Health Insurance and Managed Care: What They Are and How They Work

Health Insurance and Managed Care: What They Are and How They Work, 5th Edition is a comprehensive guide to understanding the complex world of health insurance and managed care.

Written by an industry expert, this book provides an in-depth overview of the historical development of managed care, organizational structures, concepts, and practices within the American healthcare system.

With a thorough update on the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes, this edition offers new or expanded coverage of topics such as "moral hazard," payment systems, benefits design, limitations on sales, governance, administrative costs, and more.

Whether you're a healthcare professional, student, or simply someone interested in understanding the intricacies of the health insurance industry, this book is an essential resource for anyone looking to gain a deeper understanding of how health insurance and managed care work.