Managed care Essays

  • Managed Care Model: The Two Types Of Managed Care

    352 Words  | 2 Pages

    The primary reason why the managed care model was created to provide satisfactory and best healthcare to all the enrollees at reduced and controlled cost and its aims to ensure that the healthcare provide a suitable medical condition of the patient and safeguarding such services are provided by appropriate provider. Its emphasis on keeping enrollees healthy to reduce use of services. The two types of Managed Care is Preferred Provider Organization (PPO) the other one is Point of Service (POS) plans

  • Managed Care History

    1119 Words  | 5 Pages

    The elements from the early period of managed care history, which are present in today’s managed care industry Isaac Adzaho Saint Joseph’s University Health Administration HSV 551 Managed Health Care Department of Health Service 1/21/2018 Health care has been a major challenge in the past until now with increasing population and increasing demand for new and improved method of delivering health care. Major among these challenges was the issue of the cost of healthcare. In the past some interventions

  • Essay On Managed Care

    588 Words  | 3 Pages

    Healthcare is always developing. New ways managed care is changing within medical settings as the health care profession works to offer higher quality and cost effective care to patients is reducing the rates. Managed health care plans control costs by setting some specific criteria for selecting specific providers to patients and by establishing formal program to monitor the quality of care being given by the providers. In obvious cases, doctors must get approval before hospitalizations or expensive

  • Managed Care Case Study

    1476 Words  | 6 Pages

    Question 12. Legal issues that apply to and regulate managed care. The Doctrine of Res Ipsa Loquitor – negligence can be suggested when there are issues where evidence of negligence or wrongdoing is not present (Thorton). This regulates the managed care since such negligence can be present in any healthcare industry and it is of great importance that the staff will have knowledge to this. There are actually three situations wherein healthcare personnel negligence can be proven without specific conduct

  • Staffing In Nursing Care

    927 Words  | 4 Pages

    home, health care agency, or in educational organization. This is one major dissatisfaction among clinical nurses. Posting the number of nurses needed by time slot and allowing nurses to put colour pins in slots to select their own times can

  • Self Improvement Analysis

    1392 Words  | 6 Pages

    The motivation for self- improvement is success. That is an idea I live by. In order to succeed, one must always improve their behaviors and attitudes in all areas of their lives. The saying, “there is always room for improvement” is quite parallel to the famous quote, “Good, better, best. Never let it rest. 'Til your good is better and your better is best.” Constantly analyzing the current condition of your own thoughts, ideas, attitudes, and behaviors and how satisfied you are with the results

  • Interpersonal Communication In Health Care

    998 Words  | 4 Pages

    high risk of making avoidable mistakes, critical information for the patient’s care could be neglected and not communicated to the appropriate personal. Effective interpersonal communication among the health care service providers, create an effective team collaboration, the public health care personnel can easily collaborate with the other healthcare professionals to implement certain policies or carry out health care programmes in the community, lack of effective communication leads to medical errors

  • Health Disparity In Cameroon

    744 Words  | 3 Pages

    are vulnerable to diseases because of lack of portable drinking water and health care facilities. Because power is concentrated in the hands of few individuals, they turn to care more of their groups than looking into problems that the nation is facing as a whole. Disparity in the quality of health care is a common phenomenon in Cameroon. Being sick and poor in this country is a sure case that no medical staff will care about you. If very fortunate very little attention will be given to you and simple

  • Reflective Essay On Registered Nurses

    843 Words  | 4 Pages

    As I reflect on my medication pass, I not only realize the lessons I learned, but also the things I will take with me with me for a lifetime. This was quite the experience of learning and lessons to become a registered nurse, so as I began my day, I began by looking up my patient’s medication. I would be passing in the MAR – on the computer. This is where I proceeded to check for allergies (medicine and relevant food), this should be done every time you give a medication. The instructor said ok are

  • Medicare Supplement Insurance

    2058 Words  | 9 Pages

    policy can help you settle some of your health care expenses that the original Medicare policy doesn’t cover. Some of these expenses include deductibles, coinsurance and copayments. Other services that Medicare insurance might offer include medical care when you travel outside the States. The original Medicare policy doesn’t offer this service. If you have both Medicare and the original Medicare policies, Medicare will settle its share of the health care expenses and then Medigap will pay its share

