workings of managed care

: Workings of managed care

p : language write a 2 page essay discussing the workings of managed care , and its history as well as future trends . s to discuss

1 . what is managed care

2 . How and when did managed care begin

3 . How will consumer-driven health care impact healthcare delivery

Required readings

Managed Care Glossary

HYPERLINK "http /thci .org /other_resources /glossarymc .html managedcare http /thci .org /other_resources /glossarymc .html managedcare

Consumer-Driven Health Care : Just a Tweak or a Revolution ? - .doc uploaded

The Changing Approach to Managed

Care : HYPERLINK "http /www .rwjf .org /s /publications /books /2001 /chapter_04 .html http /www .rwjf .org /s /publications /books /2001 /chapter_04 .html

Managed care (Health Maintenance Organizations or `HMO ) is a comprehensive treatment package in which both the delivery of the healthcare services is integrated along with the costs of providing the services . Most of the services provided under managed care are cost-effective in nature . This healthcare service seems to be very popular in the US , as more than 60 of the population have availed managed care packages . The company that provides managed care arranges a more comprehensive and coordinated healthcare organization that would be providing all-round medical care to the patient in one roof (Kyomen H . H , 2005 . Cost-effective options are provided to the patients Unnecessary expenditures , diagnostic interventions and duplication of tests or treatment procedures are prevented . Emphasis is given on providing preventive care , and inpatient or hospitalization for short durations , according to the requirements . Managed care is ideal for elders because several medical facilities such as preventive consultation , hospitalization , general care , mental healthcare and drugs are combined at an acceptable cost (Sauber , R . S , 1997 . Managed care is also suitable for providing of mental healthcare as the services are high quality and an interface with general healthcare is provided Physicians and specialists who are competent are employed to serve the patients in the managed care organization . The physician may transfer patient work to other healthcare professionals who have received training to do so . Research has shown that elder patients and other populations who required medical care benefited a lot from the managed care approach (both economically and from the healthcare services being offered . Healthcare was considered more predictable and unexpected costs reduced substantially . Options or packages that are more suitable for one 's healthcare needs can be selected

In managed care , as the healthcare professionals take up a lot of responsibilities in providing the services , the quality of services provided are very high . The decisions taken in managed care is also evidence-based

In the US , several alternative healthcare approaches adopted as early as the 19th century , has risen in the development of the managed care approach . Some of the main objectives of these alternative approaches were to meet the healthcare needs of certain groups (such as workers and their families ) and rural populations . The patient paid a certain amount of fees to the physician , who in turn would provide certain services in accordance with the terms and...