Question

Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other. Managed care organizations emphasize physicians' responsibilities to control patient access to expensive hospitalization and specialty care, a principle dubbed "gatekeeping." Some argue that "gatekeeping" is unethical because it introduces financial factors into treatment decisions. Others say it improves quality by promoting the use of the most appropriate levels of care. Medicare is an area that often gets overlooked and is seen as a burden financially. Discuss alternatives to ease the drain on Medicare resources. Medicaid is shouldering an ever-increasing burden of cost for long-term care for the elderly, with enormous impacts on state budgets throughout the nation. Discuss alternatives to ease this drain on Medicaid resources.

Answer 1

1.Managed care -is intended to reduce unnecessary expenses and provide quality care at low cost by offering incentives to physicians and patients with lot of mechanisms,which includes low cost on hospitalization,treatment,outpatient surgery,etc.it includes 2 programs,Health maintenance organizations and preffered provider organizations.
2.Medicare - is federal program that intended to provide health coverage to 65 years and above with severe disability,no matter of their income level.
3.Medicaid - is a state and federal program intended to provide health coverage to low income level.
*Alternatives to Medicare resources:
it would be better if government involves keep the rule that,not to charge for the health care services to elderly 85 and more,and not to recommend any surgeries even.
Medicare provides long term care to the aged 65 and more for first 100 days of the care in skilled nursing homes for some conditions only with few medical home health benefits and physical therapy,speech therapy and occupational therapy.Later patients responsibility lies on their family members only,where again they search for the paid services with small family norm to take care of the oldage patient.
*Alternatives to Medicaid resources:
not to charge for basic care needs for elderly is the best alternative which promotes better care and better lifestyle.
Medicaid services rules are strict in not allowing the assets personally aside for the long term care needs.where they cannot even offer amount outside services.