Health plans contracting handbook : (Registro nro. 303392)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03556 a2200361 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | PUCPR |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250306143405.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 121224s2021 dcua frf 001 0 eng d |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER | |
| International Standard Book Number | 9781663313881 |
| Qualifying information | paperback |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | PUCPR |
| Language of cataloging | eng |
| Description conventions | rda |
| 041 ## - LANGUAGE CODE | |
| Language code of original | eng |
| 049 ## - LOCAL HOLDINGS | |
| Holding library | cicres |
| 050 ## - LIBRARY OF CONGRESS CALL NUMBER | |
| Classification number | KF 1183 |
| Item number | .H43 2021 |
| 110 ## - MAIN ENTRY--CORPORATE NAME | |
| Corporate name or jurisdiction name as entry element | American Health Law Association |
| 9 (RLIN) | 302004 |
| Relator term | author. |
| 245 1# - TITLE STATEMENT | |
| Title | Health plans contracting handbook : |
| Remainder of title | a guide for payers and providers / |
| Statement of responsibility, etc. | American Health Law Association |
| 250 ## - EDITION STATEMENT | |
| Edition statement | Eighth edition |
| 264 ## - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Place of production, publication, distribution, manufacture | Washington, D.C. : |
| Name of producer, publisher, distributor, manufacturer | American Health Law Association, |
| Date of production, publication, distribution, manufacture, or copyright notice | ©2021 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | xxxiii, 524 pages ; |
| Dimensions | 27 cm. |
| 336 ## - CONTENT TYPE | |
| Content type term | text |
| Content type code | txt |
| Source | rdacontent |
| 337 ## - MEDIA TYPE | |
| Media type term | unmediated |
| Media type code | n |
| Source | rdamedia |
| 338 ## - CARRIER TYPE | |
| Carrier type term | volume |
| Carrier type code | nc |
| Source | rdacarrier |
| 500 ## - GENERAL NOTE | |
| General note | Includes index: p. 499 - 524. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Includes bibliographical references. |
| 505 ## - FORMATTED CONTENTS NOTE | |
| Formatted contents note | 1. Introduction: basics of contracting and negotiating -- 2. Accountability and collaboration in payer-provider relationships -- 3. Antitrust issues in payer-provider contracting -- 4. Key contract definitions -- 5. Policy and procedure amendments -- 6. Payer programs and policies: utilization management and quality assurance -- 7. Payment methodologies -- 8. Term and termination provisions -- 9. Insurance requirements and indemnification -- 10. Other material contract provisions -- 11. Provisions related to data sharing -- 12. Dispute resolution -- 13. Protecting against insolvency -- 14. Medicare managed care contracting -- 15. Medicaid managed care -- 16. Direct-to-employer contracting -- 17. Considerations in the absence of a contract between provider and payer -- Appendix A. Glossary of health plan contracting terms -- Appendix B. Table of sample clauses -- Appendix C. Physician group practice provider agreement template with commentary. |
| Miscellaneous information | Includes glossary: p. 439 - 451. |
| -- | Includes appendixes: p. 439 - 524. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | "The Health Plans Contracting Handbook: A Guide for Payers and Providers, published by the American Health Law Association, is the 8th edition of a work that has served as a resource for practitioners for two decades. It has become a classic and one of the essential tools of the health law practitioner's library. The intent behind the Health Plans Contracting Handbook is to provide advice on addressing the issues that arise in managed care network relationships. These contracts often endure for years at a time and must document increasingly dynamic relationships between the parties, including changes in products, governing laws, and medical and ad1ministrative best practices for both payers and providers alike. As with prior editions, this book attempts a balanced approach and practical focus, rather than exhaustive reporting on the state of the law. We aim to provide sample clauses to assist you in thinking about and drafting appropriate language; many of which are based on real examples. Throughout the book, the authors have provided cites to cases or state statutes to help you begin research as needed, but an exhaustive description of the state of the law, including the variations among jurisdictions, is beyond the scope of this publication." -- Preface. |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Medical care |
| 9 (RLIN) | 134381 |
| Geographic subdivision | United States |
| Topical term or geographic name entry element | Health insurance |
| 9 (RLIN) | 109215 |
| Geographic subdivision | United States |
| Topical term or geographic name entry element | Insurance contracts |
| 9 (RLIN) | 115146 |
| Geographic subdivision | United States |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fisk, Robin |
| 9 (RLIN) | 301840 |
| Relator term | editor in chief. |
| Personal name | Degraff-Murphy, Christina |
| 9 (RLIN) | 302037 |
| Relator term | editor. |
| Personal name | Mitchell, Gregory R. |
| 9 (RLIN) | 302038 |
| Relator term | editor. |
| 942 ## - | |
| Koha item type | Libro |
| Source of classification or shelving scheme | Library of Congress Classification |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Shelving location | Date acquired | Source of acquisition | Cost, normal purchase price | Total Checkouts | Full call number | Barcode | Date last seen | Cost, replacement price | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Library of Congress Classification | Biblioteca de Derecho Mons. Fremiot Torres Oliver | Biblioteca de Derecho Mons. Fremiot Torres Oliver | Referencia biblioteca derecho | 07/01/2025 | Lexis Nexis | 225.25 | KF 1183 .H43 2021 | 70000000906094 | 14/05/2025 | 225.25 | 07/01/2025 | Libro |