| Papers [1-15] of 100 :: [Page 1 of 7] | | Go to page : 1 2 3 4 5 6 7 —> | Search results on "MANAGED HEALTH CARE": |
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Health Care Managers and Health Care Delivery, 2004.
Examines the relationship that exists between health care players, how they perform their duties, and how they join their forces in health care delivery.
2,367 words (approx. 9.5 pages), 9 sources, APA, $ 72.95
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Abstract
This paper examines and provides information on the roles and responsibilities that health care managers are tasked to accomplish in today?s health care systems. Moreover, this paper examines how a health care manager's job as a leader who ensures a smooth and organized management and operation of health organizations, influences his/her perspective on health care professions. The paper emphasizes the importance of understanding how health care managers perceive their duties in health care service.
From the Paper
"The basic role every manager must be able to render is the task of providing good human relations to everyone at work. Through this role, the objective of accomplishing jobs in an environment where good work relationship is maintained can be made possible. In the field of health care, healthcare managers must have the ability to perform this basic responsibility. A healthcare manager should be a specialist in managing the condition of the healthcare staffs. Though this duty may be perceived as a simple task, it is critical that a good human resource management be delivered to a health organization to ease the stress and pressure that health care providers, such as the doctors and nurses, experience from their duties."
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Health Care and Managed Health Care: The Need for Sweeping Reforms, 2002.
A look at role of primary care nurse practitioners in relation to health care reforms.
2,400 words (approx. 9.6 pages), 6 sources, $ 89.95
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Abstract
This paper investigates the role of primary care nurse practitioners in respect to health care and health care reform. The failure of primary healthcare is critically assessed, in the respect that health care is currently "managed" by independent "for- profit" organizations, where there is an emphasis on financial success rather than patient welfare. This paper also places a strong emphasis on the role of nurse care practitioners in the state of Florida and in community health care clinics.
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Managed Health Care Systems, 2004.
Presents a new model of model of managed health care in the U.S. using a systems approach.
7,200 words (approx. 28.8 pages), 14 sources, APA, $ 160.95
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Abstract
Health care in the United States has a long history; from the traveling physician who provided services in private homes and charity organizations, to government programs such as Medicare and Medicaid that proceeded hospital construction, and the relatively recent trend of managed health care. Along the way, innovation and competition facilitated new health care technologies and services that offered numerous approaches to prevention, treatment, and management of diseases. In a bold new health care policy, integration and collaboration between the public and private sectors of health care is not only an option, but a necessity in providing the most efficient and sound health care services and options. This paper examines health care in the U.S. from a historical and current perspective and concludes by introducing a new model of managed health care utilizing a systems approach.
Table of Contents
Introduction
Historical Examination of Health Care
Public Sector Health Care in the USA
Private Sector Health Care in the USA
Types of Managed Care Organizations
HMO Models
The Merging of Public and Private Health Care Models
A New Universal Managed Health Care Model
Conclusions
References
Appendices
From the Paper
"The managed health care industry did slow the growth in health care spending. Moreover, by extending coverage to services provided in an outpatient setting, it reversed the artificial preference for in-patient care that was created by indemnity insurance benefit designs. By focusing on clinical variability in physician practices, the shift to managed care forced the elimination of some unnecessary care. It also provided a stabilizing force to professional fees and institutional charges."
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Managed Health Care, 2007.
This paper discusses features of managed health care and looks at their probable success or failure.
1,478 words (approx. 5.9 pages), 5 sources, MLA, $ 48.95
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Abstract
In this article, the writer presents a discussion of various aspects of managed health care and evaluates their validity and success rate. The writer explores cost containment, health prevention, health population focus and other elements of managed health care to determine their probable success or failure. The writer notes that whereas years ago, managed health care was a rarity in the health care and insurance industry, it is now moving toward becoming the most commonly system used for health care delivery. The writer concludes that the world of managed health care is expanding and with that expansion comes improvements.
