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The Argument for Managed Care - Research Paper Example

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This study was chosen because it presents an issue which impacts on the effectiveness of long-term managed care. It presents a viable research topic because there is a need to establish the factors which affect the efficacy of long-term managed care. This study shall seek to establish the cost of long-term managed care on the health care system and how such costs can be managed or reduced…
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The Argument for Managed Care
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Download file to see previous pages Long-term managed care often involves the care of chronically ill individuals. As the term implies, the chronically ill often spend a significant amount of time in long-term care facilities or under constant supervision and care in the community setting. Such long-term care also implies various health needs including medicines, health personnel, and rehabilitation, and similar needs. This health needs all add up to significant financial costs for health insurance and for health authorities, and most especially for families. In the current climate of economic hardships, the health sector has not been spared from the financial crisis. In fact, in the past few years, budget cuts have been made for health allocations. Health rationing and rationalization practices have been considered in order to establish effective ways of health financing. With the significant costs of long-term care, health authorities review the possibility of reducing long-term health costs. The implications of this decision impact on the quality and on the availability of health services for those who are under long-term care. These patients would likely impact them negatively, and yet, the financial burden of long-term care is a significant issue which is weighing heavily on the health care industry as a whole. In applying health care rationalization processes, budget cuts to long-term care in relation to other health services would seem more rational. Based on these assumptions, this study shall then consider the financial burden of long term managed care and the implications of health rationalization on the delivery of adequate long-term managed care. Tentatively, this study answers the query posed by expressing that long-term managed care has a significant financial burden on the health care system and that based on health rationalization, long-term managed care would have to suffer financial cuts. Discussion of Findings The Department of Health and Human Services (DHHS) (2008) discuss that long-term care is the blanket term for various services which are meant to meet the medical and social needs of a patient. Patients under long term care mostly include elderly patients and the patients with permanent disabilities or those who are terminally ill. These care facilities include assisted living facilities; these are facilities meant to cater to those who need assistance with their daily activities, but are otherwise able to live on their own (DHHS, 2009). The Continuing care communities are small communities which include various housing apartments, small houses, and nursing homes. These communities cater to the needs of those who are still active and healthy. Home care includes care which is offered by private agencies delivering care in the patient’s homes. Hospice care is also considered long-term care. This type of care is usually offered to those who are terminally ill, helping make the patient and his family as comfortable as possible during the last days of his life. Long-term care involves numerous activities and services. For nursing homes, the care includes room and board, meals, assistance in activities of daily living, housekeeping, 24-hour supervision, skilled nursing ...Download file to see next pagesRead More
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