Essentials of Managed Health Care - Essay Example

"Essentials of Managed Health Care" is a perfect example of a paper on the health system. The Capital healthcare plan, Indiana is rated 16 ranked 16th with an overall score of 87.9. The specification that the rating considers is HMO. The plan has NCQA accreditation. The customer satisfaction rating is 5, which implies that consumers have good acceptance of the plan. A number of factors contributed to the high overall score of Capital Healthcare Plan (Kongstvedt, 2013). First is the getting care category that earned a rating of 5. Members usually have easy access to preventive care, treatment, and appointments. Time spent in providing the services is also relatively quick. The rating reveals that getting services from Capital Healthcare Plan is easy, quick, and very efficient.

The second category is satisfaction with physicians, which has an overall rating of 4. It reveals how clients appreciate satisfaction with physicians in the plan. Doctors' communications skills have a rating of 4. They have fairly good skills in communicating with customers, speaking to them, and obtaining feedback. They need to upgrade systems of communication that are more efficient. The rating for primary-care doctors is 3. The plan has to do much in providing primary health care services. In relation to that, the rating for specialists was also 3 (Kongstvedt, 2013). The next category is rating care received, which is 5. The plan provides efficient care services that please clients. In the category, other units that won high scores were coordination care and health promotion, and education. Rating of satisfaction with health plan services is 5. It includes handing claims and rating health plans.

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