Healthcare Management: An Introduction

Some states mandate that an independent enrollment broker or benefits counselor contractor selected by the state must manage enrollment of the eligible Medicaid...

Specialty services that have certain characteristics generally are good candidates for managed care approaches. These characteristics generally include that the...

Specialty services with certain characteristics tend to make good candidates for health plan approaches. One characteristic used to identify a specialty service...

The prudent layperson standard described in the Balanced Budget Act (BBA) of 1997 requires all hospitals that receive Medicare or Medicaid reimbursement to scre...

The prudent layperson standard described in the Balanced Budget Act (BBA) of 1997 requires all hospitals that receive Medicare or Medicaid reimbursement to scre...