As the most widely-used textbook on managed care, Essentials of Managed
Health Care provides an authoritative and comprehensive overview of the
key strategic, tactical, and operational aspects of managed health care
and health insurance. With a primary focus on the commercial sector, the
book also addresses managed health care in Medicare, Medicaid, and
military medical care. An historical overview and a discussion of
taxonomy and functional differences between different forms of managed
health care provide the framework for the operational aspects of the
industry as well.
The Sixth Edition is a thorough revision that addresses the impact of HR
3590, the Patient Protection and Affordable Care Act, as well as other
new laws such as the Genetic Information Non-disclosure Act (GINA).