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| arizona healthcare contract management services: Delivering Government Services William J. Murin, Judith Pryor, 1988 First Published in 1989. Routledge is an imprint of Taylor & Francis, an informa company. |
| arizona healthcare contract management services: Washington Representatives , 1998 |
| arizona healthcare contract management services: Commerce Business Daily , 1997-12-31 |
| arizona healthcare contract management services: Modern Healthcare , 1995-10 |
| arizona healthcare contract management services: Dun's Directory of Service Companies , 1994 |
| arizona healthcare contract management services: Healthcare Financial Management , 2007 Some issues accompanied by supplements. |
| arizona healthcare contract management services: The Healthcare Value Chain Lawton Robert Burns, 2022-10-19 This volume analyzes group purchasing organizations (GPOs) and pharmacy benefit managers (PBMs) in order to better understand the significant roles that these entities play in the healthcare supply chain. It examines who they contract with, on what terms, and who they represent and answer to while charting their historical development. The analysis reveals that the current roles of both players have historical roots that explain why they behave the way they do. Finally, the book reviews the evidence base on the performance results of these two players. This work fills a void in our understanding about two important and controversial players in the healthcare value chain. Both organizations are cloaked in secrecy — partly by virtue of the private sector contracts they negotiate, partly by virtue of the lack of academic attention. Both play potentially important roles in controlling healthcare costs, albeit using contracting strategies and reimbursement mechanisms that arouse suspicion among stakeholders. This timely text explicates how these organizations arose and evolved to shed more light on how they really operate. |
| arizona healthcare contract management services: The SAGE Handbook of Governance Mark Bevir, 2010-12-14 The study of governance has risen to prominence as a way of describing and explaining changes in our world. The SAGE Handbook of Governance presents an authoritative and innovative overview of this fascinating field, with particular emphasis on the significant new and emerging theoretical issues and policy innovations. The Handbook is divided into three parts. Part one explores the major theories influencing current thinking and shaping future research in the field of governance. Part two deals specifically with changing practices and policy innovations, including the changing role of the state, transnational and global governance, markets and networks, public management, and budgeting and finance. Part three explores the dilemmas of managing governance, including attempts to rethink democracy and citizenship as well as specific policy issues such as capacity building, regulation, and sustainable development. This volume is an excellent resource for advanced students and researchers in political science, economics, geography, sociology, and public administration. Mark Bevir is a Professor of Political Science at the University of California, Berkeley. |
| arizona healthcare contract management services: Blueprints for Managed Care Frank D. McGuirk, Andrew B. Keller, Colette Croze, 1996-12 Considers three models: consumer flow, dollar flow, and full model in generic system without at-risk contracting; generic system with full capitation and full transfer of utilization risk; and generic system with partial case-rate funding, shared utilization risk and centralized utilization management. The blueprints of state systems covers: consumer flow, dollar flow and full model in Arizona pre- and post-reform systems; Oregon pre- and post-reform systems; and Washington State pre- and post-reform systems, and a comparison of the three state systems. |
| arizona healthcare contract management services: The State of the Military Health Care System United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel, 2008 |
| arizona healthcare contract management services: Medicare HMO Enrollment Growth and Payment Policies United States. Congress. House. Committee on Ways and Means. Subcommittee on Health, 1996 |
| arizona healthcare contract management services: Cumulated Index Medicus , 1979 |
| arizona healthcare contract management services: Health Care Supply Chain Management: Elements, Operations, and Strategies () (Jerry) R. R. R. Ledlow, Karl Manrodt, David Schott, 2016-06-09 Ledlow BCC Supplies currently account for up to 45% of a healthcare organization’s annual operating expense. The supply chain ensures that the technology of care is available to the health care professional at the right time, at the right place and in sufficient quantity and quality for superior health outcomes for patients within the health system. As such, a clear understanding of the workings of the healthcare supply chain is vital to successful healthcare management today. Health Care Supply Chain Management examines supply chain management within the unique context of healthcare services delivery. The authors, with over 60 years combined experience in healthcare administration, supply chain, and academia, examine the critical topics of sourcing, logistics, security and compliance, purchasing, storage and inventory management, distribution, vendor management, as well as future challenges in health care. Students of health administration, public administration, public health, nursing and other allied health professions will learn the most current and effective methods for the management of the supply chain that will contribute to success in the delivery and financing of healthcare services. Key Features: • Offers an overview of the elements of the healthcare supply chain • Examines both the operational and the strategic aspects of supply chain management • Includes a discussion of the integration of the supply chain with the clinical delivery of care • Provides a sound basis of knowledge for students so that healthcare supply chain improvements can be achieved for the mutual benefit of the healthcare industry |
