Monday, March 11, 2019

Managed Care CBA

In order to remedy understand the workings of managed care, it is important to understand its history as wellspring as future trends. Please read the required background materials, and whence answer the following questions in a 2 page musical composition 1. What is managed care? 2. How and when did managed care convey? 3. How will consumer-driven wellness care encroachment wellness care delivery?The following resources will help you complete this designation Scandlen, G. (2005). Consumer-driven health care Just a tweak or a revolution? Health Affairs, 24(6), 1554. Tufts Health Care form Brief account statement of Managed Carehttp//www.tmci.org/downloads/BriefHist.pdfWhat is managed care?Managed care is a system of delivering health care in such a way that the costs of the profit, quality and the utilization of the service is provided and handled by one healthcare geological formation, and under one roof. Such an organization is known as the Health Maintenance organizatio n or the health maintenance organization. The affected roles are provided health plans or health packages that cover their health needs. harmonise to the condition the patient suffers from, he/she could subscribe to a particular health plan.Managed care has continuously evolved as a system of deliverance of healthcare in the US. The impact of such a system has not been mum clearly. Such a system whitethorn consume a plentitude of resources or may be not organized in a proper manner. Many patients may get under-treated or over-treated for their condition. The system does not focus on the preventive aspects of health check care. The physician would be providing his/her service in association with a healthcare team, consisting of professionals belonging to other palm.The patient work may be performed by the professionals belonging to other fields (G. Farfield. 1997). United Health Group is one of the largest Managed care organizations in the US and was founded in the year 1977. I t provided health packages for its customers in the year 1979. It began to get listed in the US Stock Markets since the year 1984. The company began to acquire smaller companies and fuck off gradually. The company is constantly adopting it policy to suit the changing needs of its customers in a very competitive market (United Health Group. 2006).How and when did managed care begin?Managed care began in the US in the 19th Century, and was aimed at contact the healthcare needs of the masses. At first, selected group of people organized healthcare packages with the physicians. These included workers, laborers, rural dwellers, railroad workers, etc. Their employers wanted to meet their healthcare needs and hence organized healthcare plans with local physicians and hospitals. Societies were also tangled in organizing such programs in cities.A nominal list was give by the employer to provide healthcare services to the employers for a certain occlusive of time. Dr. Shahid was one of the first physicians to initiate a healthcare plan for the farmers (in 1929). Dr. Ross and Dr. Loos provided medical care to the employees of LA Water and Power Department for a nominal marrow (in 1929). In some plans, the employers paid a part of the amount and the employees paid another part. Henry Kaiser provided medical care services in return for a prepay amount during the World War II time. He began offering such services to the public, once the war ended.Slowly, the prepaid health service packages began to develop in managed care, and such organizations were known as health maintenance organizations. They offered comprehensive medical care services. The members could select a customized healthcare package according to their healthcare needs. The AMA initially objected to the development of the health maintenance organizations. It felt that soon medical care would become a business, and companies would be involved.The Supreme Courts Decision in 1947 ensured that the AMA woul d not meddle in the development of the HMOs. During the 1960s and the 1970s, the politicians began to show greater amount of interest in Managed care. President Nixon brought out a plan in 1971, to develop HMOs. The loans offered to HMOs for development was increased. During the 1980s and the 1990s, the HMOs began to grow. Now people utilize Managed Care to supplement medical Insurance. More than 600 HMOs are bounty in the US and about 25 % of the population has a managed care package (TMCI. 1998).How will consumer-driven health care impact healthcare delivery?Consumer-driven healthcare may not just provide a mere modification to the present healthcare system. The manner in which it could be impacted includes Providing more health information to the consumers so that an informed decision can be do and they can exercise greater control over their bodies. Cost-effective services. homework of high-quality services. Providing tax-free benefits to the consumers. Encouragement of medi cal tourism. Removal of anticompetitive measures that exist in the healthcare delivery market. Use of modern technology and equipment (Greg Scandlen. 2005) ReferencesG. Farfield, D. J. Hunter, D. Mechanic, Et al Managed care origins, principles, and evolution. BMJ 314 (1997) 1823. http//www.bmj.com/cgi/ mental object/full/314/7097/1823Greg Scandlen. Consumer-Driven Health Care Just A Tweak Or A Revolution? Health Affairs 24.6 (2005) 1554-1558.Tufts Health Care Institute Brief History of Managed Care. TMCI (1998).http//www.tmci.org/downloads/BriefHist.pdfUnited Health Group Principles of Ethics & haleness Your Guide to Business Conduct. United Health Group. 2006. United Health Group. 15 Apr. 2007 http//www.unitedhealthgroup.com/global/PrinciplesofEthicsandIntegrity.pdf

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