| Papers [1-14] of 100 :: [Page 1 of 8] | | Go to page : 1 2 3 4 5 6 7 8 —> | Search results on "MANAGED CARE": |
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The Importance of Quality Assurance in Managed Care, 2002.
Looks at the concept of managed care in the U.S. and the need for quality assurance in managed care programs.
3,352 words (approx. 13.4 pages), 14 sources, APA, £ 49.95
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Abstract
This paper looks at the consequences for the American health care system of managed care programs, the primary goals of managed care programs as seen from the health care service providers, and the recipients of managed care programs. The paper also looks at some the inherent ethical contradictions in managed care systems and whether patients can actually be assured quality health care if the cost of that care is the primary consideration.
From the Paper
"Whether we like it or not, managed care is a reality in the United States. Its existence is causing an axiomatic restructuring at all levels of the American health care system. HMO's (Health Maintenance Organizations), PPO's (Preferred Provider Organizations), and physician-hospital organizations have become essential to our current health care delivery system. (Phoon et al., 1996) As the trend in health care continues to move away from traditional plans, it is imperative that we focus on the validity of quality in the managed care system."
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Managed Care, 2007.
A discussion on the pros and cons of managed care, focusing on the ethical perspective.
1,737 words (approx. 6.9 pages), 5 sources, MLA, £ 29.95
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Abstract
This paper explores the pros and cons of managed care, with special emphasis in the addictions field. The paper examines how managed care providers are now responsible for managing and providing health care coverage for much of addiction treatment. The paper further examines how many health care providers have expressed their concerns that managed care's stronghold in this area may reduce the quality of care afforded patients affected by addiction. The paper provides a synopsis of the pros and cons, with an analysis of the ethical considerations related to health care in general, as well as ethical considerations specific to the field of addictions treatment.
Outline:
Introduction
Benefits of Managed Care
Conflicts or Cons of Managed Care
Ethical Conflicts
How Does Managed Care Impact Ethical Codes
Recommendations and Conclusions
References
From the Paper
"Most of the goals associated with managed care are benevolent in nature. These include focusing on cost containment and quality improvement among health care organizations (Gervais et al. 1999). To this extend managed care agencies are interested in providing comprehensive mental health benefits, they simply aspire to do so in a cost effective manner. Initially managed care organization's primary focus included expanding access to quality health care services for those that were often uninsured or those that lacked adequate health care insurance because of their financial status (Gervais et al. 1999)."
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Managed Care, 2007.
A discussion of the failures of the managed health care system in the United States.
1,409 words (approx. 5.6 pages), 6 sources, MLA, £ 23.95
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Abstract
The paper discusses how the American health care system is in a prolonged crisis state. The paper provides a brief overview of managed care, its history and development and the transformations that happened over time that have created the present state of health care. The paper portrays the problems of managed care and its unethical, unprofessional and profiteering approach. The paper maintains that the government should intervene and set right an ailing system.
Outline:
Thesis
Introduction
Managed Care (The Beginning)
Managed Care Facts
Managed Care Mismanaged
Conclusion
From the Paper
"The United States is undoubtedly one of the best-developed countries in the world with high standards of living. Unfortunately, though, the country is struggling with a health care crisis, which is running deep and threatening to undermine the moral and ethical basis of care provision. Without any universal health care plan, American citizens today are left under the mercy of commercially minded HMO's (health maintenance organizations) whose primary concern is not always delivery of optimal care but rather minimizing costs even at the cost of care denial. The HMO's, which constitute the delivery of managed care, have thus created such rancour among the public and even the doctors."
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Managed Health Care, 2007.
This paper discusses features of managed health care and looks at their probable success or failure.
1,478 words (approx. 5.9 pages), 5 sources, MLA, £ 24.95
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Abstract
In this article, the writer presents a discussion of various aspects of managed health care and evaluates their validity and success rate. The writer explores cost containment, health prevention, health population focus and other elements of managed health care to determine their probable success or failure. The writer notes that whereas years ago, managed health care was a rarity in the health care and insurance industry, it is now moving toward becoming the most commonly system used for health care delivery. The writer concludes that the world of managed health care is expanding and with that expansion comes improvements.
Outline:
Introduction
Health Prevention Methods
Cost Containment Strategies
Quality Improvement
Population Health Focus
Conclusion
From the Paper
"As America's health care costs continue to skyrocket and the public demands changes managed health care has continued to expand its services nationwide. Whereas years ago managed health care was a rarity in the health care and insurance industry, it is now moving toward becoming the most commonly system used for health care delivery. Several decades ago, managed health care was the brunt of many problems. Those who were using it through their insurance plan believed that they were getting substandard care and there were many complaints lodged about having to wait months for appointments and once the patient was at the doctor he or she failed to order appropriate tests to determine the cause of the patient's symptoms.