| arizona healthcare contract management services: Congressional Record United States. Congress, 2013 |
| arizona healthcare contract management services: BNA's Health Care Policy Report , 1997 |
| arizona healthcare contract management services: Legal Aspects of Health Care Administration George D. Pozgar, 2004 The Ninth Edition of this book continues to provide students with a strong foundation in health care law and an overview of practical ways to improve the quality and safe delivery of healthcare. |
| arizona healthcare contract management services: Federal Register , 2013-09 |
| arizona healthcare contract management services: Medical Device Register , 1990 Contains a list of all manufacturers and other specified processors of medical devices registered with the Food and Drug Administration, and permitted to do business in the U.S., with addresses and telephone numbers. Organized by FDA medical device name, in alphabetical order. Keyword index to FDA established standard names of medical devices. |
| arizona healthcare contract management services: Jonas and Kovner's Health Care Delivery in the United States, Tenth Edition Anthony R. Kovner, PhD, James Knickman, Steven Jonas, 2011-05-25 Print+CourseSmart |
| arizona healthcare contract management services: Defense Health Program Overview United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel, 2006 |
| arizona healthcare contract management services: Million Dollar Directory Dun and Bradstreet, inc, 2005 |
| arizona healthcare contract management services: Nursing Productivity Assessment and Costing Out Nursing Services Frances M. Hoffman, 1988 |
| arizona healthcare contract management services: F&S Index United States Annual , 1999 |
| arizona healthcare contract management services: F & S Index United States , 1997 |
| arizona healthcare contract management services: Best's Insurance Reports, Life-health , 2007 |
| arizona healthcare contract management services: National Directory of Nonprofit Organizations , 1999 |
| arizona healthcare contract management services: O'Neil Database , 2010 |
| arizona healthcare contract management services: ASP Business Monthly Newsletter , |
| arizona healthcare contract management services: Kinn's The Medical Assistant - E-Book Brigitte Niedzwiecki, Julie Pepper, P. Ann Weaver, 2019-09-24 More than any other product on the market, the most successful Medical Assistants begin their careers with Kinn. Trusted for more than 60 years, Kinn's The Medical Assistant: An Applied Learning Approach, 14th Edition, teaches you real-world administrative and clinical skills essential for a career in the modern medical office – always with a focus on application through unfolding case scenarios, critical thinking questions, and interactive exercises. The reorganized 14th edition includes expanded content on medical office accounts, collections, banking, and practice management as well as a new chapter reviewing medical terminology, anatomy and physiology, and pathology. With an easy-to-read format and a full continuum of separately sold adaptive learning solutions, real-world simulations, EHR documentation experience, and HESI remediation and assessment — you'll learn the leading skills to prepare for certification and a successful career in the dynamic and growing Medical Assisting profession! - Comprehensive coverage of all administrative and clinical procedures prepares you for a wide array of Medical Assisting jobs. - Nearly 185 step-by-step illustrated procedures with rationales break down how to perform critical skills for practice. - Applied approach to learning helps you use what you've learned in a real-world setting, including case scenarios and critical thinking exercises. - Thorough EHR coverage with access to hands-on activities incorporates use of SimChart® for the Medical Office, software designed to ensure that you are practice-ready (sold separately). - Key vocabulary terms and definitions are presented at the beginning of each chapter and highlighted in text discussions. - Summary of Learning Objectives serves as a checkpoint and study tool. - Patient education and legal and ethical features help relate content to practical use. - NEW! Chapter reviews medical terminology, anatomy and physiology, and pathology to help you build a solid foundation. - NEW! Reorganized and expanded content on medical office accounts includes collections, banking, and practice management. - NEW! Artwork focused on the workings of a modern medical office, includes updated illustrations and photographs of procedures and medical records. - NEW! Expanded and updated sample certification exams help you practice and prepare for certification. - NEW! Streamlined presentation refines organization and writing for easy comprehension. - NEW! Coverage of patient-centered care featured throughout textbook. |
| arizona healthcare contract management services: Health planning reports subject index United States. Health Resources Administration, 1979 |
