Description
An insightful overview of health insurers and a guide to sustainability for provider organizations.
Physicians experience ongoing frustrations in their relationships with health plans. Even as they struggle to keep up with accelerating clinical advances, they face daunting challenges from payers that are transitioning from traditional fee-for-service contracts to complex alternative payment models. In Health Plans Unmasked, Martin Lustick, MD, offers insights and guidance for those who face the herculean task of transforming their business practices to achieve financial stability while improving outcomes for their patients.
By explaining both how and why insurance companies behave the way they do, Dr. Lustick helps providers avoid mistakes and take advantage of opportunities for success. He provides information on:
* The evolution of health care financing in the United States
* The nuts and bolts of health plan capabilities and the real motives of health plan administrators
* Tips for successful contracting strategies
* Alternative payment models and the promises of value-based care
With a career spanning five decades as a practicing pediatrician, chief operating officer of a medical group, chief medical officer of a hospital, and chief medical officer of a health plan, Dr. Lustick provides a straightforward guide to sustainability for provider organizations. Physicians, office managers, and anyone in a health-related field will benefit from his breaking down the role of health plans in our health care ecosystem.
An insightful overview of health insurers and a guide to sustainability for provider organizations.
About the Author
Martin Lustick, MD (CANANDAIGUA, NY), is a pediatrician. His career in medicine includes 20 years in clinical practice and leadership roles in a large physician group, a hospital, a nonprofit health plan, and a health care software company.
Book Information
ISBN 9781421446769
Author Martin Lustick
Format Paperback
Page Count 176
Imprint Johns Hopkins University Press
Publisher Johns Hopkins University Press
Weight(grams) 249g
Dimensions(mm) 216mm * 140mm * 11mm
