Question

In: Nursing

Provide suggestions and ideas on how to improve the managed care system. What is your role...

Provide suggestions and ideas on how to improve the managed care system.

What is your role going to be ensuring financial sustainability of your future organization? (use example of a health adminstrator role)

Are there any ethical implications of the decisions you would make?.

provide references

Solutions

Expert Solution

Managed healthcare provides insurance and provide healthcare services through a network of doctors, hospitals and medical equipment venders. This reduce costs associated with the delivery of healthcare services,

Suggesion and idea to improve managed health care system;

- Improvement include developing tools, collecting data, determining indicators of healthcare quality, analysing the data and reporting it. Improvement also need education initiatives. Information on the quality of care provided under managed care plans is useful to consumers and employers when trying to choose the best plan to purchase, and also to the to the plans themselves to determine where improvments need to made,' best care at lower cost'.

Improvement in technology.

Improvement in quality ao human resources.

Improvement in research capabilities.

In future, only companies that make sustainability a goal will achieve competitive advantage. That means rethinking business models as well as products, technologies and processes.

Government is an important initiative to create a system which will provide mutually reinforcing policies, recommendations to implement innovative performance and it provide a platform for collaboration amongst healthcare domain experts, stakeholders.


Related Solutions

how confident are people in the criminal justice system? What are some suggestions to improve it?...
how confident are people in the criminal justice system? What are some suggestions to improve it? please be comprehensive
Managed care is a system of health care delivery that aims to provide a generalized structure...
Managed care is a system of health care delivery that aims to provide a generalized structure and focus when managing the use, access, cost, quality, and effectiveness of health care services. There are various ways in which the managed care organization reimburses hospitals for their services. Examples of Managed Care Reimbursement Methods include the following: Percent-of-charge payment Per diem payment Case rate payment (DRGs and MS-DRGs) Ambulatory Patient Grouper (APG) Ambulatory Payment Classification (APCs) Other types of reimbursement (carve-out, stop-loss,...
what ideas do you have that may improve care in a hospital or clinic setting?
what ideas do you have that may improve care in a hospital or clinic setting?
(TCO 2) What is the role of the medical director in a managed care organization? Why...
(TCO 2) What is the role of the medical director in a managed care organization? Why is this such a crucial role for the success of the organization?
Provide a thorough analysis of managed care, and discuss how it, as a delivery method, has...
Provide a thorough analysis of managed care, and discuss how it, as a delivery method, has facilitated the transfer of health services to outpatient and other nontraditional settings of care. Discuss the impact managed care has on the access, financing, and delivery of health care in the United States. Discuss managed care’s role in promoting health. PLEASE USE SOMETHING THAT HAS NOT BEEN USED BEFORE!
Provide a thorough analysis of managed care, and discuss how it, as a delivery method, has...
Provide a thorough analysis of managed care, and discuss how it, as a delivery method, has facilitated the transfer of health services to outpatient and other nontraditional settings of care. Discuss the impact managed care has on the access, financing, and delivery of health care in the United States. Discuss managed care’s role in promoting health.
What are some health care system ideas. A system that maybe better than the system we...
What are some health care system ideas. A system that maybe better than the system we currently have today ?
offer suggestions of how multiculturalism can be incorporated into patient care or your organization
offer suggestions of how multiculturalism can be incorporated into patient care or your organization
What is the evidence concerning the effect of managed care? Is managed care cheaper for employers...
What is the evidence concerning the effect of managed care? Is managed care cheaper for employers that traditional indemnity approaches? Does managed care give enrollees a better deal (i.e., the same or better health care at lower cost)? Discuss factors that make answering some of these questions difficult to get right.
Discuss the role of managed care organizations and third-party payers and their impact within your health...
Discuss the role of managed care organizations and third-party payers and their impact within your health care organization.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT