Significant Healthcare Events

Topics: Preferred provider organization, Managed care, Health insurance Pages: 3 (872 words) Published: May 13, 2013
Healthcare in the United States has evolved over a course of time. In week one of class we have discussed the differences and similarities of other countries and the types of healthcare systems. We continued on with the discussion about how the government plays a role in the delivery of the healthcare system. In this paper I will discuss an event that has changed or affected the delivery of healthcare. I will discuss how the event has changed healthcare the significance and my beliefs of its value in healthcare.

In the early 1980’s the cost of healthcare started rising and the US healthcare system began to grow drastically When this took place managed organizations started forming to accompany the increase of the healthcare’s systems role inn society. With this need for increase individuals were forced to search for lower cost providers for preventive care needs such as routine physicals, mammograms, emergency care, x-rays, and laboratory procedures.

Managed care is defined as a system that manages and controls how much healthcare services are, how these services are utilized and examines the performance of providers such as physicians, pharmacists, healthcare vendors and other entities practicing in the healthcare setting. There are numerous managed care plans such as prescription plan, discount plans, self directed (SDHP), high deductible plans (HDHP), exclusive providers organizations (EPOs), HMOs, POS and PPOs. Two of the main types of managed care plans that are currently used are HMOs (health maintenance organizations), PPOs (preferred provider organizations), and POS (point of service). POS is one of the less common managed care organizations.

HMO or health maintenance organizations are primary care through network providers. Most Americans are enrolled in this type of system because of its organizational structure. The providers of this network are solely responsible for putting together as well as managing the overall health of a patient....
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