Managed Care: Implications for Physical Rehab, staff workbook.

Kovacek PR. Harper Woods, MI 48225, Kovacek Management Services, 1994, paperback, 131 pp, illus, $14.95.

In view of rapidly changing health care regulations, this book serves as a teaching tool and guide in developing a better understanding and working knowledge of reimbursement basics, clinical strategies. anticipating future modifications of health care administration, and alternatives to the present systems. Reimbursement, not necessarily managed care, is the author's primary focus. Although most physical therapists prefer to use their clinical skills, it is becoming increasingly essential that they take an active role in dealing with the issues of managed care, especially if they want to do all that is necessary to ensure and preserve their futures in the field.

This book is written as a workbook and includes appropriate, but tough questions and some answers. It also contains open-ended questions that require discussion and thought on various issues, many of which are complex and require personal and ethical considerations. The depth of coverage varies, and, at times, is limited; generally, there is adequate information to guide the learning process.

On the whole, the information presented reflects current thinking and creative ideas, such as how to change with the times, acquiring new managed care skills and concepts. using existing skills, and establishing time frames and resources that can help accomplish goals. There are minimal references, tables, graphs, and figures. Problem solving is key in the use of this workbook-style text, and its design reduces the user's learning curve.

The true value of the material and how it is presented is to call attention to the significance of the clinician's involvement in reimbursement matters rather than avoiding the financial aspect of therapy.

Mr Litofsky is president of a group private practice and has specialized knowledge and interest in health care administration and business management.