Control health care activities of the plan participant

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1. The traditional HMO requires a gatekeeper to control health care activities of the plan participant. Some plans have moved to an open access model where the gatekeeper is no longer required. What impact does that have on the success of the HMO to control cost? Are gatekeepers necessary? Why?

2. A major question that arises when discussing managed care is who should be making health decisions for a patient: the patient's doctor or the managed care plan? Discuss the issues on both sides of this question and state your opinion about how your position affects health care outcomes.

Reference no: EM132872405

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