Managed Health Care in the New Millennium

David Samuels, a leading authority on financial models in healthcare, draws on his multidisciplinary background in all aspects of managed care to provide an expansive yet detailed perspective of this complex field. Grounded in evidence-based modeling, the book's multidisciplinary focus puts the spotlight on core concepts from the standpoints of hea

David I. Samuels is the president and CEO of EthiCare Breakthrough Solutions/EthiCare Revenue Cycle Management, Inc., a consulting firm that specializes in sales and marketing activities tied to risk-free/net-recovery relationships and that identifies hospital undercharges by selecting specific charges for which services were rendered but never billed.

An Updated Introduction to Managed Care and Capitation. Understanding Managed Care Industry Operations. Managed Care Provider and Practitioner Operations. Managed Care Organization Quality Benchmarking. Managing the Managed Care Enrollee. Enrollee-Based Financial and Mathematical Prediction Models. Management of Managed Care Information for Modeling Purposes. Managed Care Legal and Regulatory Compliance. Innovative Managed Care Modeling for the 21st Century. Innovative MCO Financial Modeling for the 21st Century.