Medicare Managed Care: Securing Beneficiary Protections

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Our Price: $25.00

Year: 1997
Pages: 66
Binding Paperback

Product Code: 0788170791

Description

Geraldine Dallek. Based on both research & reports from organizations representing Medicare beneficiaries, this report analyzes the major problems associated with Medicare HMOs & provides recommendations to achieve protection of Medicare beneficiaries. Addresses: marketing, enrollment & disenrollment; Medicare-covered benefits & the HMO appeals process; access to appropriate providers; data collection, analysis & disclosure; quality-of-care, monitoring & oversight; the AAPCC rate, standardization of plan benefits & risk adjustments; & regulation of managed care entities such as provider sponsored organizations.

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