Question

I also need the references in this assignment. What's in bold are the websites that can be used.

Throughout the course, you have been learning about managed care, both past and present. Conduct additional research on trends happening in managed care today. The following websites are a great place to start:

Centers for Medicare & Medicaid Services

Kaiser Family Foundation (Search for the series on health care marketplace trends.)

You can also visit the following videos related to managed care trends:

Managed Care contracting and Payer Scorecards

Monitoring Performance: A Dashboard of Medi-Cal Managed Care

After conducting your research, construct a 2-page report of your findings. At a minimum, your report should

Identify at least two trends that you feel have a great impact on managed health care today.

Discuss the effect these trends have on managed care.

Explain how these trends will continue to influence managed care in the future.

Evaluate the potential impact on government and state sponsored, Medicare and Medicaid programs.

Analyze and provide at least two reasons why implementing Medicaid managed care is so complex.

Answer 1

Kaiser family foundation
The foundation policy towards low income or vulnerable to health -care cost,uninsures,chronic illness and medicare and medicaid recipients..Foundation provides coverage of health policy issues and federal and state government levels in the health care marketplace and health care delivery system..it also providing training and site visits for health care reporters..it also having link with major media and corporate partners,government agencies and health departments,national leadership and community organizations,social groups,UNAIDS to work for global media AIDS initiatives..
    National public information response for broad cross section of public and private partners to promote the knowledge towards AIDS..They focused on community more..
Two trends impact on managed care:
   Conventional insurance,or indemnity or fee-for-service insurance..Having some restrictions on practitioners services to be covered,incentives for practitioners services seek more services because they are paid by third parties..more over health care plans for make arrangements to enrolles the health care services..they have criteria and standards for practitioners,marketing formal program for ongoing quality improvement and utilization review they have covered plan for financial incentives..Early practitioners of managed care improving quality and coordination of care..
Effects towards these trends have on manged care:
   Managed care focused on preadmission certification.managing benefits,utilization review,added fee-for-service,provider network,selective contracting and treatment planning and also reviewing utilization management and appropriateness of care and full continuum of treatment services..
   Managed care still has to be improve in shift from for-profit to non-profit care,consumers health plan decision,preventive medicines,long-term contract agreements,cooperative relationship between prividers and plans,universal health care coverage..short-term incentives must focused on long-term success of managed care..
Future plan:
   Managed care dramatically improved in future political climate for taking new decisions..for low-cast plan willing and able to pay for basic plan,if patient need more or better coverage then have to pay more that..single plan have multiple options with higher co-payments for less restictive options..effort for patient reimbursement to reduce incentives for health plans to promote health for the patient..small health plans led by health professionals focus for patient and physicians quality services and reducing the use of mediation..public policy play an important role in future manged care..governement created professionals norms in physicians -led managed care..and governement should take care of achivement of market power..improvement in technology improving managed care for lower the price for patient treatment...