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Postive and Negative Aspects of Managed Care

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Explain the positive and negative aspects of managed care.

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Solution Summary

This is a discussion of the overall aim of managed care. It is to place administrative control over cost of quality of, or access to health care services in specific population of covered enrolees. An example of managed care is capitation that involves paying physician a fixed, prospective amount for each patient regardless of cost of caring for patient. Further details are discussed in the response.

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To answer this question, one has to define what is managed care. Managed care is referring "to a technique for influencing clinical behaviour of health care providers or patients by integrating the payment and delivery of health care. The overall aim of managed care is to place administrative control over cost of quality of, or access to health care services in specific population of covered enrollees. An example of managed care is capitation that involves paying physician a fixed, prospective amount for each patient regardless of cost of caring for patient. Another example of managed care include individual practice associations, health maintenance organizations, physician hospital associations, and exclusive provider organizations.

Capitation is one example of managed care practices that seek to control costs of health care. The ethical concern that managed care arise is that managed care create pressure to do more with less time per patient. It spent less costly medicines, and fewer costly ...

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