Outline:
Introduction
Health Prevention Methods
Cost Containment Strategies
Quality Improvement
Population Health Focus
Conclusion
From the Paper
"As America's health care costs continue to skyrocket and the public demands changes managed health care has continued to expand its services nationwide. Whereas years ago managed health care was a rarity in the health care and insurance industry, it is now moving toward becoming the most commonly system used for health care delivery. Several decades ago, managed health care was the brunt of many problems. Those who were using it through their insurance plan believed that they were getting substandard care and there were many complaints lodged about having to wait months for appointments and once the patient was at the doctor he or she failed to order appropriate tests to determine the cause of the patient's symptoms.
As time moved forward however, insurance companies began to depend more on managed care providers and with those changes came improvements in the system. Currently managed health care offers a wide variety of health care needs and provides tests, diagnostic and curative measures to their patients, but one of the most significant things that managed health care offers is preventative maintenance. The field of managed health care is a numbers game. The system is counting on more people paying premiums and not needing to be treated for anything than patients who have medical issues to be dealt with. One of the things that managed care organizations do to prevent the rising cost of medical care is provide solid and consistent preventative care options to encourage patients to get check ups and work to treat any problems that arise while they are still at their beginning stages. "
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Managed Health Care, 2006.
A definition of managed health care and a discussion about the importance of educating the public about their options.
6,587 words (approx. 26.3 pages), 12 sources, MLA, $ 151.95
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Abstract
This paper defined managed care as the effort to coordinate, rationalize, and channel the use of services to achieve desired access, service and outcomes while controlling costs. It then explains that risk-based managed care are organizations which provide or contract to provide health care in broad/specified areas for a defined population for a fixed, prepaid price. Various strategies are used to control costs and this is accomplished by offering a broad range of services at least the areas of hospitalization, physician care, various types of ancillary care and/or medications. The paper explains the importance of presenting the benefits in advance, along with payments expected from the covered individual or member, so that the person can make an educated decision.
From the Paper
"Health care expenses frequently are too expensive for the average individual to pay as they go, but are suitable for health insurance coverage. Managed care provides either the service directly or contracts to provide them. This differs from conventional health insurance, where the insurer would underwrite the coverage, but not become involved the delivery of services. Managed care providers take a financial risk for part or all of the cost of service. There are three levels of risk. First, full risk whereby the provider accepts all of the financial risk for providing services, as well as all profits and losses. Secondly, partial risks where the provider accepts a portion of the risk. Third, no direct risk to the provider, but receive incentives to control cost. The last one is found in various case-managed primary care arrangements."
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Government-Managed Health Care, 2003.
Questions whether Americans are better served by a government-managed health care system.
827 words (approx. 3.3 pages), 2 sources, MLA, $ 29.95
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Abstract
This paper examines U.S.A. government programs such as Medicaid and Medicare and compares them to private insurance. It shows the advantages and disadvantages of these programs and examines employer and government obligations.
From the Paper
"The consequences of under-funded government programs are persuasive. Low reimbursement for Medicare choice plans has caused many to pull out of markets across the country. Cuts in Medicare support payments for graduate medical education is causing cutbacks in residency programs, threatening to shrink the supply of incoming doctors. The below cost reimbursement of Medicare payments is damaging the long-term care industry. Many doctors cannot afford to operate on the small fixed payments of the insurance payments. Providers who are dependent on government business suffer more than those independent doctors, because they have little or no other patients than the elderly."
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Managed Health Care, 2004.
This paper discusses the affect of government regulation or de-regulation on the health care marketplace.
2,795 words (approx. 11.2 pages), 6 sources, APA, $ 83.95
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Abstract
This paper explains that managed health care influences customer service and health care delivery by providing a blueprint in which the customer is more valued than ever in this dynamic environment. The author points out that, although the system has drawn criticism from both those working inside the health care industry and this industry?s consumers, it is generally accepted that the increased competition, combined with cost-control initiatives, will result in better quality care for the consumer. The paper states that the main obstacles in the managed care system are Medicare HMOs, which dropped many older, unhealthy individuals from coverage to remain cost-effective, and other HMOs, which have adopted a marketing stance that appeals primarily to healthy individuals and denies those that are unhealthy the option of managed care.
