Overview

As the most widely-used textbook on managed care, Essentials of Managed Health Care provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well. The Sixth Edition is a thorough revision that addresses the impact of HR 3590, the Patient Protection and Affordable Care Act, as well as other new laws such as the Genetic Information Non-disclosure Act (GINA).

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9781284246698

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Dr. Peter Kongstvedt is an indepenent strategic advisor, and a Senior Health Policy Faculty member in the Department of Health Administration and Policy at George Mason University. He is a well known national authority on the health care industry with particular expertise in health insurance and managed health care, with over 30 years of industry experience as both a senior-level executive and with global consulting firms. Dr. Kongstvedt is also the author of Managed Care, What it Is and How it Works, (Jones & Bartlett), and recently created anonline multimedia training program on health insurance and managed care. Prior to passage of health reform, he consulted to and made several appearances on The CBS Evening News,and also appeared on NBC’s Today Show. He is principal of the P.R. Kongstvedt Company, LLC and Kongstvedt Learning Solutions, LLC in McLean, VA and may be reached through his website at www.Kongstvedt.com.

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