Question

Differences in Managed Care and Fee-for-service. Does managed care give greater accountability for quality of care than fee-for-service

Answer 1

MANAGED CARE VS FEE FOR SERVICE :

Managed care provides payment to health care provider by insurance company. A fixed amount of money gets deposited to patient, employers and other health care members on a monthly basis. At the time of discharge the managed care will cover total bills of the patient and make them paid. At end of year this managed health care insurance come forward collects all the bills paid, and if any pay back is remaining they will collect total amount by showing differences. Managed care is one of the risky method of contract care where it will take benefits as well as other expenses.

Fee for service is the oldest and trusted way where the medical providers gets paid according to their provided care or services. One particular fixed payment has set for each and every medical professional which gets paid for their services. The prices are fixed for the medical professionals according to their cadre and level of expertise. Government, patient, insurance company can fix the pay in this fee for service. Hence fee for service is having a greater accountability in quality care than managed care.