Managed Care Options

Managed Care: Pros and Cons Pamela Aswell Axia College of University of Phoenix Managed care was created in an effort to prepare medical care and reduce costs. Companies do this by observe treatments and expenses and maintaining control over resources. In some areas, the practice has succeeded in controlling costs. However, managed care has also caused some people to intrust the system has caused the medical community to be more command and less flexible when it comes to healthcare today. Consumers Perspective With managed care, the consumer pays a peculiar(prenominal) premium per month also. There is usually no deductible and the consumer will usually pay a co-payment for specific services. The co-pay is set by the insurer and whitethorn fluctuate for different services. Most managed care companies give incentives for preventive care. They may aver free services or have reduced order for specific services such as weight waiver programs or smoking cessation. The consumer is limited to a list of rectifys to contain from and may have difficulty changing doctors if they are infelicitous with theirs. The consumer is required to get prior authorization from their primary doctor and the insurance friendship prior to seeing a specializer or having certain procedures done.

Caregivers Perspective With handed-down insurance, also known as fee-for-service, the caregiver is usually paying(a) their services directly by the consumer. In some instances when the consumer has met their deductible, they may pay a portion of the fee with the insurance company paying the rest. The leaver can request tests they deem prerequisite and can refer the patient to any specialists they recommend. With a health Maintenance organization (HMO), the provider is paid for their services by the HMO. They may be employed by the HMO and provide only their medical knowledge. The HMO may pay for the social function expenses and salaries and the workload may be divided among several providers. The provider usually... If you want to get a full essay, order it on our website: Orderessay

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