Question

In: Nursing

A managed care group may want to market their organization as being "the best" or "a...

A managed care group may want to market their organization as being "the best" or "a leader" in providing certain services/ treatment. How can this type or marketing effect quality of care and utilization of services, hence costs? (Minimum of 2 paragraphs including in-text citations and references in proper APA format)

Solutions

Expert Solution

marketing effect quality of care and utilization of services,hence cost:

quality in health care is a production of cooperation between the patient and health care provider in a supportive environment.health care quality can be improved by supportive visionary leadership,proper planning,education,training, and availability resources , employees and processes,and collaboration and cooperation among providers.people are constantly looking for quality products and services.improving quality through improving structures and processes lead to a reduction of waste,rework,delays,lower cost,higher market share.as a result,productivity and profitability improve.the presence of managed care organizations in a health care market may affect health care delivery for both managed care and nonmanaged care patients.

The relationship between managed care penetration in the health care market and expenditure for Medicare fee for service enrollees have demonstrated the existence of these types of spillover effects.managed care organisations control moral hazard in the use of medical care by adopting various types of supply side mechanisms intended to affect the behaviour of providers treating patients enrolled in their plans. The presence of managed care organisations in a Healthcare market may also generate competitive pressure that influences treatment patterns for patients market wide. In the commercial Health Insurance market managed care organisations compete among themselves and with other types of insurers for enrollees. Lower prices create pressure on providers to reduce cost, and the actions physicians and hospitals taking response to this pressure may effect treatment patterns for all patients.the main resources are health insurance to the patients.

Total cost for running each health facility in a year was calculated by adding the annual cost on personal ,administrative,medicine ,consumables, equipment and vehicles. The average cost of running a health facility was obtained by summing the cost of running all the health facilities divided by the number of health facilities.

References:

1)Article of health care financing reviews , author of Joel W.HEY and GORGE MANDERS.

2)price quality relationship author of StevenM Shugan,university of Chicago.


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