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This textbook on Healthcare Management provides a systematic and comprehensive overview of the organisational forms and management instruments implemented in managed care. Within the international discussion on the structure of healthcare systems, managed care is an increasingly important topic. Over more than twenty years managed care approaches have fundamentally influenced healthcare systems in terms of patient orientation, efficiency, and quality. Experts assume that up to 20% of healthcare expenses can be saved by applying high-quality managed care approaches. By using suitable organisational forms and management principles, not only can costs be reduced, but the quality of medical service provision can be augmented. Managed care is therefore much more than a cost-cutting strategy. Advocates consider managed care to be a logical and necessary developmental step in modern healthcare systems. An increase in quality and at the same time a reduction of costs is not seen as contradictory but rather as consistent. Therefore, managed care is a response to changed challenges in the provision of healthcare.
Health services administration. --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Administration --- Management --- Health economics. --- Health care management. --- Public health. --- Health Economics. --- Health Care Management. --- Public Health. --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Social hygiene --- Health --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Economics, Medical --- Health economics --- Hygiene --- Medicine --- Economic aspects --- PHealth Services Administration --- Managed Care Programs --- Managed Care --- Case Management, Insurance --- Insurance Case Management --- Managed Health Care Insurance Plans --- Care, Managed --- Managed Care Program --- Management, Insurance Case --- Program, Managed Care --- Programs, Managed Care --- Cost Sharing --- Case Management --- Risk Sharing, Financial --- Health Services Administration --- Administration, Health Services --- Health Services --- organization & administration --- Health Services Administration. --- Managed Care Programs.
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Integrated delivery of health care. --- Social work administration. --- Medical care. --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Public health --- Social service --- Management --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Medical care --- Administration
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Within the international discussion on the structure of healthcare systems, managed care is an increasingly important topic. Over more than twenty years managed care approaches have fundamentally influenced healthcare systems in terms of patient orientation, efficiency, and quality. Experts assume that up to 20% of healthcare expenses can be saved by applying high-quality managed care approaches. By using suitable organisational forms and management principles, not only can costs be reduced, but the quality of medical service provision can be augmented. Managed care is therefore much more than a cost-cutting strategy. The goal of this book is to offer a systematic overview of the organisational forms and management instruments implemented in managed care. Advocates consider managed care to be a logical and necessary developmental step in modern healthcare systems. An increase in quality and at the same time a reduction of costs is not seen as contradictory but rather as consistent. Therefore, managed care is a response to changed challenges in the provision of healthcare.
Methodology of economics --- Economics --- Hygiene. Public health. Protection --- Business management --- Business economics --- volksgezondheid --- financieel management --- bedrijfseconomie --- economie --- gezondheidszorg --- gezondheidsvoorzieningen
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Das deutsche Gesundheitswesen befindet sich in einem radikalen Umbruch. Steigende Gesundheitsausgaben, eine Entwicklung der Bevölkerungspyramide, die noch höhere Ausgaben für die Zukunft erwarten lässt, und Patienten, die zunehmend individuellere Leistungen einfordern, sind hierfür nur exemplarisch. Ansätze zur Bewältigung dieser Herausforderungen finden sich in den vielfältigen Managementinstrumenten und Organisationsformen von Managed Care. Darunter versteht man den Einsatz von Managementinstrumenten im Gesundheitswesen, die zumindest partielle Integration der Funktionen Leistungserstellung und Finanzierung sowie die Auswahl geeigneter Leistungserbringer (selektives Kontrahieren). Das Buch stellt die Vielzahl unterschiedlicher Organisationsformen dar, wie beispielsweise integrierte Versorgungssysteme, und geht auf Instrumente wie Disease Management, Case Management, Evidence Based Medicine, HTA, DRGs, Bonus- und Malussysteme, Leitlinien und viele andere praxisrelevante Managementansätze ein. In 17 aktuellen Fallstudien werden darüber hinaus erfolgreiche Konzepte aus den USA, Großbritannien und Deutschland vorgestellt. Damit richtet sich "Managed Care" nicht nur an Studenten und Dozenten der Gesundheitsökonomie und des Gesundheitsmanagements, sondern vor allem auch an Manager im Gesundheitswesen und in der Versicherungswirtschaft sowie an ökonomisch interessierte Mediziner und andere Gesundheitsdienstleister. Univ.-Prof. Dr. oec. Volker Eric Amelung ist Professor für Gesundheitssystemforschung an der Medizinischen Hochschule Hannover und Geschäftsführer des Bundesverbandes Managed Care e.V.
