Understanding the Managed Care System

Paper Summary:

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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