Health Insurance and Managed Care

Health Insurance and Managed Care: What They Are and How They Work, 4th Edition, introduces the foundations of the American managed health care system. Formerly titled Managed Care: What It Is and How It Works, the textbook explains key industry concepts and operations.

The volume provides a historical overview of managed care before guiding readers through industry organizational structures, concepts, and administrative practices.

For the 2016 fourth edition, the text examines how the Affordable Care Act reshaped the industry. Discussions highlight emerging provider models, such as Patient Centered Medical Homes and Accountable Care Organizations.