Managed Health Care In The 19th Century

There is a history behind managed health care that started back in the late 19th century. The managed care plans were first organized during the 1920s but their origin is credited to non-profit organizations during the 1940s. The growth of the managed care was fairly slow when it first started until the health care costs begun to soar in the 1970s and 80s when employers begin to see managed care as an alternative to high-priced health care options. The increase in competition within the health care industry led to the birth of profit-making organizations that offered new and innovative managed care techniques. A few insurers offered insurance policies to cover the cost of care for workplace accidents and for employee disability. Some of these
Everyone has their own opinion as to what the health care should be like and who the health care should be for, for example, there are so many people who are out there in this world who needs social security but over the years of abuse by people who takes advantage of it, it has became so hard to get for the people who really needs it. Medicaid is another example of health insurance that has become strict to where it is hard to get. You have to be pregnant, labeled as physical disabled, and over the age of 65, which is retirement age. I think that it is harsh for people who would really qualify for it having to fight so hard for it. No one has come up with a solution but some have come up with a logical way to control certain things in health care. One of the many different things people have come up with that has seemed to work for people is managed care, which is the most recent and most popular
Managed care is defined as a variety of systems and arrangements for planning, managing, delivering, and evaluating care (Morton, 2014). In a well-organized system of managed care, a defined group of people receives treatment services that are clinically necessary and appropriate, within defined benefit parameters, for a set amount of time, in compliance with quality standards, and with anticipated and measurable outcomes (NHS confederation, 2006). There is one question that people would like to know the answer to and that is “ How managed care works.” In most states their programs started out using what is known as a “Fee-for-services” model. Fee-for-services is described as a health insurance plan that allows the holder to make almost all heath care decisions independently. The plan holder pays for a services, submits a claim to the insurance company, and if the services is covered in the policy, receives reimbursement deductibles, or copay than managed care plans (Kongstvedt, P. R. 2012). Managed health care model revolves around patient focused care. Patient- focus care and patient-centered care are viewed interchangeably reflecting the way the two terms are used in the wider literature. The modern concepts of patients-focused care are based on research conducted by the picker institute and the Harvard School of Medicine, which identified seven dimensions of patient-centered care, including