YOU WERE LOOKING FOR :Managing Managed Care
Essays 31 - 60
In twelve pages this paper examines how Medicare affects managed care programs. Ten sources are cited in the bibliography....
In seven pages this paper is formatted as a speech that considers managed health care and addresses the system's various problems....
In 11 pages managed care is considered in an overview of its pros and cons with the primary focus being on systems in the states o...
to the fact that it placed requirements on HMOs that were not in place on indemnity carriers, it actually served to reduce the abi...
the processes of care and generally utilizes claims data in order to discern rates of service delivery that are, in turn, linked t...
partners. The relationship dates back to at least 1945 when Harry Truman wanted to "wage war against infirmity" (Jones, 2003, p. 3...
that MCOs develop their capacity to handle changes that are driven legislatively by congressional response to public reactions to ...
a Magellan representative who informs you of current provider network opportunities in your geographical area. If these opportunit...
staff or group model HMOs would provide all health care by the mid-1990s, but, in actuality, such HMOs have been declining in numb...
it actually created more problems than it solved? An Overview of Fragmentation Once upon a time, medicine was a fairly str...
Unlike the nonprofit hospitals that are becoming increasingly rare, HMOs are not required to provide any service to anyone who is ...
their doctors fidelity and integrity to put their medical needs ahead of the doctors financial interests. "The most significant s...
as HMO, PPO, POS, EPO, PHO, IDS and AHP (IHA, 2002). This is creating a service that can be seen as dividing...
cover the costs of catastrophic illness, but otherwise they maintained their own routine health care. The route of health care ac...
providers fees be "normal and customary," and those care providers who have attempted to set lower fees for those without any safe...
majority group in the United States. When considering other population groups, the disparities are even greater. The purpose her...
and more nurses are standing at the front lines of managed care, acting somewhat as liaison between the patient and managed care o...
have different health care needs than their non-disabled counterparts (Donegan Shoaf, 1999). Medi-Cal is one such health c...
twentieth century, with accusations that it has failed to live up to the demands placed upon it by the ever-growing population, ef...
Wagner 35). It is also suggested that the practitioner should, of course, thoroughly read the contract, but also that practition...
By the early 1930s, the issue had become politically viable and in 1938 "the struggle over control of health care spilled over int...
In most states, regulations concerning private managed care companies and programs are put forth primarily by the states insurance...
stability, while the goal of tertiary prevention "is to help the patient return to wellness following treatment" (Torakis and Smig...
to the inclusion of a six to one student to teacher ratio. Other considerations for a business owner in general is to examine insu...
the caregiver needs other information, information that is clinical "for patients or covered members from all segments of integrat...
the rate of such hospital mergers. One of these trends was the "phenomenon of Columbia/HCA," a for-profit hospital system that man...
figure would increase greatly in coming years (Cohen, 2003). There are twelve basic areas of social work practice, with each ar...
of literature about biomedical ethics relative to patient autonomy. This type of autonomy is limited, at best, with managed health...
In six pages this paper discusses problems including ethics that are confronting managed care workers and what is being proposed t...
In nine pages this paper discusses managed care in a consideration of future roles of specialized laboratories as detailed under n...