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, income is quite often decreased and patient care sometimes adversely impacted due to time constraints, the need to hire a dedicated insurance person for the office, and the innumerable and sometimes counter-productive, forms and questions the HMOs ask of their medical professionals (See: Zimet, 1989, 2002).
The survey instruments were both quantitative and qualitative in nature, and included four to six sections: basic demographics; general information about the practice (theoretical orientation, hours worked, staffing, etc.); basic locus of stress and attitudes towards practice; financial aspects of the practice; and a burnout inventory (designed to identify factors contributing to job or field burnout). Sample sets were then cross-tabulated and the results presented in tabular form, along with a robust discussion.
One of the aspects of the research was to infer the evolution of the practice in relation to managed care parameters....
As expected, the study found that managed care often contributed to occasional reductions in direct services and caseloads because of managed care issues. Ironically, because of managed care reimbursements and caps on services, lowering the caseload because of bureaucratic details further exacerbated the situation, since less money was flowing in from fewer patients, but requiring more detailed fiscal and office management in order to make those reimbursements occur. (Rupert & Baird, 3).
The survey data, combined with a literature review, highlight two prominent areas of concerns. First, because of overall overt (and covert) managed care issues with reimbursement, traditional psychological testing received less emphasis, down to about 40%, than would traditionally be expected. This is due, in part to the amount of paperwork and justification required by managed care for even a partial reimbursement of testing, often seen as superfluous at
The reluctance to refer patients to specialists may also mean that nurses must practice more holistic, rather than specialized forms, of nursing. The desire for cost containment has resulted in many nurses assuming physician's duties, such as those duties confined in previous eras to the patient's primary care physician. In states with high HMO (Health Maintenance Organization) enrollment, more nurses were shifted to lower-paying nonhospital settings, such as in home
Managed Care Timeline Luke Medical Center, Pasadena, California - established The change in hospital concentration in 68 large metropolitan statistical areas (MSAs) between 1981 and 1994 is positively correlated with the level of managed care concentration in 1993/1994. Congress enacted the Emergency Medical Treatment & Labor Act (EMTALA) to ensure public access to emergency services regardless of patients' ability to pay. 4,908 hospitals in the United States have Emergency Departments. Crowded emergency departments arise because
D.). Accreditation is basically important for various functions such as promoting the quality of healthcare delivered to consumers and other purchasers of care. Secondly, the accreditation is important because it helps health care organizations and facilities to recruit and retain qualified practitioners. This in turn enhances organizational efficiencies to lessen costs, identify means for enhancing service delivery, and lessening liability insurance premiums. Organizations that Accredit Managed Care Organizations in America: There are
Managed Care is an approach or system of health care that manages the use of healthcare services, controls their costs, and evaluates the performance of healthcare providers. It is also considered as an approach to funding and providing healthcare services which focuses on controlling costs and enhancing the quality of care through several methods. Some of these methods that are used in managed care to help accomplish the described objectives
Managed Care Plans Analyze how the policies and practices related to Managed Care Plans can influence the activities of managers in health services organizations. Over the last several years, the role of health care organizations has been continually evolving. Part of the reason for this, is because costs have been rising exponentially. Evidence of this can be seen with a survey that was conducted by the Kaiser Foundation. They determined that over
Managed Care Organzations. (MCO) Since the increasing costs of health care insurance became a significant issue in the profitability of health care provider in the 1980's health care provider, insurance companies, doctors and hospitals have searched for creative ways to cut costs while not sacrificing care qualitative. What has evolved in the health care industry is a shopping list of various organizations which offer health care services. The different organizations all