Some researchers feel that our society has unrealistically demanded the health care system to maximize quality while lowering the costs of health care services. That if we demand this change, there is no way we are realistically considering the cost of health care. I understand that everyone wants to receive the best therapy without paying a large amount of money. When you think about this idea, this plan would take time to execute. One of the cons of living in a country like the United States is that we citizens expect to have things right when we want them. I totally agree that we deserve the best services at the lowest prices. But how should we go about executing this plan? We will have to balance the plan between two approaches, the…show more content… The insurance company had no decision-making control over the providers, and there is no ability for unified decision making. The differences of the conflict between quality and cost are split: Physicians have income incentives to maximize the services they deliver to patients, while administrators have market incentives to keep premiums low (Eddy, 1997). Characteristics of managed care that affect the cost/quality trade-off include the following: The managed care organization has responsibility for the health of a defined population: all of the people who paid dues. For this “defined population”, the MCO is responsible for the entire spectrum of care, ranging from primary prevention to screening, diagnosis, treatment, rehabilitation, and support care. The contacts are initiated not only by the patients, but by the organization. Physicians are not left alone to practice as they see fit. The MCO has a variety of clinical management systems for managing the actions of physicians. The MCO has a capacity for centralized decision making. The medical director feels the pressures both to improve quality and to reduce costs (Eddy, 1997). There are ethical principles in almost everything we do. Some of the ethical principles that apply to tradeoffs between cost and quality include fairness, equality, and optimality. In terms of fairness, if a group of people are making the same input to a pool of resources from which the costs of treatment will be made, they
Related Documents: Fee for Service Care Versus Managed Care Essay
both the quality and the safety of health care in the United States is well documented. Traditional strategies to stimulate improvement include regulation, measurement of performance and subsequent feedback, and marketplace competition. Despite limited evidence, public reporting of hospital quality data and pay for performance have emerged as two of the most widely advocated strategies for accelerating quality improvement (Lindenauer, 2007). Quality health care is very important to both physicians and…
Merging Organizations Mergers and acquisitions in the health care environment are growing on a daily basis. According to Ellis. J. and Razovi A. it has increased by 11% since 2010. There is so much impetus to this related to the process of bringing competitive organizations to join hands and work together to reduce costs, improve quality outcomes. One of the most important factors is that there now is a rarity of an independent family practice physician, because the cost of maintaining is beyond…
Performance of the U.S. Health Care Delivery System: Coordination of Care for Patients with Alzheimer’s disease and Other Neurodegenerative diseases Neurodegenerative diseases, Alzheimer’s dementia (AD) being the largest subset, are irreversible, progressive brain diseases. Over the past few decades, AD has become a part of the world’s collective knowledge, and many people have or will be touched by AD at some point in their lives. As the global population grows and ages, while the average life…
most Americans agree that health care and health insurance are in need of improvement, the question of whether the government or the free market should be responsible for these areas. D. Eric Schansberg evaluates the relevant information in this argument and asserts that in analyzing market provided health care versus government regulated heath care, analysis needed to be made regarding three major factors. First, how competitive are the actual markets for health care. Secondly, what barriers are in…
residents that lack health insurance. About 74,000 District residents under age 65 did not have health insurance coverage at some time during the year. Many do not qualify for public health insurance or, if they qualify, do not enroll. The Health Care Coverage Advisory Panel has issued eight recommendations for expanding health insurance in the District. Several of them urge the District to do better at enrolling eligible public program participants and a couple target the working poor who do not…
science articles compiles selected publications on the above-referenced topics. The list focuses mainly on articles in English, but seeks to identify articles globally. Key Words: _Lack of Availability of Appropriate Sexual and Reproductive Health Services and Programs a. Accessibility Issues b. Education and Training of Health Workers c. Lack of Access to Information and Education on Sexual and Reproductive Rights d. Accessible Information on Sexual and Reproductive Health e. Lack of Access to…
resolution (Alternative Dispute Resolution, para.7). In 2007 General Motors (GM), pressed union leaders in a meeting in Detroit for a deal on financing what was the centerpiece of the 2007 U.A.W. contract — a perpetual, G.M.-financed trust to cover health care costs of hundreds of…
Marketing 8-12-2011 Abstract This paper is a marketing plan for Tide laundry detergent. It will start out introducing Tide giving a brief description of the situation analysis, marketing strategy. It will give an overview of the product and service and strategies to consider. What Tide’s pricing strategy they use and talk about their distribution channels. This paper will give an overview of integrated marketing communications. Explain what their promotion mix strategy is and what promotional…
social activities, increased pressure on families to offer support and the emotional toll of chronic illness Direct community costs include the vast funding of the Australian health care system (which is projected to markedly increase with an ageing and growing population). Most of this supports primary health care and pharmaceuticals, and the nature of chronic illness tends to require high degrees of medical intervention to manage them In-direct community costs include the premature loss of contributing…
of the activities that procure raw materials, transform them into intermediate goods and final products, and deliver the products to customers through a distribution system. 2. The supply-chain function’s role is to help identify the products and services that can best be obtained externally; develop, evaluate, and determine the best supplier, price, and delivery for them. 3. The objective of logistics is to obtain efficiency of operations through the integration of all material acquisition, movement…