Table of Content
History of Provider
Current Role of Provider
Current Provider Characteristics
From the Paper
"In the current environment, a widespread change in healthcare that occurred in the late twentieth century and is still getting settled today in terms of permanency and consistency, further divides political debate on the issue of national healthcare. ?Professional dominance in healthcare delivery had long favored the supply side of the market equation. With the growth of managed care, the balance has swung towards the demand side. This change has happened not just in the private sector but in the public sector as well?. The current system is a managed care system that expands healthcare options for many individuals, but critics state that this system still leaves too many people out in the cold when it comes to healthcare."
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Leadership and Management in Health Care, 2005.
An examination of the importance of correct leadership and management for a successful health care system.
2,687 words (approx. 10.7 pages), 6 sources, MLA, $ 80.95
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Abstract
This paper discusses how the most salient features of the current and future health care/aged care scenario are the increasing elderly population and the shift from private to government forms of payment; long-term care insurance is affordable to relatively few. It also discusses how, at the same time, with fewer people contributing to paying the bills, cost containment will be a factor. On the other hand, so will providing excellent care because the industry will be increasingly monitored. The paper stresses that the roles and responsibilities of the manager therefore must encompass financial management, customer service, and regulatory compliance. Moreover, attracting and keeping high-caliber staff, especially in traditionally low-paid areas, will also be necessary. The writer concludes that it will be essential for health care managers to achieve the highest level of professional competencies in half a dozen areas ranging from line supervision to global vision.
From the Paper
"President Clinton?s Secretary of Health and Human Services, Donna Shalala, used to tell a story about her mother, who was 86 at the time but still a full-time attorney representing several clients who lived in nursing homes. She would tell Shalala, ?Donna, I don?t care whether they are good nursing homes or bad nursing homes, you have to watch them like a hawk? (Cited in White House, 1998, quoted by Hovey 2000, 43). Clinton?s presidency was very aware of health care issues, even if it was unable to solve them. Shalala?s remarks were delivered at a press conference regarding nursing home regulation; arguably, under the current administration, issues of health care for the aged have gotten more problematical rather than less."
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Ethical Issues in Managed Health Care, 2004.
A look at the background and structure of managed care in an effort to reveal the underlying ethical issues and come up with a solution to the problem.
3,334 words (approx. 13.3 pages), 6 sources, MLA, $ 95.95
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Abstract
This paper examines how health care is a unique category of business in that every decision, whether it be clinical or economic, has an ethical component. It looks at how the ethical issues for "managed care" create four major categories of concern: professional, medical, business, and social. It also discusses how some of the most important areas for attention include the lack of professional code of ethics for physician executives, interference with the principles of informed consent and patient autonomy, violation of consumer rights, and social maleficence in obstruction to access and delivery.
Outline
Introduction
The Basics of Managed Health Care
Prioritizing Ethical Issues
Conclusion and Recommendations
From the Paper
"Medical directors and administrators in managed health care organizations today face those kinds of decisions every day (Woodstock Theological Center, 1999). For doctor like Stanley to be able to make good ethical decisions, they must understand the ethical issue involved in managed health care. Many doctors initially feel that the problems lie with the managed health care organizations, as they have seen first-hand many of the "unethical" decisions that managed care organizations make. However, recently, it has become apparent that people who are assumed to have the same perspective, such as the doctors, do not always agree on what would be the right decision. Second, doctors have begun to understand the perspectives of those with whom they disagreed."
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Risk Management in Health Care, 2005.
Examines how risk management is applied to the health care industry.
4,500 words (approx. 18.0 pages), 14 sources, $ 178.95
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Abstract
This paper discusses risk management first as a concept and then as applied to health care in the United States, noting that any human action involves a degree of risk, and managing that risk begins with identifying what the risk may be in each case. The paper shows that once this has been done, the next task involves deciding what to do about it, through a process of risk mitigation or risk reduction.
From the Paper
"Risk is a condition of life and is noted and measured and addressed in all human endeavors. Risk is encountered in financial matters, health matters, safety issues, the workplace, the home, and so on. Risk cannot always be predicted precisely, but risk management is an effort to ascertain risks and to prepare for them in whatever field in which it is applied. Any human action involves a degree of risk, and managing that risk begins with identifying what the risk may be in each case. Once this has been done, the next task involves deciding what to do about it, through a process of risk mitigation or risk reduction. The risk may also be transferred, such as takes place when a person or company buys insurance, an act which does not prevent the harmful outcome but which does compensate for it."
