A manual for managed care physicians: why needed, how developed, and how used.
This article describes the development of and rationale for a "Physician Manual" in a managed care setting. The article begins with introductory information on the use of similar documents in industry generally and then provides background information on the author's organization. The contents of the manual are given in outline form, with additional details provided as necessary. The need to regard the manual as a "living" document is emphasized, and probable reasons for change are noted, along with recommendations for intervals at which review and change are appropriate.
HMO Blue Health Centers, Trenton, NJ.
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Herschberg
D054598:Blue Cross Blue Shield Insurance Plans / Q000592:standards; D008329:Managed Care Programs / Q000592:standards*; D008370:Manuals as Topic; D008503:Medical Staff / Q000458:organization & administration*; D009515:New Jersey; D016134:Organizational Policy; D016730:Program Development / Q000379:methods; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D014600:Utilization Review / Q000458:organization & administration