Question

Fine an  article about managed care in New Jersey or in the nation (2019 to current)

Be sure to select an article about managed care delivery; please do not select an article that simply discusses how managed care has become more prevalent in Medicaid.

Summarize the article in your own words and categorize the article as a positive, negative or neutral portrayal of managed care.  

Answer 1

Ans) The rise of managed care over the last quarter century can be attributed to the rising cost of health care for government and private insurance companies and as the costs of health insurance continue rise, so does the cost that the individuals must pay in addition to insurance.

- Managed Care is a health care delivery system organized to manage cost, utilization, and quality. By contracting with various types of MCOs to deliver Medicaid program health care services to their beneficiaries, states can reduce Medicaid program costs and better manage utilization of health services.

- Physicians believe managed care is having significant impact on many of their professional obligations. Most respondents indicated that under managed care physicians are less able to avoid conflicts of interest and less able to place the best interests of patients first.

- Negative effects:

It limits care access for those who do not have insurance or provider coverage.
The rules of managed care are extremely rigid.
People are forced to advocate for themselves.
Patients often come down to dollars and cents.
There is a loss of privacy.