Spelling suggestions: "subject:"managed care plant"" "subject:"anaged care plant""
41 |
Incentives in a specialty care carve-outInkelas, Moira. January 2001 (has links)
Thesis (Ph. D.)--RAND Graduate School, 2000. / Includes bibliographical references (p. 309-317).
|
42 |
Mental health issues for families served by a care manager under a managed care Medicaid project report of a research experience : submitted in partial fulfillment ... for the degree of Master of Science in Nursing ... /Kramer, Barbara. January 1995 (has links)
Thesis (M.S.)--University of Michigan, 1995.
|
43 |
An investigation of the impact of HealthChoices managed behavioral healthcare on the Lehigh ValleyAlex, Theodore P. January 1999 (has links)
Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1999. / Source: Masters Abstracts International, Volume: 45-06, page: 2928. Typescript. Abstract precedes thesis as preliminary leaves iii-iv. Includes bibliographical references 122-127.
|
44 |
Drug and alcohol treatment services among privately insured individuals in managed behavioral health care /Stein, Bradley D. January 2003 (has links) (PDF)
Thesis (Ph. D.)--Rand Graduate School, 2002. / Includes bibliographical references (p. 64-70). Also available online.
|
45 |
Mental health issues for families served by a care manager under a managed care Medicaid project : b report of a research experience : submitted in partial fulfillment ... for the degree of Master of Science in Nursing ... / c Barbara KramerKramer, Barbara. January 1995 (has links)
Thesis (M.S.)--University of Michigan, 1995.
|
46 |
Drug and alcohol treatment services among privately insured individuals in managed behavioral health careStein, Bradley D. January 2003 (has links) (PDF)
Thesis (Ph. D.)--Rand Graduate School, 2002. / Includes bibliographical references (p. 64-70).
|
47 |
Risco de insustentabilidade financeira dos beneficiÃrios de uma operadora de planos de saÃde: uma comparaÃÃo de modelos de classificaÃÃo / Financial unsustainability risk for recipients of managed care plans: a classification model comparisonDaniele Adelaide BrandÃo de Oliveira 20 August 2014 (has links)
nÃo hà / Este trabalho teve por objetivo realizar um estudo analÃtico relativo à sustentabilidade financeira dos beneficiÃrios da carteira de uma operadora de planos de saÃde. A amostra investigada no estudo à de uma operadora de plano de saÃde vinculada ao Banco do Nordeste do Brasil S.A. (BNB) e à composta por 38.875 usuÃrios, ativos, entre os anos de 2011 e 2013. Especificamente, buscou-se nesse trabalho aplicar tÃcnicas de classificaÃÃo de insustentabilidade financeira de beneficiÃrios de uma operadora de planos de saÃde, identificando o modelo de melhor ajustamento e os principais determinantes de insustentabilidade. As tÃcnicas estatÃsticas de classificaÃÃo supervisionada empregadas foram a regressÃo logÃstica, as Ãrvores de classificaÃÃo e o classificador de vizinhos mais prÃximos. AlÃm disso, foi empregada a curva ROC para comparar os desempenhos das tÃcnicas utilizadas, sendo a Ãrea abaixo da curva (AUC), a principal medida observada. Os resultados obtidos mostraram que a maior parte da amostra à composta por beneficiÃrios sustentÃveis. O modelo de regressÃo logÃstica obteve precisÃo de 68,43% com AUC de 0,7501, as Ãrvores obtiveram 67,76% e AUC de 0,6855, enquanto o classificador dos vizinhos mais prÃximos teve uma precisÃo de 67,22% e AUC de 0,7258. As variÃveis apontadas como mais importantes pelos dois primeiros modelos, considerando uma anÃlise conjunta, sÃo a Idade e o Tipo de Plano, dentre aquelas que definem o perfil do usuÃrio e a Receita, Consulta e Odontologia, daquelas que definem o histÃrico de utilizaÃÃo do usuÃrio / This study aimed to carry out an analytical study on the financial sustainability of the beneficiaries of the portfolio of managed care plans. The sample investigated in the study is a health plan operator linked to the Banco do Nordeste do Brazil SA (BNB) and consists of 38,875 members, assets, between the years 2011 and 2013. Specifically, we sought to apply techniques that work financial unsustainability classification of beneficiaries of a managed care plans, identifying the model best fit and the main determinants of unsustainability. The technical classification statistics were supervised employed logistic regression, classification trees and the classifier closest neighbors. Furthermore, the ROC curve was used to compare the performance of the techniques used, and the area under the curve (AUC), the main extent observed. The results showed that most of the sample is composed of organic recipients. The logistic regression model obtained precision of 68.43% with AUC of 0.7501, the trees obtained 67.76% and AUC of 0.6855, while the classifier of the closest neighbors had an accuracy of 67.22% and AUC of 0.7258. The variables identified as most important by the first two models, considering a joint analysis, are the Middle and the Plan type, among those that define the user profile and the Revenue Consultation and Dentistry, those that define the user use history
|
48 |
The impact of aggressive case management service in reducing the frequencies of acute episodes of the chronically mentally illCunningham, Daniel Morton 01 January 1996 (has links)
No description available.
|
49 |
Dentistry : a new era : the change toward oral wellness, evidence based care and managed care at the turn of the century, with recommendations for dentistryMorgan, Heather 03 1900 (has links)
Thesis (MBA)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: This report provides a broad overview of the health industry, and the dental industry in
particular, identifying trends and searching for possible solutions to problems posed by these
trends. It attempts to offer perspectives of importance to all the stakeholders in health care -
the patients, the providers of care and third party payers.
The current focus of healthcare industry is not actually the health of the patient. Practitioners
(the providers) focus too much on treatment, while insurance companies and governments
(the payers) emphasise cost containment.