| arizona healthcare contract management services: D and B Million Dollar Directory , 2011 |
| arizona healthcare contract management services: Mergent ... Company Archives Supplement , 2005 Contains the final statistical record of companies which merged, were acquired, went bankrupt or otherwise disappeared as private companies. |
| arizona healthcare contract management services: Best's Insurance Reports , 2008 |
| arizona healthcare contract management services: Case Management Suzanne K. Powell, Hussein M. Tahan, 2018-02-26 Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management |
| arizona healthcare contract management services: Mergent Company Archives Manual , 2005 |
| arizona healthcare contract management services: Health Systems Review , 1992 |
| arizona healthcare contract management services: Leadership with Impact JUAN CARLOS. WEISS ARAQUE (EUGENIA L.), Eugenia L. Weiss, 2024-11-06 The COVID-19 pandemic has substantially changed the landscape in organizational management and leadership, highlighting the need for stronger relationships and support needed by health and human service workers. In this new edition, the authors introduce the I.D.D.E.A. (Innovation, Design, Diversity, Execution, and Assessment) Leadership Framework through which health and human service practitioners can easily design, implement, and evaluate innovative programs to help vulnerable populations and promote organizational and social change. Chapters are updated throughout and Leadership Profiles have been added to each chapter. |
| arizona healthcare contract management services: Hospital Forum , 1984 |
| arizona healthcare contract management services: Hospital Literature Index , 1991 |
| arizona healthcare contract management services: Options to Nursing Home Care, is VA Prepared? United States. Congress. Senate. Committee on Veterans' Affairs, 2002 |
PERMANENT SUPPORTIVE HOUSING (PSH) FIDELITY REPORT
On February 16 – 18, 2021, Karen Voyer-Caravona and Annette Robertson completed a review of the Arizona Health Care Contract Management Services, Inc. (AHCCMS) Permanent …
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
The Arizona Long Term Care System (ALTCS), a program under AHCCCSA that delivers long term, acute, behavioral health care and case management services to eligible members, as …
EMPHASIZE CONTRACT COMPLIANCE, IDENTIFY …
With the contract management solution, the practice now can pull reports to easily uncover underpaid and denied claims, reducing the need to manually check each payment. These …
Provider Manual Molina Healthcare of Arizona, Inc. (Molina …
Molina is part of Molina Healthcare, Inc., a health care management company that focuses on fast-growing, complex, and high-cost areas of health care, with emphasis an on special …
Division Medical Policy Manual 570 Behavioral Health …
Provider Case Management services for eligible Division of Developmental Disabilities (Division) members. Further, this policy outlines the Division’s responsibilities for oversight and …
OptumCare Quick Reference Guide Arizona
We offer a full range of services to assist physicians and other providers in their managed care and business operations. This Quick Reference Guide provides a quick look at the most …
Department of Health and Human Services - Centers for …
During the review period, which covers FYs 2019-2021, Arizona contracted with seven MCOs to provide health services to the Medicaid population. As part of this review three of these MCOs …
FEE-FOR-SERVICE PROVIDER BILLING MANUAL - azahcccs.gov
Contract/negotiated rates are used to reimburse providers for certain services, such as transplants, or for providers who have negotiated special rates for specific services. The …
AMPM Policy 570 - Provider Case Management - AHCCCS
This Policy applies to ACC, ACC-RBHA, DCS/CHP (CHP), and DES/DDD (DDD) Contractors; and Fee-For-Service (FFS) Programs including: the American Indian Health Program (AIHP), …
Arizona Health Care Cost Containment System - Healthcare …
Services: The Arizona Health Care Cost Containment System’s Healthcare Group (HCG) program provides affordable and accessible healthcare coverage to Arizona’s small business-es, …
ARIZONA MEDICAID AND CHIP PROGRAM REGULATORY …
2.12 State Contract: A contract between Health Plan and a Department for the purpose of administering and paying for Covered Services to Covered Persons enrolled in the State …
NETWORK MANAGEMENT - PROVIDER RELATIONS …
Behavioral Health Arizona Care Continuum Victoria Melser 480-698-0620 MelserV@mercycareaz.org Behavioral Health Arizona Children's Association Sydney Riglin …
AHCCCS Overview - County Supervisors Association of Arizona
As of July 1, 2015, AHCCCS provided healthcare coverage for 1,746,175 members, almost 26 percent of Arizona’s total population (Figure 1).1,2,3 The program is a prepaid capitation …
AHCCCS Competitive Contract Expansion Implementation of …
On October 1, 2022, the Arizona Health Care Cost Containment System (AHCCCS), is updating its contracts with certain contracted health care plans for health insurance coverage for …
Update on Humana Home Health Network Services
contractual relationships with home health agencies in Arizona, Colorado and New Mexico, Humana oversees PHCN through delegation to ensure quality services to its members. Key …
Magellan Complete Care of Arizona, Inc Transition Plan
Magellan and its affiliates will continue to provide certain services to MCC of Arizona for a transition period of 12 months, or as otherwise agreed by the parties, following the closing. …