As time moved forward however, insurance companies began to depend more on managed care providers and with those changes came improvements in the system. Currently managed health care offers a wide variety of health care needs and provides tests, diagnostic and curative measures to their patients, but one of the most significant things that managed health care offers is preventative maintenance. The field of managed health care is a numbers game. The system is counting on more people paying premiums and not needing to be treated for anything than patients who have medical issues to be dealt with. One of the things that managed care organizations do to prevent the rising cost of medical care is provide solid and consistent preventative care options to encourage patients to get check ups and work to treat any problems that arise while they are still at their beginning stages. "
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Managed Care, 2002.
A look at the issues concerning fee-for-service vs. managed health care in relation to the elderly population.
1,435 words (approx. 5.7 pages), 10 sources, MLA, £ 24.95
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Abstract
This paper examines how in recent years, managed health care has flourished, particularly in relation to the elderly population. It shows how how, after the change in Medicare services from fee-based to managed care, senior citizens have seen a number of changes to their health care, both in terms of their options as patients and in the services received. It looks at how these changes impact the patients, their families, and the medical staff responsible for their current state of health. It also analyses how, with the extended use of advanced practice nurses, tighter ethical control, and more participation of health care providers, there is hope that the managed care system can still function as designed and how, if steps are taken to ensure quality and quantity of providers, the managed care system can lead to lower costs and better care for our elderly population.
From the Paper
"By definition, managed care is as a combination of insurance and a health care delivery system. The goal of managed care is to organize all health care services received by a patient in order to maximize the benefits of those services, and to minimize their costs. By using a predetermined network of health care providers, the managed care system can avoid over inflated costs. In addition, by requiring prior approval from a primary care doctor for certain services, managed care also avoids unnecessary health related tests and other costs. Managed care plans use their own network of health care providers and a system of prior approval from a primary care doctor in order to achieve this goal."
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Managed Health Care Systems, 2004.
Presents a new model of model of managed health care in the U.S. using a systems approach.
7,200 words (approx. 28.8 pages), 14 sources, APA, £ 83.95
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Abstract
Health care in the United States has a long history; from the traveling physician who provided services in private homes and charity organizations, to government programs such as Medicare and Medicaid that proceeded hospital construction, and the relatively recent trend of managed health care. Along the way, innovation and competition facilitated new health care technologies and services that offered numerous approaches to prevention, treatment, and management of diseases. In a bold new health care policy, integration and collaboration between the public and private sectors of health care is not only an option, but a necessity in providing the most efficient and sound health care services and options. This paper examines health care in the U.S. from a historical and current perspective and concludes by introducing a new model of managed health care utilizing a systems approach.
Table of Contents
Introduction
Historical Examination of Health Care
Public Sector Health Care in the USA
Private Sector Health Care in the USA
Types of Managed Care Organizations
HMO Models
The Merging of Public and Private Health Care Models
A New Universal Managed Health Care Model
Conclusions
References
Appendices
From the Paper
"The managed health care industry did slow the growth in health care spending. Moreover, by extending coverage to services provided in an outpatient setting, it reversed the artificial preference for in-patient care that was created by indemnity insurance benefit designs. By focusing on clinical variability in physician practices, the shift to managed care forced the elimination of some unnecessary care. It also provided a stabilizing force to professional fees and institutional charges."
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Managed Care and Changes in the Nursing Profession, 2002.
An overview of managed care in the U.S. and discussion of its impact on the nursing profession.
650 words (approx. 2.6 pages), 5 sources, £ 13.95
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Abstract
This paper gives a brief history of managed care in the US, and discusses how the practice and the profession of nursing has changed with the growth of HMOs, PPOs, and other managed care organizations. Generally, this has meant a greater involvement with insurance liability, increased patient access (for the employed population), and increased nurse involvement in decision making. The paper also discusses differences between nurse and physician "culture" that have been brought to the fore in the managed care environment.
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Managed Care, 2006.
A debate on managed care versus traditional health insurance.
977 words (approx. 3.9 pages), 5 sources, APA, £ 17.95
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Abstract
This paper discusses the advantages and disadvantages of managed care. It begins with a brief explanation of traditional health care. The author then explains that the benefits of managed care include medical treatment for the individual at reduced costs. The paper highlights the problems between managed care and doctors. It concludes with the author's personal opinion on these problems.
From the Paper
"Even though dealing with managed care seems like a very trying ordeal, medical workers in the present-day seem to be handling it remarkably well. There is no doubt that it creates a greater strain on the medical profession in general, and that there is much more in the way of paperwork and decision-making that these individuals have to deal with. Just a few years ago, most of the professional's day revolved around taking care of the patients that needed attention. Now, thanks to managed care organizations, much of the same individuals' day revolves around the paperwork necessary to make sure that the rights of those same patients are being upheld as much as humanly possible."
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Managed Care and the Patient-Physician Relationship, 1997.
This paper evaluates how managed care services are changing the dynamics of the patient-physician relationship.
3,270 words (approx. 13.1 pages), 14 sources, MLA, £ 48.95
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Abstract
This paper evaluates managed care and its negative implications on the patient-physician relationship. The author views managed health care as a serious threat to the trust embodied within the traditional patient-physician relationship. It is further argued that if this trust erodes, there cannot be any assurance about the adequacy of that health care system.
