Wednesday, May 1, 2019
Managed health care future for the disabled and poor Essay
Managed health parcel out future for the disenable and poor - Essay ExampleCenter of discussion in this paper is managed health c atomic number 18 as delivering health disturbance in an integrated transcription and in an organized manner. The main goals of managed health care are to enhance the clinical whole step of the medical services, to enhance the client and social service subdivision of health care, and to minimize the costs of distributing quality health care. Managed care is a structured approach to buy and getting the right service for a particular health need. Health maintenance organizations (HMOs), preferred provider organizations (PPOs), and physician hospital organizations (PHOs) are forms of managed care. Managed care and in particular, the health maintenance organizations became popular as a way of enhancing care and minimizing unnecessary services. However, towards the end of 1990s, the consumer backlash resulted in the abandonment of the firmly controlled c are concern systems. Quality is now the watchword for 21st century healthcare as the institutions and souls who pay for services amaze to focus on what they are getting for their money. In other words, individuals demand for quality health care because they are paying for it. There is still no consensus as to who should be accountable for the homework and financing of the health care services in the United States. This has resulted in a patchwork system in which the individuals, employers, and the government all assist in covering up the expenses. For a while, the government has put on the mandate of providing health insurance to particular deserving populations (such as some poor people, children, disabled, and other sometime(a) persons) but it has generally shunned financing care for the working adults (Earp, French, and Gilkey, 2008). Instead, majority of the working adults get insurance every through buying coverage on their own or through their employers, or they go witho ut the cover. It is big to note that there is no single unifying system offering the systems. The health services are offered directly by private providers, organizations supported by state or federal funding, and governmental organizations ( care the customary health). Health care services are provided by both not-for-profit and for-profit organizations (Earp, French, and Gilkey, 2008). Managed care imposes quality measurement, accountability, controls, and organization in the actors line of health care to attain the buyers aims for access to cost of care, effectiveness of care, care, and quality of care. The introduction and growth of managed care strategies have influenced the general health care organization. They have begun to alter the delivery of publicly and privately health care (National Research Council, 1997). Provider Contracting The aim of a managed care organization is to offer or organize for the health care services provision. Majority of the managed care organiz ations like the preferred provider organizations (PPOs) and the health maintenance organizations (HMOs) offer their services through agreements with medical groups, individual physicians, hospitals, individual practice associations (IPAs) and other kinds of health care facilities and
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