Reference no: EM13772241
In the United States, managed care is becoming an increasingly popular method of administering healthcare. It influences the clinical behavior of providers, as it combines the payment and delivery of healthcare into a single system, the purpose of which is to control the cost, quality, and access of healthcare services for a single bracket of health plan enrollees (Scutchfield, Lee, & Patton, 1997).
Yet, managed care often evokes strong or negative reactions from healthcare providers because they are paid a fixed amount for treating their patients, regardless of the actual cost, which may influence their level of efficiency. This can challenge the relationships between doctors and patients (Claxton, Rae, Panchal, Damico, & Lundy, 2012; Sekhri, 2000).
Research managed care's inception and study some examples. Be sure to investigate the perspectives about managed care from the vantage of both healthcare providers and patients. You can use the following keywords for your research-United States managed care, history of managed care, and managed care timeline.
Based on your research, answer the following questions in a 8- to 10-page Microsoft Word document:
• What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. Conclude with your analysis and recommendations for managed care health plans.
Your response should include answers to the following questions:
? Summarize the history of when, how, and why managed care was developed.
? Define and discuss each type of managed care organization (MCO)-health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).
? Explain the positive and negative aspects, respectively, of managed care organization from the provider's point of view-a physician and a healthcare facility-and from a patient's point of view.
? Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk-the provider, the patient, or the managed care organization.
? Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.
|
What is object modeling and what are the alternatives
: What is OBJECT modeling. What is involved. What are the alternatives
|
|
Employee standardization and specialization
: Which of the following leadership mindset emphasizes tight top-down control, employee standardization and specialization, and management by impersonal measurement and analysis?
|
|
Describe the key elements of an information system for mco
: Describe the key elements of an information system for an MCO. What elements are different than for a physician office or group
|
|
Addresses the roles of women in religion
: Write a 350-word paper that addresses the roles of women in religion, both historically and today. What has changed about the roles of women various religions over time? What do you think is the future of women in religion?
|
|
Health maintenance organization (hmo)
: Explain who bears the financial risk-the provider, the patient, or the managed care organization.
|
|
Create visual logic files to execute each of the tasks
: Create a Word document for each of the tasks. The document should contain: a brief description of the task the pseudocode associated with the task Create Visual Logic files to execute each of the tasks.
|
|
Give a recursive definition for the language
: Give a recursive definition for the following language over the alphabet {a, b} The language AA of all words containing the substring aa
|
|
Toxicity risks of water-soluble vitamins
: What are the functions, benefits, deficiency risks, and toxicity risks of water-soluble vitamins?
|
|
Write a review of the revision checklist
: Write a review of the "Revision Checklist," which will guide you through the process of reflecting on and revising your personal essay.
|