Managed Health Care

Paper Summary:

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. "

Sample of Sources Used:

• Jacobson, Peter (1995) Washington State Health Services Act: implementing comprehensive health care reform.(Medicaid and State Health Reform) Health Care Financing Review
• Exton, Lee (2002) Defined contribution health plans: cutting edge? (An Advertising Supplement: Staffing & Employee Benefits).(cost containment strategies for employee health care) Los Angeles Business Journal
• Fletcher, Meg (1995) Managed care use rises for workers comp plans. Business Insurance
• Doty, Hilary E (2001) The Role of Performance Measures for Improving Quality in Managed Care Organizations.(Statistical Data Included) . Health Services Research
• Radzyminski, Sharon (2006) Population health as a framework for forensic nursing curriculum. Journal of Forensic Nursing

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