Managed care plans present as forms of health insurance covers. These plans have contracts with medical facilities and health care providers to offer care for clients at decreased costs (Dixon, Greene & Hibbard, 2008). This paper will discuss the criticisms that have been addressed regarding managed care, and the different features that are included in a CDHP. Additionally, it will discuss the existing differences between the choice of providers, cost sharing, and covered benefits of HMOs and CDHPs. This will help in drawing conclusions regarding the latest information that surrounds managed care.
Criticisms/Drawbacks of Managed Care
Ethical and Legal Issues
In worst case settings which, incidentally, take place more frequently among the latest generation of institutions of managed care, the delivery is standardized by inexperienced managers in offering health care (Rhodes, Francis & Silvers, 2007). In this vein, their corporate task is to offer care at the least possible cost. Corporate objectives connect more to bending a market as well as keeping off the competition rather than to offering first class health care. Consequently, in these structures, medical leadership is frequently absent or inadequate and the objectives that steer the plan are profit optimization, not patient care optimization. These plans control the expenses through segregation of the medical environment, which is usually “administrator-friendly” and “physician-hostile”.
These structures polarize nurses and doctors and deny advantageous but costly care through 1) imposition of intricate bureaucracy, 2) micromanagement, 3) risks of job loss of physicians, and 4) obstinate financial provider incentives (Kongstvedt, 2013). These issues discour...
... middle of paper ...
... universal healthcare because the insurance companies. I work for a home health care company and I am not happy I am pissed off every day knowing there are so many people out there that need our help but due to the fact they don’t have Medicare we must refuse those people.99% of home health care companies are like this. Who really care for people that are sick. In Africa if you have no money the doctor won’t see you they hospital will leave you outside to die. I feel as if America is not that different from Africa the rise of healthcare make it often hard for people to afford healthcare, I have a friend who has Medicare and she is on a fix income with COPD and several other illness and was told as of 2017 the will deduct more money from her ssi check and she stated if they do that she won’t be able to pay her bills and she will have to go without healthcare insurance
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- Legal, regulatory, and ethical issues in healthcare administration are similarly misinterpreted with the words, morals, beliefs, or even opinions. This student has learned throughout her studies Polk that every healthcare issue has more beneath the surface than it seems. Thus, every healthcare issue that deals with regulatory and legal issues will also have an ethical component as well. One of the bachelor’s courses taken in this program (HSA 4553-Legal and Ethical Issues in Healthcare) has taught this student how there is always two sides to every dilemma, even though it might seem as there is only one.... [tags: Ethics, Philosophy, Morality]
701 words (2 pages)
- “Meaningful Use” implemented in July, 2010, set criteria’s for physicians and hospitals to adhere, in order to qualify for certain financial incentives and to be deemed meaningful users (MU) of the EMR. Meaningful use in healthcare is defined as using certified electronic health record to improve quality, safety, efficiency, and reduce mortality and morbidity. There are 3 stages of meaningful use implementation. The requirements for the 3 stages are spread out over a period of 5 years. MU mandates that physicians meet 15 core objectives and hospitals meet 14 core objectives (Hoffman & Pudgurski, 2011).... [tags: Health care, Electronic health record]
1274 words (3.6 pages)
- Ethical practice is the act of doing the right from a societal or organization’s viewpoint, which most often encompasses a legal viewpoint of morality. Healthcare professionals are constantly faced with ethical issues. These situations often stem from evaluating the intangibles and it is the role of the every healthcare provider to be able to discern the right from wrong. Healthcare professionals tend to face ethical issues whenever the individual moral compass is in conflict with what society believes is acceptable.... [tags: Ethics, Patient, Therapy, Morality]
826 words (2.4 pages)
- ... The truth is that death is often not peaceful, in fact, it is often painful, unfair and cruel to those with neurological disorders, cancer, or AIDS. These people often die slowly and painfully, despite every effort by their doctors and nurses. According a 2012 article in the Journal of Palliative Medicine, The main arguments that proponents cite for euthanasia are free choice and patient autonomy. Autonomy is defined as "the right to self-government and moral independence" (Karlsson, Milberg & Strang, 2011).... [tags: death, ethical issues]
1212 words (3.5 pages)
- Ethical Issues Ethical issues are “moral challenges” facing the health care profession (Stanhope & Lancaster, 2012, p. 127). Ethical issues are major concern in the healthcare field because healthcare providers observe ethical issues every day and have to make ethical decisions. A great example in the medical field is advance directives these documents are written to address individual’s medical preferences. These documents usually take effect when patients are no longer able to make informed health care decisions for them.... [tags: Health care, Health care provider, Medical ethics]
1073 words (3.1 pages)
- Within the U.S. Healthcare system there are different levels of healthcare; Long-Term Care also known as (LTC), Integrative Care, and Mental Health. While these services are contained within in the U.S. Healthcare system, they function on dissimilar levels. I will discuss how LTC contributes to the U.S. Healthcare System, the targeted clients, employees that work within the long-term setting, the benefits and services offered within LTC, and the expected outcomes for individuals in a long-term facility.... [tags: Health care, Medicine, Healthcare]
948 words (2.7 pages)
- Legal and Ethical Issues in the Clinical Setting Introduction Registered nurses or other medical practitioners often face situations that involve both legal and ethical implications. The decisions that follow these dilemmas are either valuable to the patients’ health or detrimental. For instance, a certain case study involving Mr. Markham, who is 82 years of age, showed that he has high blood pressure. At one particular time, while trying to get out of bed in the night, he fell. After being taken to hospital, it was noted that he sustained a right cerebrovascular accident (VA) with a resulting left hemiplegia and additionally complicated by an unexplained fever.... [tags: Ethics, Decision making, Morality]
1693 words (4.8 pages)
- According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p.... [tags: Health Care]
2256 words (6.4 pages)
- Significance of the Study People in the society have the right to be safeguarded from personal and psychological harm, loss of property and misuse of power. The general safeguards of society is best optimized through successful corrections community and organizational management, rehabilitation and training programs, in conformity with legal and ethical permissions, offender and staff accountability, and fulfilling the basic requirements of the offenders. The counselors have a special task to shield from harm those who are reluctantly under its care and control; therefore, modern standards for health care, offender classification, due process, fire and building safety, nutrition, personal we... [tags: Psychology, Laws]
2759 words (7.9 pages)
- Ethical Issues Ethical issues are “moral challenges” facing the health care profession (Stanhope & Lancaster, 2012, p. 127). Ethical issues is a major concern in the healthcare field because healthcare providers observe ethical issues every day and have to make ethical decisions. Advance directives are written documents that addressed an individual’s medical care preferences. These documents usually take effect when patients no longer can make informed health care decisions for themselves. While these documents are helpful to loved ones and health care providers, there are a number of ethical considerations that can make the development and execution of advance directives difficult (Llama, 2... [tags: moral challenges, healthcare, honesty]
925 words (2.6 pages)