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Managed Care

Managed care is the efficient provision of healthcare – leading to reduced costs but a more effective system of care. The trend towards Managed Care Organizations (MCOs) initially started in the US but is steadily progressing towards other countries, including underserved regions such as Latin America.

The reports, books, and subscriptions listed under Research and Markets’ Managed Care category provide you with the latest information on how the latest managed care techniques are performed across a wide range of areas, including obesity, mental illness, care of the elderly, developmental disabilities, and in terms of geographical regions and countries. These managed care issues are tackled and explored - providing revealing insights for market entrants, service providers and investors – across different healthcare providers (hospitals, care homes, state/national health bodies, community service providers, etc.); as well as different management, clinical and IT systems. Show Less Read more

State Medicaid Report

Three huge shifts are occurring in terms of Medicaid dollars: rapidly increasing enrollment; a shift in spending from institutional care to other settings, especially home care; and increasing use of...

Published:  January 2016
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2016 Medicare Reimbursement Analysis and Outlook

Although the majority of healthcare providers will receive small payment increases from Medicare in 2016, several face an uncertain reimbursement future. The Centers for Medicare & Medicaid Services...

Published:  January 2016
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2015 State Medicaid Report

This annual state-by-state overview of Medicaid’s impact on the healthcare continuum. The report compiles up-to-date information from each state tracking four main Medicaid trends: State budgets, program...

Published:  February 2015
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2015 Medicare Reimbursement Analysis and Outlook

Understanding your customers’ reimbursement outlook is critical. The 2015 Medicare Reimbursement Analysis and Outlook compiles all the information you need packed with insights on Medicare’s payment...

Published:  January 2015
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Elder Care (Nordic) - Industry Report

The Elder Care (Nordic) Analysis provides a detailed overview of the UK Elder Care (Nordic) market and delivers a comprehensive individual analysis on the top 143 companies, including ESPERI CARE OY,...

Published:  February 2016
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MEdSim Magazine: Advancing Patient Safety Through Education & Training (International)

MEdSim Magazine aims to promote the best education and training practices for the next generation of healthcare professionals MEdSim Magazine is written by professionals in medicine, simulation and...

Published:  February 2016
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Health Care Utilization Management Industry (U.S.): Analytics, Extensive Financial Benchmarks, Metrics and Revenue Forecasts to 2022

Health Care Utilization Management Industry (U.S.): Analytics, Extensive Financial Benchmarks, Metrics and Revenue Forecasts to 2022 Vital industry-specific data including metrics, benchmarks, historic...

Published:  July 2015
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2015 U.S. Indiv serv med cov plans (incl supp Medicare) sold through Health & medical insurance carriers-Product & Services Report

The 2015 U.S. Indiv serv med cov plans (incl supp Medicare) sold through Health & medical insurance carriers-Product & Services Report, published annually, contains timely and accurate industry statistics,...

Published:  April 2015
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2015 U.S. Indiv serv med cov plans (incl supp Medicare) sold through Life insurance carriers-Product & Services Report

The 2015 U.S. Indiv serv med cov plans (incl supp Medicare) sold through Life insurance carriers-Product & Services Report, published annually, contains timely and accurate industry statistics, forecasts...

Published:  April 2015
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Medicare Pioneer ACO: Care Management, Quality Improvement and Data Integration Yields Substantial Performance Gains, a 45-minute webinar on June 24, 2015, now available for replay

Steward Health Care Network, one of the top-performing Medicare Pioneer ACOs, saw its gross savings from participating in the program grow significantly from 2012 to 2013. Critical to its growth...

Published:  June 2015
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Medicare Chronic Care Management Billing: Leveraging Population Health Management for Successful Claim Submission

Medicare Chronic Care Management Billing: Leveraging Population Health Management for Successful Claim Submission, a 45-minute webinar on May 21, 2015, now available for replay By leveraging its...

Published:  May 2015
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Out-of-Pocket Healthcare Expenditures in the United States

The Out-of-Pocket Healthcare Expenditures in the United States Out-of-pocket expenditures for health care products and services in the United States continue to rise and in 2015 represent a significant...

Published:  May 2015
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2014 Healthcare Benchmarks: Embedded Case Management

Case management continues to evolve to meet ever-changing healthcare demands, with many organizations embedding case managers within primary care practices, hospitals, and home care settings to expand...

Published:  January 2015
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Medical Case Management Services in the US

Medical Case Management Services Case by case The Medical Case Management Services industry works with insurers, employers and patients to ensure that medical care is appropriate and cost effective....

Published:  November 2014
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Hybrid Embedded Case Management: New Model for Cross-Continuum Care Coordination

Like the convenience of getting a PDF the same business day, but still want a hard copy of this book? Order both and save 35 percent! When Sentara Medical Group determined its RN case managers working...

Published:  September 2014
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Chronic Care Management Medicare Reimbursement: New Revenue Opportunities for Care Coordination, a 45-minute webinar on November 19, 2014, now available for replay

Starting this month, physician practices are eligible to receive reimbursement for chronic care management services provided by physicians, advanced practice nurses, physician assistants, clinical nurse...

Published:  November 2014
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Embedded Case Management in Primary Care and Work Sites: Referral, Stratification and Protocols, a 45-minute webinar on September 25, 2014, at 1:30 pm Eastern

Embedded in both primary care practices and work sites, Caldwell Memorial Hospital's embedded case managers are improving the quality of care and reducing healthcare costs by increasing preventive care...

Published:  September 2014
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Embedded Case Management in Primary Care and Work Sites: Referral, Stratification and Protocols, a 45-minute webinar on September 25, 2014, now available for replay

Embedded in both primary care practices and work sites, Caldwell UNC Health Care's embedded case managers are improving the quality of care and reducing healthcare costs by increasing preventive care...

Published:  September 2014
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Advancing Primary Care with Embedded Case Management: Lessons from the Taconic IPA Pilot

If Taconic Professional Resources were to place a classified ad for an embedded case manager, it might look something like this: Wanted: RN case managers with the motivation and personality to be change...

Published:  June 2014
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Dual Eligibles Care and Service Planning: Integrative Approaches for the Medicare-Medicaid Population

To locate, stratify and engage dual eligibles, Health Care Services Corporation (HCSC) takes a creative approach, employing everything from home visits to 'street case management' to coordinate care...

Published:  June 2014
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