Managed healthcare System: 2 pages

Assignment: Critical Thinking

Managed Care refers to the cost management of healthcare services by controlling who the consumer sees and how much the service costs.

Providers and consumers are concerned with the quality of care when the insurance companies are focused on cost control.

Explain the strengths and weaknesses of managed care system in the US healthcare system.

The book:

Niles,Nancy J., Basics of the US Health Care System,(2015)Second Edition, Jones and Bartlett Publisher

After watching “High Price of Health” and reading Chapter 9, “Impact of Managed Care on Healthcare Delivery”, both outline the strengths and weaknesses of this type of practice. Using examples from these sources (and/or any of your own sources of information) write if you believe that using an assembly line approach to providing healthcare is the best model.

Criteria

Points

Score

Introduction/ opening statement:

  • Healthcare is considered a business in the US, as part of our economy

2

Discussion/ description of issue

  • Identify strengths and weaknesses of managed care
  • What are the priorities of HMOs?
  • What are the priorities of providers?
  • What are the priorities of consumers?
  • Who is watching or regulating quality of care?
  • Cite evidence (facts and examples) to support your view

4

Concluding statement

  • How this is relevant to understanding healthcare and healthcare reform
  • Summarize your professional response and thoughts

2

Grammar/ Syntax/ Spelling

  • Well written and well organized

2

Total

10

link help you:

Frontline Price of Health:

http://www.pbs.org/wgbh/pages/frontline/shows/hmo/

High Price of Health Transcript Here is a transcript of this hard to find video

http://www.pbs.org/wgbh/pages/frontline/shows/hmo/etc/script.html

Ten Statistics and Trends about Physician Shortage

Never Events | AHRQ Patient Safety Network

AHRQ Patient Safety Information home page, link to Oregon

https://psnet.ahrq.gov/

 
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