Managed Care Research Paper

A health care system in which patients decide to visit only confident doctors and hospitals, and in which the cost of treatment is observed by a managing company. There are different types of managed care organizations Health Maintenance Organization (HMO), Preferred provider Organizations, Point of Service Plans and Managed Indemnity

Meeting the health needs of the citizenry is complex, tedious and expensive, most of the times, requiring millions of dollars for implementation of health care services, policies and programs. Health care economics is the lifeline of health care delivery. The greater the demand for health care services, the greater the need for available and adequate funding. And as such, the intricacies of health care financing displayed a remarkable degree of continuity from the days of ancient civilization until the current 21st century. Developments in medical science and technology led to critical reflection on the outsourcing of finances vital to health care.

In the United States (U.S.), Private Health Insurance is the primary source of healthcare system for most people. For elderly citizens and eligible children and families from low-income households, public programs are the main source of health cover. Public programs consist of Medicare, Medicaid, State Children Health Insurance Programs (SCHIP). In 2010, the Patient Protection and Affordable Care Act (ACA) carries out a mandate that every American must have health insurance, or pay a fine [1]. ACA, also known as ObamaCare, aims to reduce healthcare costs, and provide affordable healthcare for everyone.

Accreditation of Cancer Treatment Centers of America The Cancer Treatment Centers of America (CTCA) are a network of five hospitals serving adult patients suffering from cancer. The CTCA is a non-profit organization offering an integrated treatment system ranging from physical approaches like surgery to genomic testing and emotional approaches, which are backed by evidenced-based therapies, that aim at improving the quality of life of the patients during and after the treatment. All CTCA hospitals are separately accredited.

The United States’ plan for having a universal healthcare system is set to be achieved through the multi-payer model of the universal health insurance (UHI) (WHO, 2000). It is important to understand the concept of the universal health system. First, it gives proactive and holistic care at the lowest level and ensures safety and proximity to home. For instance, when one uses the universal insurance, they are not limited to healthcare services within their state. They are free to receive treatment from any state without discrimination.

Caption: Little Sisters of the Poor v. Burwell Citation: No. 15-105, SUPREME COURT OF THE UNITED STATES, 578 U.S. __ (2016), March 23, 2016, Argued, May 16, 2016, Decided Facts: 1. The contraceptive mandate of the Obama Care requires all employers, who have more than 50 employees, to include contraceptive coverage through their health insurance plans. 2. The mandate allows non-profit organizations who object to the contraceptive coverage to seek exemption from paying for the contraceptive costs by filing form 700.

Most people around the world that purchase insurance and pay a premium or out of pocket expense feel that their insurance should cover what they need done weather its deemed medical necessary by insurance guidelines or not. “Health insurance is a type of insurance coverage that covers the cost of an insured individual's medical and surgical expenses. Depending on the type of health insurance coverage, either the insured pays costs out-of-pocket and is then reimbursed, or the insurer makes payments directly to the provider.” (MNT) The Affordable Care Act which now covers most beneficiaries in the USA and has effect on plastic surgeons.

1. What risks are present with the Ohio policy that allows local health departments to establish their own bookkeeping systems? Base on the information provided on the case study, Ohio seems to be classified as a decentralize state, meaning local health units are primarily led by employees of local governments and the local governments retain authority over most fiscal decisions. It is very risky when individual health departments have authority to set their own financial accounting systems.

The United States currently abides by the Affordable Health Care Act’s legislation to provide millions of Americans affordable health care plans. Unfortunately, some individuals have struggled to pay for either the premiums that are offered by insurance companies or the penalty fee that is issued for not having any form of insurance. However, if changes are made to increase tax rates, free universal health care can be provided to all citizens. Under the Affordable Health Care Act, a marketplace consisting of many insurance providers is made available to the public.

Healthcare in the United States is in desperate need of reform. There are several rationales to further explain this proposition. As an illustration, the Declaration of Independence states our unalienable rights: life, liberty and the pursuit of happiness. In other words, every individual should be entitled to healthcare as it preserves life and promotes the general welfare. The federal government should, therefore, enact a program of universal health to better protect and serve all of its citizens.