Essay about Health And Disease Management And Health Care Programs

Essay about Health And Disease Management And Health Care Programs

Length: 1016 words (2.9 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

Managed care programs are focused on the accuracy and reliability of patient services, care and cost. While managed care programs implement, coordinate, and plan the services, care, and cost it’s vital to consider population health and disease management. Population health and disease management have been a significant part for managed care programs for decades and ways to improve and help patients is the goal. The role of primary care physicians and specialists is very important to address the population health and disease management. Primary care physicians obtain license, college, and training to practice medicine and surgeries. Gatekeepers will be mentioned in further detail because hold significant roles in managed care for preventive services and health issues. The unique and profound history of managed care programs have been in the spotlight for decades and more details will follow subsequently.
Firstly, a detailed overview of five disease management or population health issues involving health plan coverage is needed to mention. The numerous costly chronic conditions are asthma, diabetes, congestive heart failure, coronary heart disease; end-stage renal disease, depression, high-risk pregnancy, hypertension, and arthritis have been the focus of these programs, (hpi.georgetown.edu, 2004). As disease management as progressed over the years and has become more prevalent, it’s becoming more significant for physicians for patient benefits, coverage, and costs. Furthermore, the purpose for disease management programs is to provide better care while reducing the cost for the chronically ill, (hpi.georgetown.edu, 2004). The other added purpose is to treat patients with affordable care and convenient cost to reduce emergency visi...


... middle of paper ...


...requires providing mental and physical benefits for patients and it’s an expanded plan in Medicaid, (Paradise, 2015). With the implementation and policy-making it’s been a huge advantage for millions of uninsured people worldwide. Another population issue associated with health plan coverage is HRA’s health reimbursement accounts which are one of the rules in the ACA. Local market circumstances may hinder the development of physician organizations as a force of innovation in managing care, (Rosenthal, Landon, & Huskamp, 2001). There needs to be better ways overcome local market conditions for the greater good of physician duties and managed care. Many insurance rates, capitation rates, and withholdings will be high depending on the region and the patient’s occupation. In addition, it all varies with each employees and how much employer contributions will be allowed.

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Wellness Programs: Disease Management Essay

- Definitions Disease Management Disease management, as defined by the Care Continuum Alliance (CCA), 2011, is a multi-disciplinary, comprehensive, continuous, and coordinated method to achieving desired outcomes by utilizing preventive measures and evidence-based practice guidelines to alter the natural course of the disease; therefore, improving the overall health for a population. These outcomes include processes of reducing healthcare costs while improving the quality of life for individuals by preventing or minimizing the efforts of a disease through integrative care (CCA, 2011)....   [tags: Health Care ]

Better Essays
1550 words (4.4 pages)

Organizational Risk Management Interview : Infection Control Programs Essay

- Organizational Risk Management Interview Infection control programs are proactive methods of risk management to ensure quality outcomes through processes that provide and enforce policies and procedures for prevention and mitigation of risk to exposure (Kavaler & Alexander, 2014). “Hospital-acquired infections (HAI) affect nearly 2 million patients each year and contribute to nearly 100,000 deaths (Warye & Granto, 2009, p87). The financial burden can be as significant as the morbidity and mortality and consequently places infection control as one of the top risk management program needs in hospitals across nation (Bender et al., 2015)....   [tags: Infectious disease, Health care, Hospital]

Better Essays
1182 words (3.4 pages)

Home Care Nursing Programs, Education, And Public Health Departments Essay

- The purpose of this paper is to discuss community facilities, home care nursing programs, education, and public health departments, as well as access to these resources. This paper will show how families benefit from these resources and three ways in which a family health nurse can be useful in community resources. Nurse Home Visiting Programs Home care nursing programs are offered through the hospital after discharge for an acute issue or for ongoing treatment. The home care nurse will assess the living situation, and identify their needs to development a plan of care, including community resources (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015)....   [tags: Health care, Public health, Health]

Better Essays
788 words (2.3 pages)

