Sunday, January 27, 2019

Managed Care CBA

In order to better understand the whole caboodle of managed parcel out, it is important to understand its history as well as upcoming trends. Please read the required background materials, and then answer the by-line questions in a 2 page paper 1. What is managed business organization? 2. How and when did managed fretting begin? 3. How will consumer-driven health tutorship push healthcare auction pitch?The following resources will help you complete this assignment Scandlen, G. (2005). Consumer-driven health care Just a tweak or a revolution? wellness Affairs, 24(6), 1554. Tufts wellness Care Institute Brief news report of Managed Carehttp//www.tmci.org/downloads/BriefHist.pdfWhat is managed care?Managed care is a system of delivering healthcare in much(prenominal) a way that the costs of the assist, quality and the utilization of the service is hand overd and handled by cardinal healthcare organization, and under one roof. Such an organization is known as the health M aintenance organization or the health maintenance organization. The unhurrieds are provided health plans or health incases that cover their health postulate. According to the condition the patient suffers from, he/she could subscribe to a particular health plan.Managed care has perpetually evolved as a system of deliverance of healthcare in the US. The impact of such a system has not been understood clearly. Such a system whitethorn consume a lot of resources or may be not organized in a proper modal value. galore(postnominal) patients may get under-treated or over-treated for their condition. The system does not focus on the preventive aspects of medical care. The physician would be providing his/her services in sleeper with a healthcare team, consisting of professionals belonging to other fields.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 course of instruction 1977. It provided health packages for its customers in the year 1979. It began to get listed in the US germinate Markets since the year 1984. The company began to acquire smaller companies and grow gradually. The company is forever and a day adopting it policy to suit the changing needs of its customers in a in truth 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 meeting the healthcare needs of the masses. At premier(prenominal), 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 then organized healthcare plans with local physicians and hospitals. Societies were also involved in organizing such programs in cities.A nominal amount was paid by the employer to provide healthcare se rvices to the employers for a certain period 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 amount (in 1929). In some plans, the employers paid a part of the amount and the employees paid some other part. Henry Kaiser provided medical care services in return for a prepaid amount during the World War II time. He began pass 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 victimisation of the HMOs. It felt that concisely medical care would become a business, and companies would be involved.The Supreme philanders Decision in 1947 ensured that the AMA would not interfere 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. promptly people utilize Managed Care to supplement Medical Insurance. More than 600 HMOs are present 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 dear 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 made and they can work out greater control over their bodies. Cost-effective services. Provision of high-quality serv ices. Providing tax-free benefits to the consumers. encouragement of medical tourism. Removal of anticompetitive measures that exist in the healthcare delivery market. ingestion 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/content/full/314/7097/1823Greg Scandlen. Consumer-Driven Health Care Just A Tweak Or A regeneration? 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 & Integrity Your run away to Business Conduct. United Health Group. 2006. United Health Group. 15 Apr. 2007 http//www.unitedhealthgroup.com/ spherical/PrinciplesofEthicsandIntegrity.pdf    

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