Understanding Managed Healthcare: A Guide for Seniors on Medicare   

By William J. Pokluda Today approximately 10% of the nation's 37 million Medicare beneficiaries are enrolled in a managed care plan, and that percentage is growing geometrically each year. Congress, Medicare, and the private sector are presently leading initiatives to encourage seniors to enroll in a managed care program. Yet for many seniors, the options available to them under the wide variety of managed care models and systems can be so daunting and confusing that they find it virtually impossible to make an informed choice. Understanding Managed Health Care addresses their urgent need by guiding seniors and their families through the process of selecting the appropriate health plan for their needs. With a straightforward question format, this book offers clear advice that cuts through the mystery of senior health care. The generously illustrated text and true-to-life examples draw the reader step-by-step to a better understanding of managed care. Finally, an extensive glossary untangles many confusing insurance and health care terms. An informed consumer is a better consumer. This book makes a great gift for the seniors in your life. Topics Include: Managed care and Managed Health Care Organizations (MCOs) Why is Medicare doing this? Who is eligible? What are the costs? What are the benefits and what changes do you need to make? Do you need Medigap Insurance? Finding and evaluating MCOs Practical examples Next steps 1997. Paperback, 63 pages, with illustrations