Health care management. --- Health services administration. --- Health economics. --- Health Care Management. --- Health Economics. --- Public health. --- Medicine --- Practice.
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Managed Care Managed Care ist keine in sich geschlossene Theorie, sondern vielmehr ein Bündel ganz unterschiedlicher Organisationsmodelle und Management-Instrumente, die in vielfältigen Kombinationen eingesetzt werden. Genau aus diesem Grund ist es auch nicht möglich, „für“ oder „gegen“ Managed Care zu sein. Dies kann ausschließlich auf der Ebene der einzelnen Organisationsformen oder Management-Instrumente stimmen. Managed Care hat sich in den letzten Jahren deutlich weiter entwickelt und neue Themen sind hinzugekommen. Diesen Entwicklungen hat der Autor in dieser Auflage Rechnung getragen. Neu aufgenommen hat beispielsweise Kapitel zu Consumer Driven Health Plans (CDHP), Accountable Care Organizations (ACO), Medical Homes, Pharmaceutical Benefit Management, Bundled Payments, Pay-for-Performance, Public Reporting und Patienten Coaching sowie eine Vielzahl neuer Fallstudien. Der Inhalt Grundideen von Managed Care Managed Care-Organisationen und -Produkte Managed Care-Instrumente Bewertung von Managed Care Der Autor Univ.-Prof. Dr. oec. Volker Eric Amelung ist Professor für Gesundheitssystemforschung an der Medizinischen Hochschule Hannover und Vorstandsvorsitzender des Bundesverbandes Managed Care e. V.
Health care management. --- Health services administration. --- Health economics. --- Health Care Management. --- Health Economics. --- Medical economics.
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Within the international discussion on the structure of healthcare systems, managed care is an increasingly important topic. Over more than twenty years managed care approaches have fundamentally influenced healthcare systems in terms of patient orientation, efficiency, and quality. Experts assume that up to 20% of healthcare expenses can be saved by applying high-quality managed care approaches. By using suitable organisational forms and management principles, not only can costs be reduced, but the quality of medical service provision can be augmented. Managed care is therefore much more than a cost-cutting strategy. The goal of this book is to offer a systematic overview of the organisational forms and management instruments implemented in managed care. Advocates consider managed care to be a logical and necessary developmental step in modern healthcare systems. An increase in quality and at the same time a reduction of costs is not seen as contradictory but rather as consistent. Therefore, managed care is a response to changed challenges in the provision of healthcare.
Health care management. --- Health services administration. --- Health administration. --- Health economics. --- Public health. --- Health Care Management. --- Health Administration. --- Health Economics. --- Public Health. --- Medical economics.
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This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed care perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of health care. The handbook also provides international best practices and shows how integrated care does work throughout various health systems. The delivery of health and social care is characterised by fragmentation and complexity in most health systems throughout the world. Therefore, much of the recent international discussion in the field of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients´ needs and aims to meet it by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach.
Integrated delivery of health care --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Business. --- Health care management. --- Health services administration. --- Public policy. --- Public health. --- Primary care (Medicine). --- Public administration. --- Health economics. --- Medical economics. --- Business and Management. --- Health Care Management. --- Health Economics. --- Public Health. --- Public Policy. --- Public Administration. --- Primary Care Medicine. --- Economics, Medical --- Health --- Health economics --- Hygiene --- Medical care --- Medicine --- Administration, Public --- Delivery of government services --- Government services, Delivery of --- Public management --- Public sector management --- Political science --- Administrative law --- Decentralization in government --- Local government --- Public officers --- Primary medical care --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Sanitary affairs --- Social hygiene --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Health planning --- Public health administration --- Trade --- Economics --- Management --- Commerce --- Industrial management --- Economic aspects --- Administration --- Emergency medicine. --- Medicine, Emergency --- Critical care medicine --- Disaster medicine --- Medical emergencies --- Political planning --- Planning in politics --- Public policy --- Planning --- Policy sciences --- Politics, Practical --- Public administration --- Political planning. --- Primary care (Medicine)
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