Question

In: Operations Management

assume the role of a healthcare administrator, and make a recommendation for or against a managed...

assume the role of a healthcare administrator, and make a recommendation for or against a managed care plan. Should your organization adopt this plan? Support your recommendation with the positive and negative aspects of the plan.

Solutions

Expert Solution

First, let me share positive and Negative aspect of the Managed Care Plan,

Positive Aspect:

This Manage care plan has changed the way that a patient takes health care services, it brought affordable health care services with several plans that could assist patient to get superior care, here, Health insurance fall into contract with Health care providers, health care hospitals, so patients can receive effective care at just affordable cost. There are several positive aspects or sides, that includes under Managed Care Plan, Patients will get multiple coverage plans, here, they can take service from health care service providers with their network. Hospital could generate more funds through such plan and that could help certain patients those are in need. Patients also can receive drug or necessary medicine at lower cost. It could involve more people with less investment over each month, such could save patient to pay burden fee, again, health care provider could provide improved service, as they get funded well without hesitation in the critical time.

Negative side:

Health care provider could provide their service to particular patients under such scheme. As it brings restriction on receiving services, in some cases, health care provider could also demand extra cost that is incurred and not covered under Managed care plan.

Yes, My Organization should keep such managed care plan, I will recommend to keep this managed care plan, with this plan, Patients and care providers could bring better health care plan as that procedure help to provide fund to the organization recurring basis, here, authority could assign the budget to introduce various innovative care program and essential care program.


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