Is Disease Management For Patients With Chronic Diseases? Essay example

- The education and research aspect in healthcare I am going to discuss is disease management. Disease management consists of treatment strategies for patients with chronic diseases, with the main goal of preventing advancement of the disease. Disease management varies over time with adjustments based on changes in the patient symptoms and variations in the disease progression. Chronic diseases are the leading causes of death and disability worldwide and place a significant burden on individuals and their families, communities and the healthcare system (Wilbanks & Wilbanks, 2011)....   [tags: Medicine, Illness, Health care, Medical terms]

Better Essays
1216 words (3.5 pages)

Case Management : An Essential Part Of Quality Assurance Programs Essay

- Evolving since the 1980’s, case management, an essential part of quality assurance programs, promotes excellence and efficiency in consumer health care, while conserving costs for health care organizations. Effective case managers answer the demands of changing health in promoting and facilitating a patient’s progression of care (Scott 2014). Historically, case management came to fruition as an answer to the shift of cost-based reimbursements to prospective payment models, assisting hospitals in keeping costs low regardless of the quality of care....   [tags: Medicine, Health care, Health economics]

Better Essays
1135 words (3.2 pages)

Public Health Programs For Children Essay

- Public health informational campaigns have the unique capacity to make a great impact on families and individuals by giving them information and skills they can use to avoid lead poisoning. Dean Lee in his article on the exposure and prevention states, “Education is the major intervention in the management of children.” Informational campaigns can teach families about the causes and dangers of lead poisoning along with helpful ways to prevent it. For example, letting the water run for 60 seconds before drinking it reduces the lead levels in the water to almost zero – and the water collected in the first 60 seconds can still be used for watering plants or for cleaning (Lee)....   [tags: Water supply, Water resources, Water quality]

Better Essays
967 words (2.8 pages)

Chronic Wasting Disease Essay

- Chronic Wasting Disease is a highly transmissible, deadly neurodegenerative disease that affects cervids in North America (Belay et al., 2004; Saunders et al., 2012). There are only four types of cervid that are known to get this disease which include elk, mule deer, white-tailed deer, and moose (Chronic Wasting Disease Alliance). It has been classified has a transmissible spongiform encephalopathy (TSE), otherwise known as a prion disease (Belay et al., 2004). A prion is an irregular, pathogenic agent that causes abnormal folding of specific proteins called prion proteins....   [tags: neurodegenerative disease, human health]

Better Essays
1491 words (4.3 pages)

Can Workplace Health Programs Effectively And Positively Impact Employee 's Well Being And / Or Health?

- Overview The question that has been imposed is can workplace health programs effectively and positively impact employee’s well-being and/or health. Let us begin by defining what is worksite wellness programs and which aspect of health would be targeted. We would also identify how the worksite and/or employer would be affected by the employee both directly and indirectly. According to the Centers for Disease Control and Prevention, a workplace wellness health program is defined as a “coordinated and comprehensive set of strategies which includes programs, policies, benefits, environmental supports, and links to the surrounding community to meet the health and safety needs of all employees (...   [tags: Health insurance, Health care, Employment, Health]

Better Essays
956 words (2.7 pages)

America´s Health Insurance Plans Essay

- ... This article presents a study between cultural perspectives in smoking amongst the immigrants from the former Soviet Union. The immigrants studied were recruited from the Midwest United States, and the factors of smoking were determined. They found that this cultural group is strongly closed to pharmacologic approaches and emphasized the importance of stress management and social connectedness. Interestingly, intervention needs went beyond language use and illustrated the importance of bringing cultural considerations into interventions....   [tags: industry, policies, health, conditions]

Better Essays
1486 words (4.2 pages)

Designing And Operating Wellness Programs Essay

- Abstract This paper looks at the development and operations of corporate wellness programs. Since employees typically spend eight or more hours a day in the office, employers can leverage that time to promote better health. Worksite wellness programs can reduce health care spending by promoting healthy behaviors that reduce health risks in high-risk individuals and keep low-risk people healthy. Programs vary in scope, depending on an organization’s size. This paper concludes that an appropriately designed and administered wellness program is an excellent way for companies to show employees that they care while improving the overall physical and mental health of the organization....   [tags: Business Management Health Work Environment]

Better Essays
1329 words (3.8 pages)