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The Physician's Guide to Managed Care

Author(s): David B. Nash, MD, MBA, Dean, Jefferson School of Population Health, Thomas Jefferson University
  • ISBN-13: 9780834203938
  • ISBN-10:0834203936
  • Paperback    248 pages      © 1994
Price: $338.95 US List
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You'll find the practical guidance you need to transition smoothly into the managed care environment. You'll learn the pros and cons of practicing in a managed care setting, the daily life of managed care physicians, the role of managed care in medical education and health care reform. Discover how to take advantage of new opportunities and avoid pitfalls, balance cost consideration with clinical decision-making, and understand the case mix systems most frequently used in managed care. Written almost entirely by physicians, The Physician's Guide to Managed Care is a must for any physician interested in meeting future challenges.
Contents: Overview * Life of the HMO Physician * Ethical Issues in Managed Care and Managed Competition: Problems and Promises * Leadership in Managed Care Organizations: The Role of the Physician-Manager * The National Association of Managed Care Physicians * Toward Cost-Effective Health Care * The Centers of Excellence Phenomena * Understanding Your Managed Care Practice: The Critical Role of Case Mix Systems * Managed Care: Its Relationship with Organized Medicine and Its Role in Future Health Care Policy Proposals

David B. Nash, MD, MBA-Dean, Jefferson School of Population Health, Thomas Jefferson University

Dr. Nash, a board-certified internist, founded the original Office of Health Policy in 1990. Thirteen years later, the Office evolved into one of the first Departments of Health Policy in an American medical college. In 2008, the Board of Thomas Jefferson University approved the creation of the new school. The Jefferson School of Population Health represents the first time a health-sciences university has placed four Masters Programs under one roof, namely a Masters in Public Health, Health Policy, Healthcare Quality, and Safety and Chronic Care Management. The goal of this innovative school is to produce a new type of healthcare leader for the future.

Dr. Nash is internationally recognized for his work in outcomes management, medical staff development, and quality-of-care improvement; his publications have appeared in more than 100 articles in major journals. He has edited nineteen books, including A Systems Approach to Disease Management published by Jossey-Bass, Connecting with the New Healthcare Consumer published by Aspen, The Quality Solution published by Jones & Bartlett Learning, Practicing Medicine in the 21st Century published by the American College of Physician Executives (ACPE), and most recently, Governance for Healthcare Providers published by Productivity Press. In 1995, he was awarded the Latiolais (“Lay-shee-o-lay”) Prize by the Academy of Managed Care Pharmacy for his leadership in disease management and pharmacoeconomics. He also received the Philadelphia Business Journal Healthcare
Heroes Award in October 1997 and was named an honorary distinguished fellow of the American College of Physician Executives in 1998. In 2006, he received the Elliot M. Stone Award for leadership in public accountability for health data from NAHDO. Dr. Nash received the Wharton Healthcare Alumni Achievement Award in 2009.
Repeatedly named by Modern Healthcare as one of the top 100 most powerful persons in healthcare, his national activities include membership on the board of directors of DMAA: The Care Continuum Alliance, Chair of an NQF Technical Advisory Panel, membership in the American College of Surgeons Health Policy Research Institute, three key national groups focusing on quality measurement and improvement. He continues as one of the principal faculty members for quality of care issues of the ACPE in Tampa, Florida, and is the developer of the ACPE Capstone Course on Quality. For the last decade, he was a member of the board of trustees of Catholic Healthcare Partners in Cincinnati, Ohio—one of the nation’s largest integrated delivery systems—and he chaired the Board Committee on Quality and Safety. He was recently appointed to the board of Main Line Health—a four hospital system in suburban Philadelphia, Pennsylvania. He also serves on the board of directors of Humana, a Fortune 200 company headquartered in Louisville, Kentucky.
Dr. Nash is a consultant to organizations in both the public and private sectors including the Technical Advisory Group of the Pennsylvania Health Care Cost Containment Council (a group he has chaired for the last decade), and numerous corporations within the pharmaceutical industry. From 1984 to 1989, he was deputy editor of Annals of Internal Medicine at the American College of Physicians. Currently, he is editor-in-chief of four major national journals including P&T, Population Health Management, Biotechnology Healthcare, and the American Journal of Medical Quality. Through his writings, public appearances, and his digital presence, his message reaches more than 100,000 persons every month.
Dr. Nash received his BA in economics (Phi Beta Kappa) from Vassar College, Poughkeepsie, New York; his MD from the University of Rochester School of Medicine and Dentistry, where he was recently named to the Alumni Council, and his MBA in Health Administration (with honors) from the Wharton School at the University of Pennsylvania. While at the University of Pennsylvania, he was a Robert Wood Johnson Foundation Clinical Scholar and Medical Director of a nine-physician faculty group practice in general internal medicine.
Dr. Nash lives in Lafayette Hill, Pennsylvania, with his wife, Esther J. Nash, MD, fraternal twin twenty-three-year-old daughters, and nineteen-year-old son. He is an avid tennis player. Please visit: and his new blog at: Dr. Nash can be contacted at
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