Evolution of Health Care HCS/531 August 27‚ 2012 Russell Arezz III Evolution of Health Care Congress adopted the Health Maintenance Organization Act in 1973 that financed start-up costs for managed care companies and mandated firms with 25 employees or more to offer traditional health insurance. These provisions were terminate in 1995‚ but by this point health maintenance organizations and other managed care organizations were established in companies around the United States.
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2014 Vernon Thacker The Primary Care Physician Dilemma Today‚ the United States is facing a shortage of about 16‚000 primary care physicians and this number will continue to grow by 2025 (Amirault‚ 2014). Primary care physicians (PCPs) are the doctors who focus on overall health and offer the treatments and preventive screenings that save lives. A physician shortage is a situation in which there are not enough providers to treat all patients in need of medical care. The Association of American Medical
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Management problems in Healthcare There are many management problems in Health care. There are management problems in every organization‚ but health care sometimes have the biggest management problems of them all‚ because they are dealing with people lives. One of the problems a health care facility can come across is finance. If the patients have no way paying for their treatments than the facility would have to close their doors because they would have no way of paying their employees to
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The health care industry is a multi-million dollar industry. Health insurance‚ providers‚ technology management‚ and inpatient and outpatient procedures are among the many terms that we hear nowadays within this industry. The principal phrase that seems to be ringing in the ears of the government and policymakers are debt and cost-control. There are fundamental concepts that should be understood throughout the health care industry as it relates to finance. On one hand‚ many individuals have a general
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1 COMPARISON HMOS and PPOS PAPER Eve Birdine-Epps MHA628: Managed Care & Contractual Services Instructor: Gary Hanney December 4‚ 2012 COMPARISON HMOS and PPOS PAPER 2 Introduction The transformation of medical marketplace has major implications between two surging managed care plans. Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) examine research
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Managed Care pros and cons The pros of managed care are since the patient is limited to a specific caregiver the premium is lower. The patient only pays a monthly payment and a co-payment. The cons of managed care are that the patients are not allowed to see the doctor of their choice unless the doctor is in their network. The consumers perspective the pros and cons of managed care. The pros from the consumers perspective
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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
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underway in California since November 2010. Both waivers affect hundreds of thousands of Medicaid beneficiaries‚ involve billions of federal Medicaid matching funds‚ and are designed‚ in part‚ to promote changes in the health care delivery system that will result in better care for individuals‚ better population health‚ and reductions in costs through system improvements. These 5-year demonstrations are approved under section 1115 of the Social Security Act‚ which authorizes the Secretary of Health
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limited English proficiency have been coined the "triple threat" to effective health communication by The Joint Commission (Schyve‚ 2007). Forms of communication are important in everyday life but can be crucial in regards to health care. In communication the health care team must first understand where that patient is from to what and how they can address the situation to start the process. This is called cultural awareness. The health team members must be careful. They can use verbal‚ nonverbal and
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The Housekeeping Service department of Ruger Clinic‚ a multispecialty practice in Toledo‚ Ohio‚ had $100‚000 in direct costs in 2007. These costs must be allocated to Ruger’s three revenue-producing patient services departments using the direct method. Two cost drivers are under consideration: patient services revenue and hours of housekeeping services used. The patient services departments generated $5 million in total revenues in 2007‚ and to support these clinical activities‚ they used 5‚000
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