Description
Assignment Overview
A few years ago, some opined that managed care was either dead or nearly dead. Years later, managed care seems stronger than ever, or is it? After reading the background information, conduct additional research and respond to the below questions.
Case Assignment
Watch the following video in preparation for this assignment:
TheMinaSara (2015). History of managed care. Retrieved from
Use what you learned from the video, the module’s required readings, and your own research to answer the following questions in your paper.
- What is managed care and where did it come from?
- Discuss the current state of managed care in the U.S. health care system.
- Briefly explain some of the potential impact of health care reform initiatives on managed care in the U.S.
- 3 pages, 3 cited sources from required reading
Required Reading
Affordable Care Act; findings from Mayo Clinic provide new insights into Affordable Care Act (expected and unexpected consequences of the Affordable Care Act: The impact on patients and surgeons—pro and con arguments). (2016). Managed Care Weekly Digest, 63. Berenson, R. A., Burton, R. A., & McGrath, M. (2016). Do Accountable Care Organizations (ACOs) help or hinder primary care physicians' ability to deliver high-quality care? Healthcare, 4(3), 155-159. Hoffman, S. (2015). Managed care, the legal system, and checklist medicine. Brown University Child & Adolescent Behavior Letter, 31(6), 8. Managed care; researchers at American College of Physicians Report new data on managed care (preconsultation exchange in the United States: Use, awareness, and attitudes). (2015). Insurance Weekly News, 171. National Committee for Quality Assurance (NCQA); NCQA health insurance plan ratings—valuable tool for consumers. (2015, November 1). Health Insurance Law Weekly, p. 31. Owen, R., Heller, T., & Bowers, A. (2016). Health services appraisal and the transition to Medicaid Managed Care from fee for service. Disability and Health Journal, 9(2). 239-247 Sonderling, H. (2015, September 16). ValueWalk: Could managed care companies help offset rising healthcare costs? [Web log post]. Newstex Global Business Blogs. Chatham: Newstex. Waitzkin, H., & Hellander, I. (2016). Obamacare: The neoliberal model comes home to roost in the United States—if we let it. Monthly Review, 68(1), 1-18.
Explanation & Answer
Attached.
Outline
Introduction
Body
Conclusion
Running care: HEALTHCARE DELIVERY SYSTEMS CASE
Healthcare Delivery Systems Case
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HEALTHCARE DELIVERY SYSTEMS CASE
2
Healthcare Delivery Systems Case
Question One
Managed care is used to denote the activities and the operations in the field of health care
which are embraced to reduce the cost of offering healthcare and enhancing the quality of care
given to a particular group of people. Despite the rise in the number of enrolled individuals, the
connotation of managed care is not precise. Ideally, this is because managed care in the United
States has demonstrated a significant evolution a fact that has altered its connotation. Since its
inception in the early 1980s, managed care has evolved to be a unique and exclusive facet of
providing health care to the individuals of the United States (Moffat, 2016).
The origin and history of managed care can be traced back to the late 19th century when
both nurses and physicians in the small regions of the United States started the provision of
prepaid Medicare services to the individuals of the particular unions and other groups of
workers. The individuals who belonged to the particular associations were required to remit a
small amount of fee to the nurses and the physicians to...
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