1) MANAGED CARE
-- Managed care is the way of assembling the who are providing the health care to attain the 2 goals of controlling the costs of health and managing the quality of care. In United States of America there are private and competitive healthcare insurance system which makes managed care.
-- There are many importance for the managed care like :
-- The managed care system is always trying to reduce the healthcare cost without reducing the quality of care they are getting.
-- In the older days the patients were needed to make copies of their medical files but not it is not needed because the in new modern care one single authorization make it possible the network to access your files when seeing a provider.
-- simple prescription management.
-- Managed care guarantees the care with in the network.
2) Focus on health equity
-- The quality given in health and healthcare will be different in different populations and places.The study and cause of this is called Health equity.
-- By this everyone have the opportunity to gain good health .The inequities varies from health disparities which are having difference in health status between people who are connected to the different social and demographic factors like the gender, race and income .
-- And if the health insurance don't meet the minimum coverage standards spelled out in the affordable care act and you may need pay a fine.
3) Mandatory health insurance
-- All the insurance agents should provide this insurance without checking the clients age or health/ medical conditions.They don't have the right to make profit from this kind of basic insurance but can in supplemental plans .And the compulsory coverage provides for treatment in the case of pregnancy, diseases and any accidents.
-- The affordable care act says that it is required to have everyone a health insurance or pay a penalty.But according to the new law the businesses with fewer than 50 full time equivalent employees are not needed to give insurance to their employees.
4) patient participation
-- In the last many years the patient participation was used in many contexts like participatory medicine, patient centered care and health consumerism.
-- The idea behind the patient participation is individualization, respect, dignity, recognition , all matter own decisions, relationship in healthcare .
modern health policy in the UAE includes: (explain 4points below) 1- managed care 2-focus on health...
1- primary motivator for the development of managed care? 2- the government's role in the area of healthcare delivery? 3- in a national health insurance system health care is financed through what? 4- what type of justice is based on people's willingness to pay?
Select a health care organization. You can select any health care organization of interest -- a hospital, an insurance company, a long-term care facility, a pharmaceutical company, a community clinic, a durable medical equipment company, etc. Explain the services/products provided by this organization. Identify and explain the key health care industry trends that impact the type of organization that you selected. Explain which specific management skills a manager would need to help the organization that you selected to adapt to...
1. What is health policy? 2. What has been the focus over the last 4 decades, of health policy initiatives and legislative efforts?
1. What is health policy? 2. What has been the main focus, over the last 4 decades, of health policy initiatives and legislative efforts?
True/False 1. Health care delivery is the delivery of care for maintaining health. 2. Quality of life, in terms of health care, depends on daily functioning of the patient before the onset of ilness. 3. Lifestyle/behavioral factors that may contribute to poor health include abundant exercise. 4. OSHA's Injury and Illness Prevention Program is an example of a policy intervention. 5. Market justice and social justice are concepts that contrast with one another like two sides of a coin.
1- Outline (list)managed care requirements for patient referrals. 2- List three examples of insurance fraud and three examples of insurance abuse
1. Write on an article Developing nurse managed health center. 2. Write on government and health care. 3. Write on affordable care
DISCUSSION QUESTION 1-2 MH684 Managed Health Care Lesson 1: Managed Care: Its Origins and Development Upon completion of the Required Readings, write a thorough, well-planned narrative answer to the following discussion question. Rely on your Required Readings and the Lecture and Research Update for specific information to answer the discussion question, but turn to your original thoughts when asked to apply, evaluate, analyze, or synthesize the information. Your Discussion Question response should be both grammatically and mechanically correct, and formatted in...
2. The modern Doctor-Patient Relationship outlines our collective expectations of normative/ethical conduct all across the health care industry - briefly explain the historical origins of this relationship and then focus on defining/explaining the basic characteristics of this relationship.
DISCUSSION QUESTIONS 1. The focus of this chapter is home health and related 2. Patient-centered care is an important theme in this chap- community-based systems. What are your experiences with such settings? Do you expect to have more contact with them in the future? ter. Think about your experiences in practice settings Describe whether you consider your experiences to be patient centered 3. Describe your interest in and experience with standardized 4. Describe your interest in and experience with point-of...