Managed Care Organization Analysis

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Pages: 2

The main goal of managed care organizations is to manage the quality, costs and use of health care services, and plans are available in different forms. ACO, Accountable care organization, is one of the latest reformed versions of managed care and it provides alternatives to the traditional HMO and PPO plans. ACO is a network of health care providers, health institutions, and private companies who come together to provide coordinated care for patients. This network of providers and institutions are contracted and held responsible for the quality and cost of the medical care of their assigned group of patients (1). This organization, like other managed care organizations, coordinate care through the efforts of primary care providers, however

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Nurse Managed Health Centers Essay

NURSE MANAGED HEALTH CENTERS AND PATIENT-CENTERED MEDICAL HOMES COULD MITIGATE EXPECTED PRIMARY CARE PHYSICIAN SHORTAGE Des Moines University ABSTRACT There has been an enormous focus on the impending increase in baby boomers approaching the year 2025 and the predicted shortage of primary care providers. This focus has only increased with the implications the Affordable Care Act has created through its provisions of increased insurance coverage for the uninsured. The numbers…

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Professional Psychology: Research & Practice Journal Analysis

already existing healthcare organizations. The study, which was conducted in 2011, examined and evaluated the structure of an existing healthcare center system to see the implications of this combination of services. The researchers, who vary from physicians to clinical psychologists, conclude that this type of system results in better health outcomes and a more efficient use of funds. This study was conducted after the passage of the Patient Protection and Affordable Care Act (2010). The focus of…

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Essay on Healthcare Organizations

autonomous and not-for-profit organization that certifies and accredits at least 19,000 healthcare programs, facilities and organizations in the US. Certification and accreditation awarded by JCAHO is acknowledged nationally as a mark of quality reflecting its commitment towards achieving certain quality and performance standards. JCAHO has the duty of enhancing healthcare for Americans through partnerships with other stakeholders and evaluation of healthcare organizations and encouraging them to embark…

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History Of Managed Care

the outlook and cost of health care coverage and services has dramatically changed, forever altering the manner in which health care was previously looked at. Since the early 1980’s fast growing enrollment in managed care health insurance plans has changed the health insurance market in the United States. Managed care was basically nonexistent in most markets 4 decades ago; managed care health plans covered 63 percent of the nation’s employee’s by 1994. Managed care plans incorporate different features…

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Health Care Essay

Abstract This research project will discuss American companies current healthcare benefits package offered in today's global businesses compared to a decade ago. The evolution of healthcare agencies and the competition of managed care organizations for working class have escalated and at the same time, the number of uninsured Americans continues to rise. Innovations in healthcare market are continuing to improve and break thru with new technology despite the high-cost of premiums and…

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Essay on Features, Capabilities and Operational Benefits in a Healthcare Organization

IM / IT Analysis Laura Wilson HSA 520 Adaptive Health Management Information Systems Dr. Harold Griffin May 25, 2014 1. Abstract In this paper, I will determine, within the healthcare setting, the main features, capabilities, and operational benefits to a health care organization using the following: patient care applications, management and enterprise systems, e-health applications and strategic decision-support application, next I will assume the responsibility of a healthcare…

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Economic Tools and Concepts Essay

Economic Tools and Concepts As one leader in the free world more money is spent on health care in this country than any other industrialized nation. The major expense to the health care system is managing chronic diseases and illnesses. Each year trillions of dollars are spent on health care, which continues to be an economic burden in this country. The impact on the economy can be attributed to increasing health care costs, declining health of Americans, and decrease productivity among workers (Preventive…

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Homework: Project Management Essay

unique purpose, transience, progressive elaboration, various resources, sponsorship and uncertainty. Projects end when they meet their goal specifications but what people do in their day to day jobs needs to be done every day for running their organization successfully. The success of projects depend on three key factors, its scope, time and cost goals. These constraints are referred to as the triple constraints. 3. Project management is the process of applying all the available tools, resources…

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The Body Shop Essay

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Facilitator: Total Quality Management and Financial Performance Essay

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Words 1185 - Pages 5