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Managed Care

Title Availability Info
AMA: Health Policy
Provides economic and statistical research in the areas of health insurance reform, managed care accountability, and medical practice.
subject(s): Managed Care.
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American Association of Health Plans (AAHP)
Provides links to health plan sites, Health Plan magazine, and materials on emerging issues.
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American Association of Integrated Healthcare Delivery Systems, Inc. (AAIHDS)
A non-profit organization "...dedicated to the educational advancement of provider-based managed care professionals..." Membership encompasses the entire health care delivery team.
subject(s): Managed Care.
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Centers for Medicare & Medicaid Services (CMS)
Formerly the Health Care Financing Administration (HCFA).
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Glossary of Terms in Managed Health Care
Extensive list of managed care acronyms and definitions. Useful for learning about field and to understand managed care contracts and decipher information from their health plan.
subject(s): Managed Care.
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Managed Care Magazine
Online magazine that advises physicians and HMO plan executives about the challenges of capitation, reimbursement and compensation, contracting, forming networks and Medicare/Medicaid issues
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National Committee for Quality Assurance (NCQA)
A non-profit organization dedicated to evaluating health care quality. Produces the "Health Plan Report Card."
subject(s): Managed Care.
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Pediatric Managed Care Training Module
Module "to help you write and negotiate contracts to ensure that children, particularly Medicaid and SCHIP children, receive quality care." Designed for payers, providers, and state and local health departments. From The George Washington University.
subject(s): Managed Care.
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Tufts Health Care Institute (THCI)
Not-for profit educational organization that develops and coordinates educational programs on care management topics for healthcare professionals. Collaborative venture of Tufts University School of Medicine and Tufts Health Plan.
subject(s): Managed Care.
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URAC
Not-for-profit entity that establishes accreditation standards for managed care organizations, including utilization review, network credentialing, and workers' compensation managed care.
subject(s): Managed Care.
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Himmelfarb Health Sciences Library | The George Washington University Medical Center
2300 Eye St., NW, Washington, DC 20037 | Phone: (202) 994-2850 | Fax: (202) 994-4343 | Himmelfarb Email