Managed Care Research Paper
Managed Care
MHA 614 Policy Formation & Leadership in Health Organizations
Instructor: Alisa Wagner
June 29, 2015
Managed Care Signed by President Barrack Obama in March of 2010, the Affordable Care Act (ACA) placed an emphasis on the expansion of health insurance coverage. Eligibility will be expanded to people with incomes up to 133 % of the FPL, including the nondisabled, nonelderly adults without dependent children (Boemer, 2015, P. 58-60). It has guaranteed access to health care for every American. Managed care has not been holding up to its promise. According to our textbook, “the optimistic claim that managed care would bring improved clinical practices, higher quality of care, and maintain the public’s health, …show more content…
15-29). As the Medicaid program continues to grow, managed care has become Medicaid’s dominant delivery system. Managed care has become increasingly important to state Medicaid agencies. Many states are partnering with Medicaid Focused Health Plans (MFHPs) that can supply cost-effective care and help states meet quality improvement goals. According to Smith, Arose, & Coustasse (2014), since 1999, enrolment growth for MFHPs have averaged 14.5 % per year. Medicaid manage care has grown to serve 39 million beneficiaries, or 71.4 % of all Medicaid enrolees (p. 15-29). Each state is custom tailored to meet the special needs of the beneficiaries, providing financial, operational, and leadership …show more content…
Controlling costs involves identifying and supporting the care of patients suffering from chronic disease. To accomplish this leadership needs to enact strategies to shift how care is delivered. One can start by identifying high risk patients early on and implementing proactive disease and case management programs. While varying from one company to another, managed care has not limited access to hospital admission or to general medical care. According to recent studies, “managed care is the rubric applied to a range of organizational forms that emerged in the last couple of decades in which a variety of structures, mechanisms, and utilization strategies are used to allocate care so as to reduce unneeded services and constrain cost” (Fera,
MHA 614 Policy Formation & Leadership in Health Organizations
Instructor: Alisa Wagner
June 29, 2015
Managed Care Signed by President Barrack Obama in March of 2010, the Affordable Care Act (ACA) placed an emphasis on the expansion of health insurance coverage. Eligibility will be expanded to people with incomes up to 133 % of the FPL, including the nondisabled, nonelderly adults without dependent children (Boemer, 2015, P. 58-60). It has guaranteed access to health care for every American. Managed care has not been holding up to its promise. According to our textbook, “the optimistic claim that managed care would bring improved clinical practices, higher quality of care, and maintain the public’s health, …show more content…
15-29). As the Medicaid program continues to grow, managed care has become Medicaid’s dominant delivery system. Managed care has become increasingly important to state Medicaid agencies. Many states are partnering with Medicaid Focused Health Plans (MFHPs) that can supply cost-effective care and help states meet quality improvement goals. According to Smith, Arose, & Coustasse (2014), since 1999, enrolment growth for MFHPs have averaged 14.5 % per year. Medicaid manage care has grown to serve 39 million beneficiaries, or 71.4 % of all Medicaid enrolees (p. 15-29). Each state is custom tailored to meet the special needs of the beneficiaries, providing financial, operational, and leadership …show more content…
Controlling costs involves identifying and supporting the care of patients suffering from chronic disease. To accomplish this leadership needs to enact strategies to shift how care is delivered. One can start by identifying high risk patients early on and implementing proactive disease and case management programs. While varying from one company to another, managed care has not limited access to hospital admission or to general medical care. According to recent studies, “managed care is the rubric applied to a range of organizational forms that emerged in the last couple of decades in which a variety of structures, mechanisms, and utilization strategies are used to allocate care so as to reduce unneeded services and constrain cost” (Fera,