Managed Care
It seems that in today's technologically rich world with the abundance of resources available to mankind that our collective health should be in a much better state. Despite the massive amounts of money spent towards finding cures to man's ills, the chronic illnesses such as cancer and diabetes continue to grow and trouble the people of our society.
Managed care therefore must be investigated as a root cause of the failures of today's medical profession in an honest and frank manner if any true understanding of what is happening may occur. The purpose of this essay is to discuss how managed care has fallen desperately short in its aims to control medical costs, and in fact will be highlighted as a main cause for the problem itself.
Overtreatment
The idea of profit for health care has caused serious conflicts of interest within the practice of modern medicine. The Hippocratic Oath provides the necessary guidance in administering medicine but the idea of healing in our society ignores many tenants of the idea. The oath reads "I will remember that I remain a member of society, with special obligations to all my fellow human beings,...
• •the marketplace lacks competition. Thus the consumer may have limited choice, and some sellers or manufacturers may not care if the consumer is dissatisfied. (Zelman, 1999, pp. 5-6) Managed care, then becomes an institution that is highly in need of regulation, according to those who make such decisions, as the need to be a consumer advocate (including those who are profiting from health care) has always driven the government to
Managed Care One issue that has received a great deal of attention in recent months during the healthcare debate is the role of health insurance companies. Managed care was originally intended to lower costs within the American healthcare system to prevent overconsumption of health services that were unnecessary or of unproven value. However, the overall costs of the American healthcare system have increased rather than decreased in recent years, despite the
managed care in modern health care. Specifically it will include a brief history of managed care, along with some pros and cons about the process. Managed care is an arrangement where an insuring organization accepts the risk for providing a defined set of health services, using a defined set of providers, for a defined population, in return for a fixed or regular per capita payment" (Lammers and Geist, 1997, p.
managed care has now permeated the general atmosphere of health care and the healing process in society. The purpose of this essay is to discuss the evolution of managed care and its practices and how they impact profession of health care and its subsidiaries. This essay will include personal opinion on these impacts and discuss how managed care in its current status is not aligned with many of my
, income is quite often decreased and patient care sometimes adversely impacted due to time constraints, the need to hire a dedicated insurance person for the office, and the innumerable and sometimes counter-productive, forms and questions the HMOs ask of their medical professionals (See: Zimet, 1989, 2002). The survey instruments were both quantitative and qualitative in nature, and included four to six sections: basic demographics; general information about the practice (theoretical
Reduce Medicaid Program Costs and Enhance Utilization and the Quality of Care Through Medicaid Managed Care Medicaid is a type of health insurance provided and funded by the federal government and states to provide coverage to all Americans who are eligible low-income adults, children, elderly adults, pregnant women, and individuals with disabilities. Managed Care is a health care delivery system that was organized to manage cost and quality. The use
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