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Healthcare Management Competitive Forces

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"Georgia"
1. Analyze the main competitive forces in the your healthcare delivery system in Georgia, and compare the major factors that influence the fundamental manner in which these competitive forces determine prices, supply and demand, quality of care, consumerism, and providers' compensation.
2. Evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the provider's point of view—i.e., a physician and a healthcare facility—and from a patient's point of view. Provide a rationale for your response.
3. Assess the efficiency of the types of economic incentives available to providers in the delivery of healthcare services in your own state.
4. Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself.
5. Use at least five (3) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives

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Solution Summary

The expert analyzes the competitive forces in healthcare management. The positive benefits and negative aspects are evaluated.

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What doctors think about the impact of managed care tools on quality of care, costs, autonomy, and relations with patients Marie Deom, Thomas Agoritsas, Patrick A Bovier and Thomas V Perneger* BMC Health Services Research 2010, 10:331 doi:10.1186/1472-6963-10-331 Retrieved from database http://www.biomedcentral.com/1472-6963/10/331

Met Needs, Unmet Needs, and Satisfaction Among Social HMO Members. Academic Journal By: Leutz, Walter; Capitman, John. Journal of Aging & Social Policy. 2007, Vol. 19 Issue 1, p1-19. 19p.

Comparing Public and Private Choices of Managed Health Care Plans: Rhetoric versus Reality. Academic Journal By: Reddick, Christopher G.. Public Personnel Management , Fall2007, Vol. 36 Issue 3, p223-245, 23p, 7 Charts Abstract:

1. Analyze the main competitive forces in the healthcare delivery system in Georgia, and compare the major factors that influence the fundamental manner in which these competitive forces determine prices, supply and demand, quality of care, consumerism, and providers' compensation.

http://kff.org/health-reform/fact-sheet/the-georgia-health-care-landscape/

The competitive forces in Georgia's healthcare delivery system are similar to other states wherein the majority of citizens in the state of Georgia are covered by private health insurers. The market is primarily predicated upon citizens enrolled in employer health insurance plans or private health insurance plans. Over 58% of Georgians are covered by private health insurance. The rest of insured Georgians are covered by Medicaid or the Children's Health Insurance Program (CHIP). Over 20% of Georgians are enrolled in Medicaid and CHIP, which are able to provide insurance to those unable to afford private coverage and are from the lower socioeconomic class.

The access to care within the state of Georgia is obtained primarily through community health centers and hospitals for low-income and underserved patients who receive Medicaid and (CHIP) wherein primary, preventive, and acute care services are provided in the market. The state of Georgia is home to 29 federally qualified health centers. The competitive forces are predicated upon the number of uninsured patients that are attempting to enroll in the Healthcare Marketplace under the Affordable Care Act as well. ...

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