Question

MANAGED CARE AND HEALTH INSURANCE PROJECT Pros and Cons of Managed Care in America Students will submit their Managed Care Project in APA format Introduction: Students will submit a one paragraph introduction of the topic they will be discussing. Body of the Paper will include the following. Explain your topic in detail. Define the Challenges and Problems with your topic. What are recommended solutions to the challenges and problems? Are there any implementation to solve the challenges and problems? What is your opinion on the topic and what would you do if you were in charge to fix the problem. Conclusion

Answer 1

CHALLENGES OF MANAGED CARE AND HEALTH CARE PROJECTS: The major challenges related to healthcare projects are a) the historical rivalry between the clinical professionals and lack of shared incentives b) the financial and clinical professionals difficulties that faced when working together c) poor and lack of enthusiasm for the project objective and d) misunderstanding and poor communication skills.

PROBLEMS: a) limited financial responsibility for consumers and employers b) limited provider networks and offering less restrictive managed care products and c) less contentious contractual relationships with providers.

RECOMMENDED SOLUTIONS: The recommended solutions will depend on the purchasers. They include a) moving to less restrictive managed care b) rebuilding relationships with providers and c) safeguarding profitability were implemented at a time when national and local economies were particularly robust with tight labor markets and general prosperity. Moreover, managed care has introduced changes such as cost effectiveness, access to care and quality of care to many components of the U.S healthcare delivery sytem. It also has a negative impact on physician-patient relationships and any healthcare reform that is aimed at reducing costs is likely to reduce productivity pressures.

IMPLEMENTATION TO SOLVE THE CHALLENGES AND PROBLEMS: To overcome these challenges, quality problems should improve with a) lack of access to needed care b) inadequate physician capacity and time spent with patients c) lack of access to specialists d) emergency care and improvement in women's healthcare.