Preview

What Is Managed Care and How Did It Come Into Being.

Good Essays
Open Document
Open Document
465 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
What Is Managed Care and How Did It Come Into Being.
The manage care we know today began to form in the 19th century when a series of alternative healthcare arrangements appeared across the country. These programs forms with the purpose of providing healthcare service in return for a premium payment of $0.50 and it was available to lumber mill owners and their employees. Later in 1929 another program was found by Dr. Michael Shadid, who started a rural farmer ‘cooperative health plan in Elk City, Oklahoma where selected farmers invested $50 on shares to race money to build a new hospital while receiving discounts on medical care. The medical community opposed to these new and about 1932, the American Medical Association started to do whatever it could to suppress the growth of prepaid plans and cooperatives. Nevertheless in the middle of the Great Depression health plans such as Blue Cross and Blue Shield as well as HMOs, began to function.
Providers wanted to maintain and improve patient revenue; employers started seeking benefits for their employees, consumers seeking access to improved and affordable health care, and even a housing lending agency seeking a reduction in the number of foreclosures. Many new HMO groups arose as a result, examples are the Kaisers Foundation Health Plans found in 1937 as the request of Kaiser Construction Company, the Health Insurance Plan of Greater New York found in 1947, home Owner’s Loan Corporation organized the Group Health Association to reduce the number of mortgage default by families who had large medical expenses.
For a little over a decades, prepaid healthcare remained present in only few communities. But around 1970 HMOs began to expand at a fast rate. During the early years of Nixon administration, Dr. Paul Ellwood, an MD from Minneapolis, was asked to create a strategy to stop or diminish the increase in the Medicare budget. This led to the development of health maintenance organizations intended to reimburse HMOs for Medicare beneficiaries’ health care though a

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Amari

    • 443 Words
    • 2 Pages

    Prior to the 1920’s, most Americans would only seek medical attention to treat chronic illnesses which shortly resulted in death. Hospitals were uncommon and patients were being treated by private physicians in their homes, due to the shortage of hospitals and the underdevelopment of medical technology. This resulted in minimal medical cost for patients receiving care. Because of this, organized health care was not seen as being essential. After a while private physicians began to shift medical care to hospitals in order to take advantage of new technology. As cost continued to raise Baylor Hospital created a system called Blue Cross to help individuals pay their bills, and it allowed physicians to protect their interest and payments. It also encouraged other companies to merge into the commercial health care industry, and the government established Medicare and Medicaid.…

    • 443 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    United States

    • 320 Words
    • 2 Pages

    The social-medical environment in the United States changed dramatically around the 1980s, this is when some threatening of autonomy and authority of physicians started. But federal government was still increasing the role in financing health care for the Medicare and Medicaid programs which were combined with a rapidly and escalating health care costs which caused the concern that was expressed by business, this caused the leads for a major federal policy shift.…

    • 320 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    HCM 400 Mastery Exercises

    • 3087 Words
    • 11 Pages

    10. In what model does a HMO contract with more than one group practice to provide medical services to its members?…

    • 3087 Words
    • 11 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Managed Care Case Study

    • 167 Words
    • 1 Page

    Managed care contributes a vast amount to the healthcare system. Without managed care systems I don’t think health facility, insurances agencies and companies would manage. Agree, professionals are to adapt and accommodate changes based on contracts between managed care systems and other agencies. In my opinion, the technology advancement within the health care system has improved tremendously in a positive way. For example; when I switched my daughter primary doctor around shot time, me being old fashion handed her the paper shot record. She replied “ma’am it already imported into the system; we don’t use the paper anymore.” This is totally a successful and less stressful outcome on a person if it was to get lost or misplaced. These…

    • 167 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Managed Care Case Study

    • 792 Words
    • 4 Pages

    For the past several years, the health care and insurance industries in America have been undergoing significant reform in order to rein in the high cost of delivering health care services. Managed care has become a cornerstone of this process (Strickland, 1995). The case management industry (with its focus on cost containment, managed competition, and quality care) is playing an increasingly important role in the managed care environment (Owens, 1996). According to Mullahy (1995a), the number of case managers has risen astronomically in recent years. These individuals come from diverse professional backgrounds and practice settings that include nursing, rehabilitation counseling, and social work.…

    • 792 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    From these chapter I have gain the knowledge of know, the delivery of health traditionally evolved around the individual relationship between the provider and patient/consumer. The payment was either provided by a health insurance company or paid out of pocket by the consumer. This fee-for-service system or indemnity plan increased the cost of healthcare because there were no controls on how much to charge for the providers service. As healthcare costs continued to spiral out of control throughout the decades, more experiments with contract practice and prepaid service occurred randomly across the U.S. healthcare system (Shi & Singh, 2008)…

    • 290 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    References: Academic Medicine: April 2000 - Volume 75 - Issue 4 - p 323-330, Institutional Issues: Articles…

    • 760 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Evolution of Managed Care

    • 1519 Words
    • 7 Pages

    The start of managed care is found in the early nineteenth century, a physician the name Dr. Michael Shadid and a group organization that was dedicated to water and power. They were from Los Angeles and the water and power group provided service to a few thousand people. In 1929 in Oklahoma, Dr. Shadid started a health care plan for the rural farmers. He had to deal with resistance from the physicians that were already working there. Dr. Shadid was determined to provide health care to several hundred families under a predetermined fee with the help from the Oklahoma Farmer’ Union (Tufts Managed Care Institute, 1998).…

    • 1519 Words
    • 7 Pages
    Better Essays
  • Better Essays

    U.S. Health Care Timeline

    • 911 Words
    • 4 Pages

    | Health Maintenance Organizations (HMO) are one of three types of major health care insurance systems. The other two systems are Preferred Provider Organization and Point-of-Services Plans. HMOs were made popular in the 1970s. They have come to be used by many employers and health care providers. President Nixon signed off on the HMO Act in 1973. After the Act was signed into law, the health care insurance organization plans faced opposition from professional…

    • 911 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Introduction: According to Terence Shea in an article published by HR Magazine (2005), in the last fifty years, employers' health cost have soared as coverage has expanded and medical care has been revolutionized. Since the early 1980s, there have been a number of governmental and corporate attempts to slow this dramatic rise in health care expenditures. Most health plans in the U.S. today involve some form of managed care. Nearly 90 percent of Americans with health insurance are covered by HMOs and other managed-care plans. The reason for the shift from the traditional to managed care plans was to hold down healthcare costs. As HMOs grew physicians in private or small group practices have become…

    • 821 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Managed Care History

    • 4302 Words
    • 18 Pages

    Managed care plans and other insurers: By better understanding the past and present of managed care plans and other insurers in the USA, we can make well-grounded statements about its challenges and proper ways of answering them; furthermore, having a health care plan can help to help improve your chances of getting medical treatment to control and reduce the risk of sickness and disease.…

    • 4302 Words
    • 18 Pages
    Best Essays
  • Good Essays

    There is a history behind managed health care that started back in the late 19th century. The managed care plans were first organized during the 1920s but their origin is credited to non-profit organizations during the 1940s. The growth of the managed care was fairly slow when it first started until the health care costs begun to soar in the 1970s and 80s when employers begin to see managed care as an alternative to high-priced health care options. The increase in competition within the health care industry led to the birth of profit-making organizations that offered new and innovative managed care techniques. A few insurers offered insurance policies to cover the cost of care for workplace accidents and for employee disability.…

    • 1188 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Managed care can impact relationships between doctors and patients in several of ways. First, it may change the way in which doctor-patient relationships begin and end. For example, Health maintenance organizations (HMOs) pay only for care provided by their own physicians. Preferred provider organizations (PPOs) restrict access to physicians by paying a smaller percentage of the cost of care when patients go outside the network (Roussel, 2013). These restrictions limit a patient’s ability to establish a relationship with the physician of their choice. Termination of doctor-patient relationships can also occur without patients' choosing. When employers change health plans, employees may have no choice but to cut ties with their physicians and find a new one. The lack of…

    • 468 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Managed Care

    • 3374 Words
    • 14 Pages

    Now I am briefly going to go over the history of managed care. Managed care dates back…

    • 3374 Words
    • 14 Pages
    Better Essays
  • Powerful Essays

    Health Insurance Matrix

    • 3146 Words
    • 9 Pages

    The idea and concepts of health maintenance organizations have been reported back to 1910, when the Western Clinic in Tacoma, WA offered plans to utilize their providers to lumber mills employees and owners with a premium of fifty cents a month. However, it was not until Dec. 29, 1973, that President Richard Nixon signed into law the Health Maintenance Organization Act of 1973, to provide the option of health insurance to all citizens of the United States.…

    • 3146 Words
    • 9 Pages
    Powerful Essays