As national health care costs spiral, it is ironic that the main reasons for the dramatic health
improvements over the last few decades are improvements in socio-economic factors and
changes in lifestyle, rather than better treatment. The willingness of insurers to cover new or
improved services has acted as a continuing stimulus to cost-increasing advances in medical
technology and in tum to spending growth.
Managed care has evolved to attempt to improve resource allocation in health care. Thirdparty
private-sector regulators have wrested power from government regulators. Their gain in
power relative to private practitioners has shifted the power balance from the supply side to
the demand side of health care. By leveraging their power in the use of information
technology, the practitioner has been forced into a defensive, reactive stance.
Managed care is being implemented by profit-driven third parties that benefit from the cost
savings. As health providers are the ones who have to implement the cost-savings; it is
proposed that they are the ones who should manage healthcare. The ideal would be a coordinated
approach with funders and service providers working toward a common goal.
Financial accountability is forcing dental practitioners to evaluate their mode of practice in a
critical manner. Promoting health, by educating and evoking behaviour change will create a
better world for current and future generations. There is a shift in focus from the health of the individual at all costs, to the health of the population. There should be a special emphasis on
the dental health of children for whom prevention offers the most gain in outcome.
Evidence-based care evolved from the search for the best care, in terms of quality and price,
outcome and process, and attempts to reduce variability and subjectivity in clinical decisions,
by using systematic reviews of quality evidence to increase objectivity.
Emphasis on improved outcomes provides earlier, more valuable, long-term improvements
for a patient, than the later, short-term benefit of a cure.
Because most canes and gum disease is preventable, dental health professionals should
accentuate health promotion and education of patients. The benefits would be to the
advantage of all stakeholders in health. A focus on prevention for children could be the ideal
form of dental private practice to instil oral wellness in children. / AFRIKAANSE OPSOMMING: Hierdie verslag is 'n breë oorsig van die gesondsheidsindustrie, en van die tandheelkunde
industrie in besonder om tendense te identifiseer en na moontlike oplossing te soek vir
probleme wat hieruit mag spruit. Dit poog om perspektiewe aan te bied wat van belang is vir
die betrokke rolspelers - die pasiënte, die diensverskaffers en die befondsers.
Die huidige fokus van gesondheidsorg is nie eintlik die gesondheid van die pasiënt nie. Die
die voorsieners van sorg fokus meestal op behandeling, terwyl versekeringsmaatskappye en
die regering (die betalers) fokus op die besnoeing van koste.
Terwyl nasionale gesondheidskostes styg, is dit ironies dat die belangrikste redes vir die
dramaties verbetering in gesondheid oor die laaste paar dekades eerder verbeteringe in sosioekonomiese
faktore en veranderinge in leefwyse is as beter behandeling. Die bereidwilligheid
van versekeraars om nuwe en verbeterde dienste te dek, is die oorsaak van die aanhoudende
stimulus vir mediese tegnologiese vooruitgang en koste stygings.
Bestuurde sorg het ontwikkel om te probeer om bron toewysing in gesondheidsorg te
verbeter. Derde party privaatsektor-reguleerders het die mag van regering-reguleerders
ontruk. Hul invloed, relatief tot die van privaat praktisyns, het die mags-ewewig verskuif van
die voorsienings- na die aanvraagkant van gesondheidsorg. Deur die gebruik van hulle
voordeel op die gebied van inligtingstegnologie, het hulle die praktisyn in 'n defensiewe
houding gedwing.
Bestuurde Gesondheidsorg word beheer deur winsgedrewe derde partye wie baat vind by
kostebesparings. Aangesien gesondheidsverskaffers die kostebesparings moet implementeer,
word daar aanbeveel dat hulle gesondheidsorg moet bestuur. 'n Gesonde samewerkings
ooreenkoms tussen befondsers en diensverskaffers is wenslik.
Finansiële verantwoordelikheid dwing tandartse om hulle praktyke krities te evalueer. Daar is
'n fokus verskuiwing vanaf die gesondheid van die individu, ten alle koste, na die gesondheid
van die bevolking. Besondere klem behoort geplaas te word op die mondgesondheid van
kinders, vir wie voorkoming die meeste baat inhou. Bewys-gebaseerde Gesondheidsorg het ontwikkel uit die soektog na die beste sorg in terme
van kwaliteit en koste, uitkoms en proses, en pogings om wisselvalligheid en subjektiwiteit in
kliniese besluite te verminder. Klem op beter resultate gee vroeër, meer waardevolle
langtermyn verbeteringe vir die pasiënt, as die later kort-termyn voordele van genesing.
Omdat tandbederf en tandvleissiektes voorkombaar is, behoort tandheelkundiges die
bevordering van mondgesondheid te beklemtoon. Voorkoming by kinders word gesuggereer
as die ideale vorm van privaat praktyk om mondgesondheid te bevorder.
|
50 |
Self-employed nurse entrepreneurs expanding the realm of nursing practice: a journey of discoveryWilson, Anne, 1953 Apr. 24- January 2003 (has links)
Includes bibliographical references. Electronic publication: Full text available in PDF format; abstract in HTML format. Private practice as a career option for nurses has been slowly increasing since the 1980's. However, the reasons for this development have not been fully investigated so that it can be understood and placed within the changing contexts of health care and health services. The expansion and extension of nurses' roles is a contemporary topic in health care reform and therefore one that deserves investigation. The aims of this study were to develop a theory on private practice nursing and to describe the characteristics and work of the self-employed nurse in Australia. Electronic reproduction.[Australia] :Australian Digital Theses Program,2001.xvii, 350 leaves : ill. (some col.) ; 30 cm.
|
Page generated in 0.0831 seconds