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{"id":183675,"date":"2021-10-21T10:08:36","date_gmt":"2021-10-21T10:08:36","guid":{"rendered":"https:\/\/nursingwritershelp.com\/manage-care\/"},"modified":"2021-10-21T10:08:36","modified_gmt":"2021-10-21T10:08:36","slug":"manage-care","status":"publish","type":"post","link":"https:\/\/nursingwritershelp.com\/manage-care\/","title":{"rendered":"Manage Care"},"content":{"rendered":" <\/p>\n
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).<\/p>\n
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, & Lundy, 2012; Sekhri, 2000).<\/p>\n
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\u2014United States managed care, history of managed care, and managed care timeline.<\/p>\n
Based on your research, answer the following questions:<\/p>\n
\u00b7 Summarize the history of when, how, and why managed care was developed.<\/p>\n
\u00b7 Define and discuss each type of managed care organization (MCO)\u2014health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).<\/p>\n
\u00b7 Explain the positive and negative aspects, respectively, of managed care organization from the provider’s point of view\u2014a physician and a healthcare facility\u2014and from a patient’s point of view.<\/p>\n
\u00b7 Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk\u2014the provider, the patient, or the managed care organization.<\/p>\n
\u00b7 Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.<\/p>\n
References:<\/p>\n
Claxton, G., Rae, M., Panchal, N., Damico, A., & Lundy, J. (2012). Employer Health
\n Benefits Annual 2012 Survey. Retrieved from http:\/\/ehbs.kff.org\/pdf\/2012\/
\n 8345.pdf<\/p>\n
Sekhri, N. K. (2000). Managed care: The US experience. Retrieved from http:\/\/www.
\n who.int\/bulletin\/archives\/78%286%29830.pdf<\/p>\n \n