2009•Productivity Press eBooksRequires access

Managed Care Organizations

Walter A. Elmore

Open publisher page 2 citations

Abstract

Managed care is usually delivered through health care organi zations of various shapes and structures that, on the surface, appear very similar. The truth is that they are very different, although most resemble a blended entity capable of providing care and the insurance component to protect the enrollee from financial exposure for claims arising from incurred covered ex penses. It is no surprise to the intended audience of this book that most Americans have little to no understanding of what kind of coverage they have and do not think to take the time to understand the nature of their coverage until they have to use it.

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What this paper is about

Managed care is usually delivered through health care organi zations of various shapes and structures that, on the surface, appear very similar. The truth is that they are very different, although most resemble a blended entity capable of providing care and the insurance component to protect the enrollee from financial exposure for claims arising from incurred covered ex penses. It is no surprise to the intended audience of this book that most Americans have little to no understanding of what kind of coverage they have and do not think to take the time to understand the nature of their coverage until they have to use it.

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Available abstract

Managed care is usually delivered through health care organi zations of various shapes and structures that, on the surface, appear very similar. The truth is that they are very different, although most resemble a blended entity capable of providing care and the insurance component to protect the enrollee from financial exposure for claims arising from incurred covered ex penses. It is no surprise to the intended audience of this book that most Americans have little to no understanding of what kind of coverage they have and do not think to take the time to understand the nature of their coverage until they have to use it.

Key concepts: Business

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