Contributors
Introduction
Part I--Overview
Chapter 1. An Overview of Managed Care
Chapter 2. The Risk Manager's Role in the Integrated Delivery System
Part II--Strategic Issues
Chapter 3. Risk Management for Strategic Planning for a Changed Health Care Delivery System
Chapter 4. Developing Tools to Identify and Manage the Risks of Managed Care
Chapter 5. Legal Issues Associated with the Use and Development of Practice Guidelines
Chapter 6. The Physician As Gate-Keeper: What Are the Risks?
Part III--Legal Issues
Chapter 7. The ERISA Preemption
Chapter 8. Anti-Trust Issues in Managed Care
Chapter 9. Legal Risks of Managed Care
Chapter 10. COBRA Risks and Managed Care
Chapter 11. Managed Care Contracting
Chapter 12. Tort Reform Initiatives and Managed Care
Section IV--Risk Transfer and Risk Finance
Chapter 13. Risk Financing Issues Facing Medical Providers
Chapter 14. Capitation and Stop-Loss Insurance
Chapter 15. Insurance Products to Minimize the Financial Risk of Managed Care
Section V--Other Issues in Managed Care
Chapter 16. Marketing Risks Associated with Managed Care
Chapter 17. Credentialing Issues and Managed Care
Chapter 18. Ethics, Accreditation, and Managed Care
Chapter 19. Managing the Data Needs for Managed Care
Index