment Administration (AAA). He explores the reasons the AAA cotton programs in Texas were instituted, the implementation problems the AAA encountered and how they were resolved, and the results of the programs. He draws conclusions concerning how well Texans benefited from the AAA cotton programs and about those who were actually harmed by them. In addition, he also examines the role of Texas politicians and bureaucrats in formulating the policies in Washington and the importance of Texas to New Deal cotton policy broadly." Volanto's study of the AAA cotton programs in Texas is an important case study not only of agriculture policy but also of the New Deal itself. The AAA provides an example of how the New Deal attempted to solve a national problem in a largely experimental fashion.
American Historical Review
Overall, this is a strong offering that looks through a narrow lens at a period of dramatic transformation in Texas agriculture.
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