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.
What else can you add to this
Medicaid is structured as a federal-state partnership
Medicaid coverage has evolved over time
Medicaid covers 1 in 5 Americans and serves diverse populations
Medicaid covers a broad range of health and long-term care services
Most Medicaid enrollees get care through private managed care plans
Medicaid facilitates access to care
Medicaid is jointly financed by states and the federal government
Medicaid spending is concentrated on the elderly and people with disabilities
The majority of the public holds favorable views of Medicaid
Get Answers For Free
Most questions answered within 1 hours.