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¶ … care I receive is delivered in a managed care style. The options of going to different care providers are limited so as to keep costs low, and my insurance company takes care of giving me a list of options. The doctors are designated along with the healthcare facilities -- and this goes to make up the provider network.
Much of the care that I receive also focuses on preventive medicine, so I am always told to take precautions and adopt healthy habits that will keep me from becoming sick down the line. Quitting smoking is one example of preventive care, and so I have adopted this approach.
The pros of managed care are that there is more emphasis placed on reducing costs and it is a streamlined program that is designed to help everyone in the long-term. The con is that there is not as much freedom of choice about where to go when health care becomes necessary.
The pros of traditional care are that the individual can pursue any type of care he or she desires because there is more freedom to choose and less stringent standards; however, the con of this is that it can sometimes end up being much more expensive over time.
My preference...
My perceived implications of a health care system that takes a strong visible position on disease management are that it is a good system that understands how by having everyone join together and form a sharing network of information and practices that are helpful for fighting disease, a better front can be established that protects everyone. Even just by opening up lines of communication and enabling persons to interact with more consistency and openness is an effective means of supporting disease management, and a health care provider that does this is leaps and bounds above those who do not.
Discussion Question 3
Disease management…
References
Cole-Lewis, H., Kershaw, T. (2010). Text messaging as a tool for behavior change in disease prevention and management. Epidemiologic Review, 32(1): 56-69.
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
Likewise, the therapist in front of the mirror is expecting a credible "performance" that illuminates and furthers the therapeutic process (Johnson et al., 1997). Solution-focused therapy encourages all participants to attend to their own wants and needs, not just those of their partners. Depending on the goal, therapists recommend that each participant take charge of caring for oneself as well as appreciating how his or her own actions influence others
managed care in modern health care. Specifically it will include a brief history of managed care, along with some pros and cons about the process. Managed care is an arrangement where an insuring organization accepts the risk for providing a defined set of health services, using a defined set of providers, for a defined population, in return for a fixed or regular per capita payment" (Lammers and Geist, 1997, p.
Consequently, there is need to adopt various measures that could help in reducing or limiting increases in medical expenditures. One of the ways that can lead to the reduction of health care expenses is by preventing illnesses. Statistics has clearly shown that in the United States, the causes of death have been grouped into different categories by laying down the exact causes instead of grouping them using the traditional oriented
, 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
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