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
As required in its AHCCCS contract, each AHCCCS Complete Care (ACC) or ALTCS Health Plan is required to also operate an MAO offering a Dual Eligible Special Needs Plan (D-SNP) …
NETWORK MANAGEMENT ‐ PROVIDER RELATIONS …
Arizona Care Continuum: Victoria Melser. 480 ‐ 698‐0620 MelserV@mercycareaz.org Behavioral Health; Arizona Children's Association. Sydney Riglin: 602 ‐ 769 ‐4122 …
Special Report Evaluation of the Arizona Health Care Cost …
Evaluation of the Arizona health care cost-containment system by Nelda McCall, Douglas Henton, Michael Crane, Susan Haber, Deborah Freund, and William . Wrightson . This article …
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
long term care, acute care, behavioral health care and case management services to two distinct populations: eligible individuals who are elderly and physically disabled, and eligible …
PERMANENT SUPPORTIVE HOUSING (PSH) FIDELITY REPORT
On February 16 – 18, 2021, Karen Voyer-Caravona and Annette Robertson completed a review of the Arizona Health Care Contract Management Services, Inc. (AHCCMS) Permanent …
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
The Arizona Long Term Care System (ALTCS), a program under AHCCCSA that delivers long term, acute, behavioral health care and case management services to eligible members, as …
EMPHASIZE CONTRACT COMPLIANCE, IDENTIFY …
With the contract management solution, the practice now can pull reports to easily uncover underpaid and denied claims, reducing the need to manually check each payment. These …
Provider Manual Molina Healthcare of Arizona, Inc. (Molina …
Molina is part of Molina Healthcare, Inc., a health care management company that focuses on fast-growing, complex, and high-cost areas of health care, with emphasis an on special …
Division Medical Policy Manual 570 Behavioral Health …
Provider Case Management services for eligible Division of Developmental Disabilities (Division) members. Further, this policy outlines the Division’s responsibilities for oversight and …
OptumCare Quick Reference Guide Arizona
We offer a full range of services to assist physicians and other providers in their managed care and business operations. This Quick Reference Guide provides a quick look at the most …
Department of Health and Human Services - Centers for …
During the review period, which covers FYs 2019-2021, Arizona contracted with seven MCOs to provide health services to the Medicaid population. As part of this review three of these MCOs …
FEE-FOR-SERVICE PROVIDER BILLING MANUAL - azahcccs.gov
Contract/negotiated rates are used to reimburse providers for certain services, such as transplants, or for providers who have negotiated special rates for specific services. The …
AMPM Policy 570 - Provider Case Management - AHCCCS
This Policy applies to ACC, ACC-RBHA, DCS/CHP (CHP), and DES/DDD (DDD) Contractors; and Fee-For-Service (FFS) Programs including: the American Indian Health Program (AIHP), …
Arizona Health Care Cost Containment System - Healthcare …
Services: The Arizona Health Care Cost Containment System’s Healthcare Group (HCG) program provides affordable and accessible healthcare coverage to Arizona’s small business-es, …
ARIZONA MEDICAID AND CHIP PROGRAM REGULATORY …
2.12 State Contract: A contract between Health Plan and a Department for the purpose of administering and paying for Covered Services to Covered Persons enrolled in the State …
NETWORK MANAGEMENT - PROVIDER RELATIONS …
Behavioral Health Arizona Care Continuum Victoria Melser 480-698-0620 MelserV@mercycareaz.org Behavioral Health Arizona Children's Association Sydney Riglin …
AHCCCS Overview - County Supervisors Association of Arizona
As of July 1, 2015, AHCCCS provided healthcare coverage for 1,746,175 members, almost 26 percent of Arizona’s total population (Figure 1).1,2,3 The program is a prepaid capitation …
AHCCCS Competitive Contract Expansion Implementation of …
On October 1, 2022, the Arizona Health Care Cost Containment System (AHCCCS), is updating its contracts with certain contracted health care plans for health insurance coverage for …
Update on Humana Home Health Network Services
contractual relationships with home health agencies in Arizona, Colorado and New Mexico, Humana oversees PHCN through delegation to ensure quality services to its members. Key …
Magellan Complete Care of Arizona, Inc Transition Plan
Magellan and its affiliates will continue to provide certain services to MCC of Arizona for a transition period of 12 months, or as otherwise agreed by the parties, following the closing. …
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
As required in its AHCCCS contract, each AHCCCS Complete Care (ACC) or ALTCS Health Plan is required to also operate an MAO offering a Dual Eligible Special Needs Plan (D-SNP) …
NETWORK MANAGEMENT ‐ PROVIDER RELATIONS …
Arizona Care Continuum: Victoria Melser. 480 ‐ 698‐0620 MelserV@mercycareaz.org Behavioral Health; Arizona Children's Association. Sydney Riglin: 602 ‐ 769 ‐4122 …
Special Report Evaluation of the Arizona Health Care Cost …
Evaluation of the Arizona health care cost-containment system by Nelda McCall, Douglas Henton, Michael Crane, Susan Haber, Deborah Freund, and William . Wrightson . This article …
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
long term care, acute care, behavioral health care and case management services to two distinct populations: eligible individuals who are elderly and physically disabled, and eligible …
