Managed Care

Managed Care Ashley Howard TUI University wellness Care Delivery Systems BHS450 Andrew Thurman December 26, 2010 Managed Care Although the enactment of the Health Organization Act of 1973 is officially recognized as the parentage of the managed care era, it can be unofficially traced fundament to 1917, to the pound off industry in a plan called prepaid doctor services, in Tacoma, Washington. According to expert Tyra Dean, the objectives of The Western Clinic then were the selfsame(prenominal) as managed care organizations today, and that was to increase the quality of care time lowering the cost of providing health benefits. As far back as the 1920s, managed care programs were structured and organized. But in the 1940s, not-for-profit groups kindred The Health Insurance Plan of Greater New York, the Kaiser macrocosm Medical Care Program and the Group Health reconciling of Pu pay off Sound solidified and took off (Medline Plus, 2010). For some time undermentioned World War II, insurance companies sold c overage to employers who provided magnanimous health benefits to their workers at little or no costs. Of dividing line the work force in those days was relatively teenage and healthy. Patients could choose their own physicians with almost no restrictions.

Doctors were paid by the insurance companies on a cost basis or a fee for service. This unmanaged care agreement mutated into a immense crisis by the 1970s and 80s with uncontrollable escalation in healthcare costs. Increased costs in the managed care system led to increased for-profit organizations which forced many states to change their Medicaid programs to managed-care programs. By 1999, over 75 percent of the insured population and over 50 percent of all practicing doctors in the U.S. were involved in managed care (Medline Plus, 2010). The primary goal of managed care programs was to control employers health care costs by structuring acceptable protocols or guidelines for health care providers and improving the way employees and... If you want to get a full essay, order it on our website: Orderessay

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