The Influence Of Managed Care

Your discussion mentions that a risk of managed care to the payer is that physicians are paid a fixed amount for services on a monthly basis regardless of how much service is used. This risk is with hopes that physician will utilize the minimal amount of service ultimately decreasing health care costs. Physicians who participate in managed care plans also experience potential risk. In managed care plans, physicians can jeopardize relationships with patients (Chan Hong Kit, Abul Rasid, & Md Husin, 2016). Managed care has impacted the way that physicians and patients interact. Doctors are held more accountable with value-based requirements, and patients are engaging more in their healthcare decisions.
Chan Hong Kit, et al., (2016) conducted research that analyzed physicians’ perceptions on the influence of managed care on doctor-patient relationships.
Managed care can impact relationships between doctors and patients in several of ways. First, it may change the way in which doctor-patient relationships begin and end. For example, Health maintenance organizations (HMOs) pay only for care provided by their own physicians. Preferred provider organizations (PPOs) restrict access to physicians by paying a smaller percentage of the cost of care when patients go outside the network (Roussel, 2013). These restrictions limit a patient’s ability to establish a relationship with the physician of their choice. Termination of doctor-patient relationships can also occur without patients' choosing. When employers change health plans, employees may have no choice but to cut ties with their physicians and find a new one. The lack of