HMOs Made Easy

The first ever book written in plain English explaining various functions of HMOs. What they are and how they work? This book is a treat for anyone who deals with an HMO. It tells about so many functions of an HMO organization. The book covers topics ranging from Prior Authorization, Concurrent Review, Case Management, Quality Management, Appeals Process, Physician Credentialing, Pharmacy Benefits and many more.

The best part of the book is that at each step the book explains your (provider/physician) role in helping your HMO patients get the best quality care with minimal utilization of your resources – your time, nursing and clerical staff of your practice. It also tells how, as a physician, you can benefit financially.

In short this great book tells all about HMOs that a new physician in practice must know. This book is even more important for those who will go into practice for the first time in the near future.

Reading this book is almost as important as any other medical text to take the best care of your HMO patient. It will not only improve the quality of care you can get for your HMO patients but also will minimize headaches that may arise when dealing with an HMO.