Attached.

Managed Care
1- Describe the five critical legal developments that have dramatically altered the healthcare
industry according to Clark C. Havighurst and explain how they still impact the industry
today.
I.

There have been numerous health policies and regulations governing the provision of
healthcare in the United States.

II.

The Obamacare act of 2010 is also one of the most impactful policies in healthcare.

III.

The Health insurance Portability and Accountability Act (HIPAA) was signed into
law by President Bill Clinton in 1996.

2- How does the focus on Accountable Care Organizations significantly change the focus when
compared with the HMO Act of 1973? What have we learned as a nation with this change?
I.

The Accountable Care Organization concept refers to group healthcare providers that
potentially include doctors, hospital, health plans and many more healthcare
components who come together to provide well-ordered and high-quality care to
patients.

II.

ACOs provide for better and more effective healthcare practices for the benefits of
patients to cut costs in the long-run.

3- With the March 2010 adoption of the Affordable Care Act, the US re-emphasized consumer
education: participation in their care, awareness of their coverage benefits/exclusions and
focus on individual responsibility. In your opinion, how should Managed Care entities
encourage/support these efforts for their members?
I.

Obamacare had numerous provisions which have transformed healthcare to date.
Consumer education was one of the most emphasized facets of the act.

II.

Moreover, physicians should be open with the patients about the risks and benefits of
employing some of the treatment procedures.

4- Describe the position of the underwriter for a managed care organization. What important
role does this position play and how could it make or break the organization?
I.

An underwriter is a person who is mandated with the task of assessing the risks of
certain financial decisions by the healthcare decision and setting a premium.

II.

On the other hand, when the underwriters may wrongfully or accidentally carry out
the work too.

5- Managed Care organizations have a responsibility of reducing the overall cost of care while
preserving positive outcomes for the members of the ...