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This paper deals with the flaws and issues in the field of health care. The drawbacks and the strategies are also explained. The paper describes the need for improvement in health care and the ways in which managed care can be improved. Then the strategies are also listed with supporting arguments.
Managed care was initially developed to reduce the burden of people who seek the medical attention. Medical expenses are increasing day by day and due to this people find it difficult to deal with their medical expenses. These problems led to a situation where managed care becomes an important matter of concern. (Pre 2009). Managed care mainly deals with strategies that aim at providing quality treatments at a better cost. Even employed people find it difficult to manage their medical issues and hence managed care is considered to be an important concept. The concept of managed care takes different dimensions depending on the situation and place where it is portrayed. Managed care is commonly known as the technique used to minimize the medical expenses there by providing quality health care treatments. The main aim of managed care is to reduce the burden of the patient with the help of medical insurance and financial institutions. This is achieved by mitigating the risk to the insurance company from which a person avails his insurance. This in turn reduces the cost incurred to the patient and transfers the rest of the monetary operations to the concerned insurance firm.
Managed care has certain limitations and ethical concerns which form the major part of managed care. These ethical concerns depend on the type of problem and the way in which managed care is perceived. In an organization which provides medical benefits to an employee relies on an insurance company that helps the organization to reimburse the employee’s medical expenditure. This certainly reduces and minimizes the expenses of the employee. But this may not prove to be beneficial in all the
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The intended audience for this research includes the health managers, especially those involved in health economics and health financing. They are the intended audience because the results of this study can guide them in making decisions about health financing and related decisions.
(Nguyen 2009) The different types of managed health care organizations are listed below. The Health Maintenance Organization (HMO): The HMO is indeed considered to be the first among the managed care organization and these organizations grew at a very rapid pace.
This is why it is vitally important for managed care organizations to present as much information as possible to potential consumers so that these people will be able to make the right decision when it comes to their healthcare. Aetna, Inc. Aenta, Inc. is a managed care organization that provides health care, including dental, for individuals, families, employers, and employees.
Abstract Medical care is an important aspect of life in every society. This is due to the fact that all individuals in the society need to be in a healthy state in order to proceed with developmental activities in the society. However, with the harsh economic times and a large number of people living below poverty level, most states and governments step in to assist with the provision of healthcare.
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.
This begs the question why its nearly impossible to have a sustained pressure ulcer prevention in the geriatric patient. This research topic tends to settle down this question by determining the attitude and knowledge of nurses on geriatric
Nonetheless, it is vital to note that different people have different perceptions on Muslims and the Sharia law. This explains that a great percentage of people will term the law as invalid; others think that the law is
8 Pages(2000 words)Research Paper
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