Reference no: EM13798644
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.
|
Purchase a security-earn an annual nominal rate
: You want to purchase a security that will pay you $1,000 seven years from now. If you want to earn an annual nominal rate of 6.5 percent, how much should you pay for this investment today? You invest $3,600 today at a nominal annual rate of 5.5 perce..
|
|
History of the theory of the plate tectonics
: Describe the forces on a slope, and also the various physical aspects pf a slope, such as waxing slope and debris slope. What characteristics distinguish the marine west coast climates, and what factors are responsible for those characteristics?
|
|
Location of wake island relative to midway
: What is the location of Wake Island relative to Midway?
|
|
The similarities and differences between xml and html
: What is your current knowledge level of this course topic and what do you hope to learn before the course is over?
|
|
Positive and negative aspects of managed care
: 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.
|
|
Use of videoconferencing technology affect participants
: How does the use of videoconferencing technology affect participants' attitudes toward the other teams and teamwork in general?
|
|
Value on the physical environment affected the people
: How has the influence of the inhabitants' value on the physical environment affected the people of the region, especially later, as in 100 or 200 years later, or as a post-colonial region? What did they do that changed the physical characteristic..
|
|
Applications of geographic information
: Address one of the following topics in your paper as it relates to applications of geographic information to problem solve globally.
|
|
What is the definition of mental illness
: What is the definition of mental illness
|