Question

In: Nursing

Create an essay, Explaining with at least three specific reasons, why Medicaid managed care is more...

Create an essay, Explaining with at least three specific reasons, why Medicaid managed care is more complex than private sector managed care or Medicare managed care in regards to providing services to patients.

Solutions

Expert Solution

The Medicaid managed care become more complex than private sector managed care because of

1. Provided substandard quality health care, partial access to specialists, and restrictions on stay in the hospital.

2. The Medicaid managed care organizations provide delivery of Medicaid health through contracted provision agencies with extra services settlement to the patients.

3. On the other hand, the compensation for hospital and payment for the physician are very low levels that provide insufficient health care.

Despite the fact that, the private sector managed care or Medicare managed care is new types of providing services to patients because of

1. It generated outstanding healthy competition, complete access to specialists and no restriction on the stay in the hospital.

2. The controlled price, exploitation and standard quality of supplies in the Medicaid health care market providing an excellent system in health care delivery,

3. In addition to leading to changes pattern of physician practices regards to providing services to patients.


Related Solutions

What are some of the reasons Medicaid managed care is more complex than developing private sector...
What are some of the reasons Medicaid managed care is more complex than developing private sector managed care programs and has led to more specialized firms dominating this market?
List the three reasons Medicaid enrolled members in managed care plans. (3-7 sentences)
List the three reasons Medicaid enrolled members in managed care plans. (3-7 sentences)
Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid...
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....
Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid...
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.
The three types of revenue sources you will cover are the following: Medicaid. Medicare. Managed Care....
The three types of revenue sources you will cover are the following: Medicaid. Medicare. Managed Care. For each of the revenue sources, you must do the following: Explain the purpose of the program. Analyze the process of reimbursement for health care organizations. What steps must be taken in order to receive reimbursement for services? How complicated is each step? What kind of information is required from the organization? How long does it take to receive reimbursement? Explain the benefits of...
What has happened to Medicaid managed care enrollment since 2012?
What has happened to Medicaid managed care enrollment since 2012?
Discuss the current status of Medicaid Managed Care in South Carolina. What are the benefits and...
Discuss the current status of Medicaid Managed Care in South Carolina. What are the benefits and challenges faced by this State and why? How is the state capitalizing on the benefits and how are they mitigating or responding to challenges? If your state does not participate, choose a state to discuss that does. Please include references
Discuss at least six reasons explaining why employer needs to surveil employees.moreover Discuss possible abuses and...
Discuss at least six reasons explaining why employer needs to surveil employees.moreover Discuss possible abuses and negative consequences of surveillance at workplaces and raise its effects on the employees’ privacy and performance.(separetly) (at least six)           
Explain at least three reasons why firms would care about allocating support/service department costs and provide...
Explain at least three reasons why firms would care about allocating support/service department costs and provide examples. please provid the answers with apa style referencing
Create an essay, explaining the fraud triangles three basic elements. Pick one and explain how you...
Create an essay, explaining the fraud triangles three basic elements. Pick one and explain how you might minimize its contribution to fraud. THE FRAUD TRIANGLE *Rationalization: the person doing it can devise a reason or excuse for committing fraud.They pay me too little.The insurance company is making too much money. * Pressure: need to pay bills. Drug addiction, Usually a significant financial issue.The recent recession provided lots of pressure to commit fraud. * Opportunity: ability to commit fraud, can be...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT