Question

Class is: Managed Care

Who do you think should bear the risk for coverage costs and why? How is this paid for through our insurance system?

Answer 1

Managed care is the activities which are undertaken to reduce the cost and providing health insurance. It is also important to make sure that quality of care is improved by following managed care techniques. It is a health insurance that makes contracts with health care providers to reduce the cost of services.

Managed care organizations bare the coverage cost. They use a variety of financing methods to organize the delivery of health care. They also provide transportation services which are essential for patients with disabilities.

It is paid through the insurance system by many ways.patients pays a fixed amount for all the health care, and the insurer will bare all the further cost of the patient no matter what the services required which could also be higher than the actual treatment provided.Managed care organisations compare the prices of different hospitals and the identity the low prices hospitals and they recommended patients to visit those hospital which provide low cost or free health care services which are as effective as the high priceed hospitals. The managed care organisations make deals with the health care providers who are willing to give discounts, as large number of patients will be referred to these hospitals which in turn can benefit the health care provides as well. The managed care organisations provide incentives to the physicians, and by controlling the physician salaries. The benefit of managed care is to guide patients to low priced health care delivery services with a maximum level of effective health care.