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| Genre/Form: | Case Reports |
|---|---|
| Document Type: | Book |
| All Authors / Contributors: |
Karen Grandstrand Gervais; et al |
| ISBN: | 0878407197 9780878407194 0878407189 9780878407187 |
| OCLC Number: | 39981766 |
| Description: | x, 372 p. ; 23 cm. |
| Contents: | Introduction: Ethical challenges in managed care -- Balancing a plan's obligations to individual patients and its enrolled population -- Coverage of emergency services -- Coverage of investigational interventions for life-threatening conditions -- Coverage of complementary health care -- Coverage exceptions for contractually excluded benefits -- Referral practices under capitation -- Shifting costs and care to public programs -- Choice of venue and provider under capitation -- Credentialing standards and quality care --- CEO salaries in for-profit and nonprofit health plans -- Hospital staffing levels --- Purchaser and plan responsibility for benefit design -- Advocating for patients in managed care -- Similarly-situated patients with different benefits packages -- Respecting patients' cultural and religious beliefs -- Managing care for the seriously mentally ill -- Quality care for elderly nursing home patients -- Managing care for seriously and chronically ill children -- Health plan responibilities for public health activities -- Health plan responsibilities for medical education and research. |
| Responsibility: | edited by Karen G. Gervais ... [et al.]. |
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