  • Nursing Code Of Ethics Analysis

    1012 Words  | 5 Pages

    In health care, the goal is to address the needs of the patient and the public. The complexity of health care delivery systems requires a multi-disciplinary approach to the delivery of services that has the strong support and active participation of all the health professions. Within the context, nursing’s unique

  • The Disadvantages Of The Fee-For-Service Advantage

    2263 Words  | 10 Pages

    fee-for-service (Figure 1) encourages the delivery of care and maximizing patient visits. As a payment mechanism, it is relatively flexible in that it can be used regardless of the size or organizational structure of a physician’s practice, the type of care provided the place of service or the geographical location of care. However, the disadvantages for fee-for-service offer little or no incentive to deliver efficient care or prevent unnecessary care. In its current form, it is generally limited to face-to-face

  • Health Maintenance Organization Analysis

    711 Words  | 3 Pages

    Health Maintenance Organization (HMO) There are four basic types of managed care plans that fall under the umbrella of a Managed Care Organization. The first type is a Health Maintenance Organization (HMO). An HMO is the most common type of MCO and it mainly focuses on wellness (Stark 2014). HMOs contract with different health care providers who become part of a network that provides health services to HMO patient members at a fixed, prepaid fee regardless of actual medical costs or the amount of

  • Constant Rate Discounted Utility Model

    743 Words  | 3 Pages

    DISCOUNTED UTILITY MODEL- Constant rate discounted utility models are commonly used to represent individual inter temporal preference in health care program evaluation. The mainly questions is of what rate of discount is used and the little attention has been paid to the appropriateness of the constant rate of discounted utility model. In discounted utility model, the utility of consumption is evaluated afresh in each time period. The discounted utility model is a factor that dominant model of inter

  • Cdc Health Care System Advantages And Disadvantages

    939 Words  | 4 Pages

    -Capitation: A type of payment method with a fixed per capita that is made to health care providers by a care group management for medical services which being provided for individuals. In this case, care providers are assuming the financial risks. Those with coverages under the Affordable Care Act rely heavily on capitation. Under this payment method, health insurance companies pay the providers a set amount of money over a period (each month) to see number of patients. For example, insurance companies

  • Ethical Issues In Autonoma Care

    1832 Words  | 8 Pages

    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. Due to this law coming into effect in March 2010 it was critical that all beneficiaries as well as providers

  • Assignment 1: Difference Between PPO And HMO Plan

    470 Words  | 2 Pages

    Thomas yes I can explain to you the difference in PPO, HMO or Traditional comprehensive plan and which one 's will enable you to go out of network for care PPO plan is flexible but their are no restrictions on which physician you can visit outside the network the coverage is available if treatment is with an out- of- pocket network doctor a patient cost is lower in the hospital or doctor is in the network

  • Rehabilitation Observation

    1162 Words  | 5 Pages

    Rehabilitation Observation Rehabilitation therapy begins in the acute care hospital after a person’s overall condition has been stabilized. Patients can be admitted to the rehabilitation program from home, a hospital or other type of facility, provided they meet certain criteria. The rehabilitation unit at Palmetto Health Tuomey is located on the fifth floor. During our experience, we observed therapists and nurses working and interacting with clients of varying degrees of disabilities. The

  • Public Health History

    912 Words  | 4 Pages

    live longer than those with stressful or riskier work and activities. Unemployment is associated with poor health. Personal health practices and copying skills refers to activities / actions by which individuals can prevent diseases and promote self-care, cope with challenges and develop self-reliance, solve problems and make choices that enhance health e.g. promoting condom use, avoiding excessive alcohol abuse and avoiding idleness but getting involved in physical

  • Duty Of Care Analysis

    947 Words  | 4 Pages

    Outcome 1 Understand how duty of care contributes to safe practice. The learner can: 1. Explain what it means to have a duty of care in own work role Having a duty of care, basically means that as support staff we are responsible for our clients’ health, safety and wellbeing. In other words, we must make sure our service users’ health and wellbeing come first at all the time. We must provide high quality standards care, make sure our clients not only are healthy and clean and appropriately dressed