Models of Managed Healthcare
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Identify the pros and cons for the following three common models of managed health care organizations. Give suggestions to strengthen the weaknesses of the chosen models:
Health Maintenance Organization (HMO):
Exclusive Provider Organizations (EPO's)
Preferred Provider Organization (PPO)
Remember that first world countries other than the United States have created Healthcare for all, such as in the UK, where they have the National Health Service. Many benefit from this system, and the United States has a problem, as most of our delivery systems still cost the patient to receive care that should be a right and not a privilege.
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Solution Summary
In this solution, all the types of managed healthcare are compared. Healthcare, when given the choice can be confusing for the end user. The patient needs to know which plans available are best suited for them. HMO, PPO, and exclusive plans such as Kaiser are discussed. NHS is used as an example of a system in a first world country that works for all people.
Solution Preview
Hello and welcome to BrainMass. Here are my opinions on the pros and cons of these organizations.
HMO:
Pros:
Cheaper for the patient to afford than ppo plans.
Nursing and help lines are embedded into the care system.
Drug plans may be cheaper by making most prescriptions all one price, as Kaiser Permanete has done
Cheaper for employers to help pay premiums
Cons:
Waiting for service
Less time with doctors
A sense of not connecting with caregivers
Harder access to certain ...
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