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Pros and Cons of Managed Care in America Managed healthcare can be defined as a health...

Pros and Cons of Managed Care in America
Managed healthcare can be defined as a health care delivery system organized to manage health care cost, utilization, and quality. It is used in the United States and its main goal is to reduce the cost of for-profit health care and provide affordable care for all Americans. It includes an organization of providers, choice of payment type, and the record-keeping of services rendered. Its goal is to be an effective way for individuals to manage the cost of healthcare while also receiving quality care. Managed care has been the forerunner for many other health care programs such as Medicaid managed care. Medicaid managed care delivers health benefits and other types of health services (additional services) through predetermined arrangements or contracts that have been gone through utilization with the Medicaid agency within their state and the managed care organizations. (Medicaid, n.d.) Medicaid is a federal and state health care program that gives aid in medical care costs for those of low-income households. Many states are imposing a range of initiatives to correlate and integrate care beyond traditional managed care. The initiatives w
ill pinpoint on improving care for populations with serious conditions, aligning payment incentives with performance goals, and building in accountability for high-quality care. Although managed care’s purpose is to help reduce costs and improve the quality of care for individuals, people still struggle to afford and receive care. Today, we will outline the background of managed care, the advantages, disadvantages, and how it functions overall.

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Answer #1
  1. Medicaid is the nation’s public health insurance program for people with low income
  2. Medicaid is structured as a federal-state partnership

  3. Medicaid coverage has evolved over time

  4. Medicaid covers 1 in 5 Americans and serves diverse populations

  5. Medicaid covers a broad range of health and long-term care services

  6. Most Medicaid enrollees get care through private managed care plans

  7. Medicaid facilitates access to care

  8. Medicaid is jointly financed by states and the federal government

  9. Medicaid spending is concentrated on the elderly and people with disabilities

  10. The majority of the public holds favorable views of Medicaid

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