Healthcare Management: An Introduction

Ed Murray is a claims analyst for a managed care plan that provides a higher level of benefits for services received in-network than for services received out-o...

Ed O'Brien has both Medicare Part A and Part B coverage. He also has coverage under a PBM plan that uses a closed formulary to manage the cost and use of pharma...

Eleanor Giambi is covered by a typical 24-hour managed care program. One characteristic of this program is that it:

Emily Brown works for Integral Health Plan and represents the company as a board member for the board of directors. Which best describes Emily's position?

Employer-sponsored benefit plans that provide healthcare benefits must comply with the Employee Retirement Income Security Act (ERISA). One of the most signific...