Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Methods of Documentation VI: Case Management Model

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...

Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

Documentation in Long-Term and Home Healthcare Setting

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

Nurses' Legal Responsibilities II

Nurses' Legal Responsibilities II

Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...

Chronic Obstructive Pulmonary Disease-V: Nursing Management

Chronic Obstructive Pulmonary Disease-V: Nursing Management

Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment

Patient-centered Care

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same journal

Chronic Multiorgan Rare Disease: The Role of the Nurse Practitioner as a Leader of the Healthcare Team.

The Journal of medical practice management : MPM·2019

Same journal

The Top Ten Questions on Vendor Negotiations.

The Journal of medical practice management : MPM·2018

Same journal

The Life of a Salmon Examined: What the Healthcare Profession Can Learn from Fish.

The Journal of medical practice management : MPM·2018

Same journal

Ransomware in Hospitals: What Providers Will Inevitably Face When Attacked.

The Journal of medical practice management : MPM·2018

Same journal

Ketogenic Weight Loss: The Lowering of Insulin Levels Is the Sleeping Giant in Patient Care.

The Journal of medical practice management : MPM·2018

Same journal

Unscrewing the Light Bulb: Addressing Systematic Mistreatment of Physicians.

The Journal of medical practice management : MPM·2018

See all related articles

Search research articles

Related Experiment Videos

Managed care relationships made helpful.

R Todd Welter¹

¹R.T. Welter & Associates, Inc., Wheat Ridge, CO 80033, USA. tw@rtwelter.com

The Journal of Medical Practice Management : MPM

|January 16, 2010

Summary

This summary is machine-generated.

Strong relationships and understanding your practice are key in managed care. This knowledge provides leverage for better rates and improved network access.

Related Experiment Videos

Area of Science:

Healthcare Management
Health Economics
Network Analysis

Background:

Managed care relies heavily on interpersonal dynamics and data.
Valuable insights can be gained from understanding provider networks and payer relationships.

Purpose of the Study:

To highlight the importance of relationships and practice knowledge in managed care.
To explain how this knowledge translates to increased leverage.

Main Methods:

Qualitative analysis of managed care business principles.
Focus on the value of human capital and strategic positioning.

Main Results:

Strong relationships with individuals and payers are crucial.
Understanding a practice's network contribution and payer interactions is vital.
This comprehensive understanding yields significant leverage.

Conclusions:

Investing in relationships and practice knowledge is essential for success in managed care.
Leverage gained through these factors leads to improved reimbursement rates and network access.