We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Nobody downloaded yet

Managed Care System - Essay Example

Comments (0)
Learning of health services management in previous times, evolution of Managed Care Organizations, their empowerment due to passage of several acts, the strengths of such management, the opinions of different participants of the system, evaluation of those opinions and arriving…
Download full paper
Managed Care System
Read TextPreview

Extract of sample
Managed Care System

Download file to see previous pages... Till 1980’s there was only a trifle between the public and private players of health care. But, the overall payment system concentrated on fee for service basis. Accordingly, each visit was counted as an episode. The physician had the liberty to administer treatment according to his diagnosis.
As private insurance mostly dominated the scene, the physicians, to fulfill their selfish ends, could also recommend for unwanted tests, hospital stays and drugs. Patient safety was their only cap and they could re-jig monetary considerations underneath this consideration. The insurers also never complained as major bill payment was a responsibility of the employers.
But, employers understanding this disadvantage started to backlash on the reasons of uncapped expenditure and over utilization of resources. This of course was a valid point. As more and more are getting enrolled into the health care, fee for service model has become outdated giving way for Managed Care Organizations (MCO’s). (Christensen. C., Grossman. J., Hwang. J. 2009)
As accountability comes into picture, unnecessary expenditure gets curbed automatically. From past 30 years, MCO’s have been well placed and growing in the market. The main postulates of their existence are:
Lowered rates of hospital admission, in patient treatment, procedural expenditure. This has resulted in a mixed result of outcomes that some patients were treated satisfactorily while many did not have that contentment about care practices.
Development of state insurance sector commensurate to private players. Giving an inevitable choice to the employer and employees to be enrolled into those organizations for reduced health costs. (Anonymous., 2010).
All these recommendations by the bill only point out that the MCO’s are here to stay for some more time. If not for them, accountability and cost reduction for the insurer’s purpose fulfillment would never be possible.
In short, the arrangement seeks to reduce the health ...Download file to see next pagesRead More
Comments (0)
Click to create a comment or rate a document
Managed Care
Current paper focuses on the correlation between the policies related to managed care plans and the activities of managers in health services organizations. Emphasis is given on the issue whether these policies can influence the above-mentioned activities and at what level such interaction could be developed.
6 Pages(1500 words)Essay
Managed Care Essay
Managed care also refers to financing systems and other systems of delivering health care. Some of the organizations that are engaged in managed care include the Preferred Provider Organizations and Health Maintenance Organizations (Kongstvedt, 2001). Managed care takes an approach that aims at providing quality health care while controlling costs.
5 Pages(1250 words)Essay
Managed Care
He/she is also called primary care physician (PCP). The PCP is usually required for the patients who select healthcare officers from the available managed care network plans of hospitals (Department of Health, 2013). Primarily, managed care is a healthcare procedure that covers cost-containment strategies, risk provision among insurance units, employers and providers, administration and reporting thereon.
3 Pages(750 words)Essay
Physician Assistant role in rural health care system
res Medicare and Medicaid reimbursement to certified clinics staffed by physician assistants (PAs) and nurse practitioners (NPs) working with physician supervision. The purpose of the rural health clinic (RHC) program is to increase primary care medical services in rural,
2 Pages(500 words)Essay
The effects of managed care on health care in the U.S
(Ethics In Medicine). In United States, the health care developing strategies are on the increase, which earn it tremendous impact if overview from the
6 Pages(1500 words)Essay
Managed Care
The new system was expected to ensure quality care and control over the escalating health care cost. There are various Managed Care models like HMO, PPO, POS, and FFS which offer financing, insurance, delivery and
2 Pages(500 words)Essay
Managed care
The concept has been into operation since last 50 years. The idea of managed care has evolved from age old traditions of providing quality care to the people. Correspondingly, the
5 Pages(1250 words)Essay
Managed care
In addition, public policymakers and administrators identified it as an opportunity to minimize the growing expenditures in Medicare as well as Medicaid programs that have been increasingly inclined towards managed
6 Pages(1500 words)Essay
Managed Care
The development of Medicare Advantage (MA) has certainly found a source of value within its beneficiaries (Shi & Singh, 2011). The popularity of the managed care system has
12 Pages(3000 words)Essay
Managed care
Notably, there existed a series of controversies related with the system of deciding fee for availing services associated with managed care. More importantly, Medicaid rate setting agencies do not face problem with fixing the base rate of the previous year. However, the
1 Pages(250 words)Essay
Let us find you another Essay on topic Managed Care System for FREE!
Contact us:
Contact Us Now
FREE Mobile Apps:
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us