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Quality Of Managed Health Care, 1999.
Examines the conflict between economics and quality of care.
4,500 words (approx. 18.0 pages), 28 sources, $ 135.95
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Abstract
Examines the conflict between economics and quality of care. Discusses definitions, managed care strategies, examples, goals, measurement of quality, efficiency, public hospitals, Medicaid and recommendations.
From the Paper
"MANAGED CARE & QUALITY OF CARE
Introduction
Managed care programs are increasing in number with the goals of controlling health care costs and continuing to provide quality care. Questions exist, however, regarding the maintenance of quality assurance. The issue of managed care and quality of care is examined in this research. The specific question addressed in this research is as follows: ?Have we sacrificed our health care quality for the bottom line?? The position of this researcher is that the quality of care in the United States has been sacrificed for profitability in the managed care system.
Managed Care and the Evolving Health Care Environment
Changing social structures are leading to evolving approaches to the ..."
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Health Care Financial Management, 2003.
A comparison between financial management issues for health care institutions vs. other industries.
690 words (approx. 2.8 pages), 7 sources, APA, $ 23.95
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Abstract
This paper addresses the differences between financial management in health care and that in other industries. In particular, the paper examines the challenges facing health care financial management during the summer of 2003. The paper also looks at the need for health care organizations to avoid risk and to engage in financial risk management.
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Health Care Management in Queensland, Australia.
This paper discusses the mission of the Queensland government to promotion a healthier Queensland, Australia, through good management of the health care system.
2,410 words (approx. 9.6 pages), 5 sources, MLA, $ 73.95
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Abstract
This paper explains that the Queensland government builds the health care organization around four core values of professionalism, teamwork, performance accountability and quality, and recognition. The author points out that the group managing health care is a partnership with all federal, state and local governments and other non-government organizations with a common goal to ensure policies, programs and activities actively supporting good health. The paper relates the post-graduate education support, the management of redundant employees, and retrenchment.
From the Paper
"They are continuously in the process of developing strategies for the prevention of illness and injury and that is the area where they believe that there can be a great improvement. They are in the process of regularly identifying people who are at the risk of injury, illness or complications from their existing conditions of health and are in the process of taking steps to reduce the risk they are involved in and thus improve the quality of life for the people. There is a common strategy of all health care providers, both within and outside the government sector so that a stronger and more responsive primary health care sector can be built. At the level of the hospitals, the aim is to provide them with high quality, equitable acute and emergency care along with improved community based services."
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Health Care Management, 2003.
This paper is about total quality management (TQM) in health care.
3,876 words (approx. 15.5 pages), 11 sources, MLA, $ 106.95
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Abstract
An examination of this form of management, which originated in the automobile and engineering industries and has now moved to the health care industry. It looks at how this form of management is applied within health care by looking at a case study of a hospital pharmacy.
Executive Summary
Total Quality Management
Case Study: Hospital Pharmacy
Quality Improvement: Performance Assessment
Find a Process to Improve
Organize Team that Knows the Process
Clarify Current Knowledge of the Process
Quality Survey: Customer Satisfaction
Use of Qualitative Measurements on Service Quality
Analysis and Reporting of Process Variation
Select the process improvement
Conclusion
References
From the Paper
"The five pillars of TQM include the product, process, organization, commitment and leadership. These five pillars form the basis for quality assessment and continuous improvements in the product, process, organization, commitment and leadership in the competitive business environment. A case study of TQM in a local community hospital pharmacy is illustrated. It contains the performance assessment of quality improvement. The acronyms of this TQM are FOCUS-PDCA. They are to find a process to improve, organize team that knows the process, clarify current knowledge of the process, use of qualitative measurements and select the process improvement by planning, doing, checking and acting to hold and to continue quality improvement."
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Health Care and Managed Care, 2002.
Shortcomings of health care with the implementation of managed care.
4,150 words (approx. 16.6 pages), 17 sources, $ 151.95
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Abstract
This paper discusses the shortcomings of the American health care system with the implementation of managed care. The risks and future trends in the system are looked at as well as examples of what the system has faced.
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