Health insurance today

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Duane C. Abbey

"This book provides an overview of a wide range of healthcare payment systems. It compares cost-based systems, charge-based payment approaches, and contractually-based payment processes to fee-schedule payment systems and prospective payment systems. It covers claim adjustment and compliance as well as managed care contracts and various combinations of payment systems used by third-party administrators. Examples illustrate the processes used for capitated contract arrangements. The author also addresses various compliance issues, including statutory, contractual, and overpayment issues"--Provided by publisher.

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Adam Tanner

Hidden from consumers, patient medical data has become a multibillion-dollar worldwide trade between our health-care providers, drug companies, and a complex web of middlemen. This great medical-data bazaar sells copies of our prescriptions, hospital records, insurance claims, blood-test results, and more, stripped of names but still containing identifiers such as year of birth, gender, and doctor. As computing grows ever more sophisticated, patient dossiers are increasingly vulnerable to re-identification, which could make them a target for identity thieves or hackers. Paradoxically, comprehensive electronic files for patient treatment-a key reason medical data exists in the first place-remain an elusive goal. Even today, patients and their doctors rarely have easy access to full records that could improve care. In the evolution of medical data, the instinct for profit has outstripped patient needs. This book reveals the previously hidden story of how such a system evolved internationally. ...This investigative narrative seeks to spark debate on how we can best balance the promise big data offers to advance medicine and improve lives, while preserving the rights and interests of every patients. We, the patients, deserve a say in this discussion. After all, it's our data.--

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Marilu Henner and Michael Brown

Marilu Henner was moving on with her life after a divorce when her old college classmate Michael Brown, whom she had not seen in over twenty years, called her out of nowhere. Within days of their first meeting in 2003, they were planning a life together, and soon they were inseparable as Michael became ever more integrated into Marilu's family. But after only months they were thrown the ultimate curveball: Michael was diagnosed with bladder cancer, and then lung cancer. Marilu refused to lose the love of her life so easily. With the knowledge she had gained on her own health journey, chronicled in several of her books, Marilu set about finding a path for Michael that would use the best of Eastern and Western medicine to beat his cancers and return Michael to optimal health. Michael eschewed most traditional treatments and with Marilu's help -- aided by doctors -- he forged his own path. In this book, Marilu tells the story of their fast-paced romance and how this contrasted with the day-to-day battle for Michael's life. Michael tells the story from his point of view: the search for the cause of his cancer, the mental anguish he felt as he realized how responsible he was for his condition, the physical and mental hardships that he had to overcome, and the triumph of love that made it all worthwhile.

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Dory Walker

My Yoga Guru provides the reader with the ultimate in practical instruction by combining the benefits of a fully-illustrated book with a free instructional app. The book provides core illustrated theory and step-by-step guides to yoga positions and exercises.