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Managed Care

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Managed care . What is managed care  It’s a system aimed at reducing healthcare cost at the same time improving quality of services provided  It therefore emphasizes on preventive medication and home treatment  Patients are limited on the selection of physician  The physicians on the other hand allow constrains on the amount paid by the patient. The history of managed care  Development of prepaid health plans between 1930 to 1960  The Health Maintenance Organization Act of 1973  Introduction of the prospective payment system for Medicare  Increase in managed long-term services and supports  Development of commercial managed care plans Key ingredients of the managed care  Care management also known as disease management  Coordination of independent providers/vertical integration  Financial risk sharing between the consumers and providers Ethical issues involved with managed care ❖ Poor patient-physician relationship ❖ Lack of adequate healthcare to the patients ❖ Low morale from the physicians due to low incentives What people are concerned with about the managed care How managed care affects the physician-patient relationship  Can determine how the patient-doctor relationship starts and end  Can lead to termination of physician-patient relationships  It creates financial incentives to the doctors making them spend less time with the different patients How managed care affects the ...
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