Question

Managed care can be seen as a result of health care segmentation. Is this a positive or negative influence to the health care industry? Why or why not? Is it a positive outcome for the patient? Why or why not?

Answer 1

Ans) Many physicians surveyed believe managed care has significant negative effects on the physician-patient relationship, the ability to carry out ethical obligations, and on quality of patient care. These results have implications for health care system reform efforts.

- Managed care's effect on outcomes. While much research has been conducted on whether managed care delivery systems result in better outcomes than traditional fee for service (FFS), there is no definitive conclusion as to whether managed care improves or worsens access to or quality of care for beneficiaries.

- Managed care achieve continual reductions in the cost of medical care and resulted in lower insurance premiums. Studies indicate patient satisfaction and quality of care is similar between MC and non MC.