A Physician's Conflicting Loyalties
Managed Care Compromises Patient Autonomy
Ethical Problems Associated with Financial Incentives to Limit Care
Solution: Preserving the Physician's Role
From the Paper
"The foundation of the physician-patient relationship is the trust embodied within. It is based on the premise that physicians are primarily dedicated toward their patients, who can expect that physicians will honorably serve them even if it means putting the physician's own health at risk. They can rely on physicians to do everything in their power to help them. (Morreim, 23) It is this trust that enables patients to communicate private information and to place their health, and indeed their lives, in the hands of their physicians. No other individual in the health care system is in a position to assume such an important responsibility, such as the one that physicians have towards their patients. It is this trust between physicians and patients which is the backbone of any successful health care system; without it, there can be no assurance about the adequacy of that system."
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Managed Care, 2002.
An examination of the phenomenon of managed care in modern health care.
1,614 words (approx. 6.5 pages), 6 sources, MLA, £ 27.95
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Abstract
This paper introduces, discusses, and analyzes the use of managed care in modern health care. Specifically, it includes a brief history of managed care, and positive and negative effects of the process are outlined. The paper provides an understanding of the differences between traditional health care and managed health care.
From the Paper
"Managed care is not a new phenomenon in health care. In fact, it has existed in the United States since the 1920s. "Historians cite the 1930s as the beginning of managed care as we know it today. The launch of the Kaiser Health Plan during World War II resulted in the first clinic-based system of managed care" (Editors). Edgar Kaiser, the founder of the Kaiser Health Plan (still one of the largest and most successful managed care plans), created an American phenomenon. Managed care is strictly an American invention, and still proves most popular in the United States."
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Managed Care, 2002.
A study of managed care facilities and how they can benefit the patients being cared for.
2,400 words (approx. 9.6 pages), 5 sources, £ 45.95
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Abstract
This is an investigative report on the effects of managed care on the quality of health care. Managed care is a belief that a health care system should work to keep people healthy. However, when people are sick or injured, the health care plan should work to assure the right treatment in the right setting by the right person. There are various forms of managed care.
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Managed Care and Physicians, 2002.
Presenting the physician's view on managed care within the health sector of the United States.
1,145 words (approx. 4.6 pages), 6 sources, MLA, £ 20.95
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Abstract
Many physicians agree that managed care is not doing the job it was originally created to do. This paper shows that, although reform efforts have not worked in the past, many doctors believe now is the time to revisit reform to combat the lack of health care access to a growing number of Americans, escalating costs, and deteriorating quality. This paper explores the evolution of managed care, and its problems and possible solutions from the viewpoint of two organizations representing the interests of physicians.
From the Paper
"In 1993, President Clinton introduced a plan for regulated health care reform in response to escalating costs and the growing ranks of the uninsured. From 1970 until the time of the reform proposal, health care spending had increased from $74.4 billion to $752 billion annually. The Clinton proposal was met with huge opposition from the "medical industrial complex" comprised of insurance firms, pharmaceutical companies, hospital suppliers and medical device companies and from the public who had been led to believe that the plan would give the average American less choices and higher costs. After the plan was rejected, Americans turned to managed care to control health care costs, to improve the quality of care, and to preserve their choice of provider and insurance plan. By 1999, ninety-one percent of all employees with health insurance were enrolled in managed care programs ranging from Health Maintenance Organizations (HMOs) that require enrollees to select from a network of doctors, to Preferred Provider Organizations (PPOs) that provide more flexibility in doctor selection at a higher cost than HMOs."
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Understanding the Managed Care System, 2006.
This well-researched paper examines the history and current state of the managed care system which began in the 1940s with the creation of prepaid group health cooperatives.
3,110 words (approx. 12.4 pages), 7 sources, APA, £ 46.95
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Abstract
This in-depth paper explores the managed health care system in America. The writer of this paper details the evolution of the managed care system from its inception in the 1940s when health care was developed through the arrangements of an enrolled population and a group of physicians who agreed to work on salary versus on a fee-for-service basis. Also discussed is the government-led reform which resulted in the 1973 passing of the HMO Act, as well as the political and ethical issues regarding doctor-patient confidentiality.
From the Paper
"The trend is gradually changing as local officials become better educated and experienced with human service programs and supportive local interest groups. This is the result of human service personnel and advocates beginning to realize the need for understanding and working effectively with the local political officials. The matter of politics is a two way street. Human service personnel need to learn more about politics. Political officials in turn can benefit from human service personnel involvement. Citizens and policy makers both recognize that better ways are necessary to conduct politics."
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Managed Care in the United States, 2006.
A look at the origins and history of managed care in the United States.
900 words (approx. 3.6 pages), 6 sources, £ 18.95
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Abstract
Managed care in the United States consists of Health Management Organizations (HMOs), Preferred Provider Organizations (PPOs), and Medicaid and Medicare. These organizations arose as the growing population of the United States began to demand forms of health insurance that would not only provide services to workers but also their families. This paper discusses managed care health organizations in the US, looking at the reasons these organizations came into being, their origins and their original purpose.
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