Skip to main content

Economics of Healthcare

Economics of Healthcare

Assignment 2: Dropbox Assignment

Managed Care

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).

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).

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—United States managed care, history of managed care, and managed care timeline.

Based on your research, answer the following questions in a 8- to 10-page Microsoft Word document:

  • What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. Conclude with your analysis and recommendations for managed care health plans. Your response should include answers to the following questions:
    • Summarize the history of when, how, and why managed care was developed.
    • Define and discuss each type of managed care organization (MCO)—health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).
    • Explain the positive and negative aspects, respectively, of managed care organization from the provider’s point of view—a physician and a healthcare facility—and from a patient’s point of view.
    • Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the managed care organization.
    • Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.

References:

Claxton, G., Rae, M., Panchal, N., Damico, A., & Lundy, J. (2012). Employer Health

Benefits Annual 2012 Survey. Retrieved from http://ehbs.kff.org/pdf/2012/

8345.pdf

Sekhri, N. K. (2000). Managed care: The US experience. Retrieved from http://www.

who.int/bulletin/archives/78%286%29830.pdf

Scutchfield F. D., Lee, J., & Patton, D. (1997). Managed care in the United States.

Journal of Public Health Medicine, 19(3), 251–254. Retrieved from http://

jpubhealth.oxfordjournals.org/content/19/3/251.full.pdf

Support your responses with examples.

Cite any sources in APA format.

Submission Details

Name your document SU_HCM3002_W5_A2_LastName_FirstInitial.doc.

Submit your document to the W5 Assignment 2 Dropbox by Tuesday, April 1, 2014.

 
 


Comments

Post a Comment

Popular posts from this blog

Netanel (1996) talks about the NIEP theory approach to copyright and the democratic paradigm. Explain the difference between these in your own words. Lessig (2008) talks about read-only (RO) and read/write (RW) culture. How can copyright facilitate both of these?

chapter one Introduction A ‘‘Largely Ignored Paradox’’ The u.s. supreme court has famously labeled copyright ‘‘the engine of free expression.’’1 Copyright law, the Court tells us, provides a vital economic incentive for the creation and distribution of much of the literature, commentary, music, art, and film that makes up our public discourse. Yet copyright also burdens speech. We often copy or build upon another’s words, images, or music to convey our own ideas effectively. We cannot do that if a copyright holder withholds permission or insists upon a license fee that is beyond our means. And copyright does not extend merely to literal copying. It can also prevent parodying, remolding, critically dissecting, or incorporating portions of existing expression into a new, independently created work. Consider The Wind Done Gone, a recent, best-selling novel by African American writer Alice Randall. Randall’s novel revisits the setting and characters of Margaret Mitchell’s classic Civil War...
Post a Comment
Read more

1. Good time management for project managers includes initiating contact with key stakeholders only when there is a valid issue to deal with. -True -False

1. Good time management for project managers includes initiating contact with key stakeholders only when there is a valid issue to deal with. -True -False Click here for more on this paper ……. Click here to have a similar A+ quality paper done for you by one of our writers within the set deadline at a discounted 2. A project manager should identify a problem in terms of its alternate solutions so that team members can more easily reach a decision on how to solve the problem. -True -False 3. Networks are mutually beneficial alliances that are generally Click here for more on this paper ……. Click here to have a similar A+ quality paper done for you by one of our writers within the set deadline at a discounted governed by the law of: a Supply-demand b Brooks’s law c Reciprocity d A squeaky wheel e Risk-reward Click here for more on this paper ……. Click here to have a similar A+ quality paper done for you by one of our writers within the set deadline at a discounted 4...
Post a Comment
Read more

How did life in the British colonies contribute to creating a unique American identity?

How did life in the British colonies contribute to creating a unique American identity? How do you see that identity manifested in modern American society? 200 to 300 words Click here for more on this paper ……. Click here to have a similar A+ quality paper done for you by one of our writers within the set deadline at a discounted Assignment status :  Solved by our Writing Team at EssayCabinet.com. MAKE YOUR ORDER
Post a Comment
Read more