"Managed care organization" Essays and Research Papers

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    Reducing Health-Care Costs‚ Case 12-1 1. How should Polson communicate its new health-benefits plan to employees? Communication of the new plan is critical if employees are to accept and commit to a managed health-care plan. Employees must understand the strong financial incentives that are present for staying in the network rather than using the traditional indemnity side of the plan. At the same time‚ details of the new plan must be communicated in such a way that it is clear to employees

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    Comparison of Health Care Systems in the United States and Sweden The Swedish health care system is a very principled one. Two longstanding Swedish values are repeatedly seen when reviewing the Swedish healthcare system: public welfare and subsidiarity‚ or addressing issues at the lowest possible level of government (Bidgood‚ 2013). Together‚ these values drive healthcare organization‚ delivery‚ and financing. In recent years‚ there has been a fair push for a Scandinavian-like health care system in the

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    head: Analyze a Contemporary Health Care Issue Analyze a Contemporary Health Care Issue Grand Canyon University- HCA 240 Shuness Martin January 18‚ 2015 Access to health care is a major forerunner in today’s health care talk. As health care costs rises there has been a wide number of policies to try and eliminate the rise in cost and increase access to health care services. Yet there are still many Americans that do not have access to health care services. There are three major reasons

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    Managed Care

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    At the Intersection of Health‚ Health Care and Policy Cite this article as: E Friedman Managed care‚ rationing‚ and quality: a tangled relationship Health Affairs‚ 16‚ no.3 (1997):174-182 doi: 10.1377/hlthaff.16.3.174 The online version of this article‚ along with updated information and services‚ is available at: http://content.healthaffairs.org/content/16/3/174.citation For Reprints‚ Links & Permissions: http://healthaffairs.org/1340_reprints.php E-mail Alerts : http://content.healthaffairs

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    My main point was to focus on the cons of Managed Care Organizations (MCO) and their impact on how and where nursing care is provided‚ after the implementation of the Affordable Care Act (ACA). Potter and Perry (2017) claim that the ACA will force more nurses to provide service in community-based care settings‚ potentially required to relocate or begin jobs in order to “practice in community care centers‚ schools‚ and senior centers” (p. 7). With the ACA‚ it is now the requirement of a nurse to

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    a risk of managed care to the payer is that physicians are paid a fixed amount for services on a monthly basis regardless of how much service is used. This risk is with hopes that physician will utilize the minimal amount of service ultimately decreasing health care costs. Physicians who participate in managed care plans also experience potential risk. In managed care plans‚ physicians can jeopardize relationships with patients (Chan Hong Kit‚ Abul Rasid‚ & Md Husin‚ 2016). Managed care has impacted

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    imperfect system that is impacted by various internal and external variables that have a profound impact in not only a comprehensive national health care policy‚ but also in regards to our health delivery system. There is no one universal standard that would be applicable across the global spectrum‚ but even those nations with systems that spend less on health care than the United States are essentially facing the same crisis‚ which equates into common emerging issues as a result of mandated reform and continued

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    Evolution Of Managed Care

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    The introduction of managed care in the US health care delivery system has impacted both patients‚ physicians and providers from an economic stand point. This health care system has undergone changes while continuing to evolve because providers set criteria to monitor the type and quality of care patients receive. From a patients perspective‚ managed care helps control costs when a client contracts a particular provider at a reduced rate. According to a Michigan Family Review by Conklin (2002)‚ “debate

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    Running Header: SIGNIFICANT EVENT/IMPACT ON HEALTH CARE ORGANIZATIONS: MANAGED CARE Significant Historical Event/Impact on Health Care Organizations: Managed Care Erich Hayman Monday‚ May 19‚ 2008 University of Phoenix HCS/530‚ Health Care Organizations Professor David A. Olsen‚ MHA Significant Historical Event/Impact on Health Care Organizations “By 1995‚ managed care plans had become the dominant form of health insurance and enrolled 73 percent of all Americans who were

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    Managed care is described as a variety of systems and arrangements for planning‚ managing‚ delivering and evaluating care (Linsley et al.‚2014). In a well-functioning system of managed care‚ a defined group of people receive treatment services that are clinically necessary and appropriate‚ within defined benefit parameters‚ for a set amount of time‚ in compliance with quality standards‚ and measurable outcomes (Linsley et al.‚2014). Managed health care has made an impact on patients and providers

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