Reference no: EM133567608
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, and 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:
1. Summarize the history of when, how, and why managed care was developed.
2. Define and discuss each type of managed care organization (MCO)-health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).
3. 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.
4. 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.
5. Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.
Compare presentation strategies and action strategies
: Compare presentation strategies (lecture, debate, demonstration, interview, action group) and action strategies (in-basket exercises, simulation games,
|
What is present-day environmental policy
: What is a present-day environmental policy and how has it been impacted by historical policy? How did National Energy Act of 1978 encourage energy efficiency
|
Discussion of specific goals-milestones of implementation
: Focal demographic for our study includes patient population at UNC Rex Hospital. Discussion of the specific goals and milestones of implementation
|
Self-management strategies among patients-chronic disease
: discuss the various IT tools and staff resources UHC used to deploy its education and self-management strategies among patients with chronic disease.
|
Type of managed care-health maintenance organization
: Define and discuss each type of managed care organization-health maintenance organization, preferred provider organization, and point of sale
|
What career are you interested in pursuing
: Why are you taking PE class when it is no longer a requirement? After high school, what career are you interested in pursuing?
|
Describe vital component of finance and operation-policy
: Choose either Medicare or Medicaid, describe a vital component of finance, operation, oversight, policy, or governance and explain in detail.
|
The code of ethics guides professional practice
: The Code of Ethics guides professional practice by identifying the values that nurses must uphold in their work.
|
Appropriate laboratory or diagnostic test and treatment plan
: Provide an overview of the case, main diagnosis, differential diagnosis, target symptoms, appropriate laboratory or diagnostic test, and treatment plan
|