Managed healthcare is becoming increasingly significant to many people today. In order to clearly understand this type of healthcare and its value, though, it's necessary to focus on how managed care is different from other types of healthcare. This particular paper is an outline and annotated bibliography in preparation for the creation of a paper on managed healthcare.
Managed Healthcare Approach
The value and benefit of managed healthcare today
The issues that plague managed healthcare today
Background of healthcare
Healthcare throughout history
The current state of healthcare
Definition of managed healthcare
What the dictionary says regarding managed healthcare
The different types of managed healthcare
Background of managed healthcare options
HMOs and PPOs
Other kinds of managed healthcare choices
Pros and cons of managed care
Pros of managed care
Cost benefits to people who need healthcare
Cost benefits to those who work at/operate hospitals and doctors' offices
Ensuring that more people have access to healthcare
Creating a more equal playing field for people who want and need healthcare
Avoiding so many bankruptcies do to healthcare costs without insurance
B. Cons of managed care
More doctors turning down particular healthcare plans
A lack of good doctors "in network" for people - especially in rural areas
3. A lack of networks in general for people in many areas of the country
4. Not everyone qualifies for managed care plans
5. Not everyone can afford a good managed care plan
III. The future of managed healthcare
A. Where healthcare is right now
B. Where healthcare is going in the immediate future
C. Where healthcare is going in the longer-term future
What doctors can do to help managed care succeed
V. What patients can do to help managed care succeed
VI. What hospitals and other facilities can do to help managed care succeed
VII. Alternatives to managed care options
A. Ways for hospitals to better manage healthcare
B. Ways for doctors to better manage healthcare
C. Ways for patients to better manage healthcare
VIII. Conclusion
A. Restatement of thesis
B. Wrap-up of information on the background of managed healthcare
C. Wrap-up of information on present managed healthcare issues
D. Wrap-up of information on future managed healthcare issues
Annotated Bibliography
Asch, S.M., McGlynn, E.A., Hogan, M.M., et al. (2004). Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. Annals of Internal Medicine, 141(12): 938-945.
This article takes a look at the health care differences between VA patients and patients with non-VA care. This is important to the managed care discussion because VA is much more of a managed care situation than most people deal with when they go to a doctor or hospital. That can allow for a good comparison between managed and non-managed care situations, and can also help make recommendations and draw conclusions about the future of healthcare if managed care becomes the norm in the United States.
Cox, T. (2010). Legal and ethical implications of health care provider insurance risk assumption. JONAS Healthcare Law, Ethics and Regulation. 12(4):106-116.
How healthcare providers really feel about managed care and other forms of insurance is very important. If doctors and hospitals do not feel good about the payments they receive from specific managed care organizations, they may choose not to work with those organizations. That can leave a large number of patients without care in their local area that is included in their provider network - and that is not going to be beneficial to the growth of managed healthcare in the future.
Cox, T. (2006). Professional caregiver insurance risk: A brief primer for nurse executives and decisionmakers. Nurse Leader, 4(2): 48-51.
The different kinds of insurance offered for those who want or need medical coverage is very important. Managed care is part of that insurance landscape, but it is relatively new in the grand scheme of things. Those who are professional caregivers have to be aware of the risks they take when they accept particular kinds of insurance, so they can make proper determinations as to whether they should avoid one or more insurance plans.
Hogg, W., et al. (2005) Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis." BMC Health Services Research 5:20.
Whether managed healthcare can reduce overall costs and allow for better and more comprehensive preventative care is a serious topic for discussion. Anything that will allow for better treatment of patients and a reduced cost to those patients and their insurance companies should be explored. It is the aim of managed healthcare to do this, but whether that aim is being met is significant.
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