Managed Care Study

Words: 1393
Pages: 6
Open Document
Complying with State and Federal Regulation of Managed Care
A number of current studies, including survey’s, have initiate that the mainstream of Americans has indulgence health care patient protections. Unions and health care physician are linking together in the provision of federal enforcing regulations. Numerous insurance and professional benefits have sprung a minor promotion to overthrow managed care regulation, requesting that the enforceable quality will power the increase of the health care costs intensely. Yet, the Congressional Budget’s the Office, whose everyday jobs includes casting out recommending legislation, estimations that the Consumer Bill of Rights would rise expenses by only 0.3%. Some states and the federal government …show more content…
• Still additional states have passed laws or remain looking at agreements of stability of care when a physician leaves a strategy and/or requiring outstanding process before dismissing a physician from the plan.
• Movement approaching the laws endorse absolute independent external grievance reviews are advancing in many states. Texas has already approved a bill that makes health plans liable for medical malpractice and many other states are considering similar bills.
• An identical number has authorized that HMOs will allow women to direct access to obstetrician/gynaecologists, although other states have passed bills allowing direct access to specialists for any reason.
• At least half of the states have passed laws banning “gag clauses.”
• A number of states have passed laws which involve plans to pay for emergency room services if a “prudent layperson” would have considered the condition an emergency.
• States are also seeing requests that the plans provide members with easily understandable literature about plan operations and …show more content…
Congress has revealed its readiness to interfere within the capacity of quality health care by passing the (HIPPA) 1996 Health Insurance Portability and Accountability Act of and two related new regulations, the (MHPA) Mental Health Parity Act and the New-born’s and Mother’s (NMHPA) Health Protection Act. These regulations contain a number of requirements that significantly destroys the health care plans. Yet, self-insured state and local governmental plans can designate to be disqualified from some most important portions of these regulations. More than a few hundred local governments have designated to apply for the indemnity but no states have applied to be exempt from the requirements of the regulations so
Show More

Related Documents: Managed Care Study

Managed Care Case Study

living. From my undergraduate studies, I learned that pharmaceuticals and medical technology were drivers of the inflation of healthcare however; my courses did not directly link the elderly to rising costs. Granted, my undergraduate courses were aimed at prepping students for the “what” and not the “how” of elderly care. One way to cut back on the costs associated with healthcare is through the implementation of managed care. The idea behind managed care is to stop patients from jumping…

Words 213 - Pages 1

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…

Words 1536 - Pages 7

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…

Words 1916 - Pages 8

Transition Readiness Assessment Questionnaire

The study was conducted with the aim of measuring the Health Care Transition readiness using the Transition Readiness Assessment Questionnaire (TRAQ) survey tool among 79 youths between the ages of 16 to 25 years and 25 parents who were receiving care from an adolescent or pediatric specific clinic. The analysis was done using logistic regression controlling for age and gender and the result showed that 70% of the youths and 67% of the parents believed in their ability of self-managed care with higher…

Words 144 - Pages 1

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…

Words 1619 - Pages 7

Professional Psychology: Research & Practice Journal Analysis

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 the study is on the Salud Family…

Words 271 - Pages 2

Essay about Health Economics

Policy Strategies to Improve Health Care Access in the Changing Urban Environment A B S T R A C T Urban communities continue to face formidable historic challenges to improving public health. However, reinvestment initiatives, changing demographics, and growth in urban areas are creating changes that offer new opportunities for improving health while requiring that health systems be adapted to residents’ health needs. This commentary suggests that health care improvement in metropolitan areas…

Words 4922 - Pages 20

Essay Changing Landscape of Health Care

The Changing Landscape of Healthcare System Margie R. Collins HCS/490 Health Care Consumer - Trends and Marketing June 23, 2014 Mr. Lance Danko The Changing Landscape of Healthcare System “We do not have a health care crisis in this country - we have a health crisis with a health care system incapable of dealing with it.” ~ Mike Huckabee, Former Governor of Arkansas “We have to move from illness to wellness. Businesses will have to invest in wellness. There is no choice. It’s not philanthropy…

Words 1048 - Pages 5

Changes in Healthcare Delivery Essay

Changes in healthcare delivery regarding managed care and quality improvement. Ethical controversies regarding stem cell research and human cloning. Healthcare Administration sampling and Implications of Market Profiles. Analyze how each has changed healthcare delivery on both the macro and micro levels. Provide specific examples of how both macro and micro impacts/changes: (a) Managed care and (b) Total quality improvement. On a micro level, although many Americans say they're satisfied with…

Words 1480 - Pages 6

Renaissance: Elizabeth I of England and Queen Elizabeth Essay

marry and have children · Their job was to take care of the household and cook · If a women didnt marry she had to become a nun · A women could only work if she was widowed or divorced · If a women did work she was underpaid Education during the Renaissance · Education didn't seem important to give to women · Some higher status women were given an education up to an extent · lower status women could only study to be a good housewife and future mother…

Words 406 - Pages 2