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Running head: MANAGED CARE
Manage Care Plans
Managed Care Plan
Market and community forces are key players when it comes to health care
environment. They directly affect health care environment by influencing the delivery,
payment and use of healthcare services. Managed care plans are therefore, facilitating
effective delivery of healthcare services to outpatients and non-traditional setting of medical
care. The dynamism of diseases and their determinants largely influence service delivery to
patients. Managed care services therefore, aim at understanding various diseases, evolution of
treatment of disease, and decisions that influence healthcare services delivery. That helps
them in providing an elaborate healthcare delivery system that addresses the needs of both
outpatient and non-traditional forms of care. Managed care offers community based health
care services. Its operations therefore, target to promote health and disease prevention rather
than focusing on treatments of illnesses (Fogarty, Splinter & Kimble, 2013).
Initially, managed care focused on footing hospital costs. However, the modern
market forces and the need to adopt an enhanced strategy for effective healthcare delivery
have revolutionized activities of the managed care plans. It develops and communicates the
most effective guidelines that promote efficient and sustainable cost-efficient care plans.
Moreover, it aims at enhancing commitment to quality healthcare by conducting quality
assessments. Managed care emphasises on the need to take into account economic
considerations when making decisions related to quality healthcare services delivery.
Fogarty, Splinter & Kimble (2013) posit that managed care plans therefore, aims
transferring the health services to outpatients and non-traditional forms by involving f...