Preface;. Acknowledgement;. Illustration Credits;. I. Introduction;. II. Healthcare Financing:. A.

Overview;. B. Traditional Insurance and Fee-For-Service;. C. Medicare;. D. Medicaid;. E.

Payments;. III. Healthcare Reform:. A. The Issues;. B. The Reform Debate;. C.

The Current Situation;. D. Examples of Other Countries;. E. State Initiatives;. IV. Managed Care:. A.

Roots of Managed Care;. B. Growth and Development of Managed Care;. C. Managed Care Organization Models;. D. Managed Care Functions;. E.

Workforce Issues;. F. Payment Methods;. G. Ethical Considerations;. H. Legislative Initiatives;. V.

Health Insurance - The Patient Perspective:. A. Introduction;. B. Private Insurance;. C. Medicare;. D.

Medicaid;. E. Long Term Care;. VI. Pharmaceutical Costs;. VII. Problem Solving Exercises:. A.

Managed Care Exercise;. B. Problem Solving Cases;. References;. Glossary;. Appendices:. A. Answers to Problem Solving Cases;.

B. Board Review Questions;. C. Hospital Costs;. D. Diagnostic Imaging Charges;. E. Clinical Pathology Diagnostic Test Costs;.

F. Miscellaneous Charges;. G. Physician Fee for Selected Procedures.