Managed Care System Essay Example | Topics and Well Written Essays - 1000 words

Managed Care System - quiz ExampleTill 1980s there was only a trifle between the public and cloak-and-dagger players of health care. But, the overall pay system concentrated on tiptoe for service basis. Accordingly, each run across was counted as an episode. The physician had the liberty to administer treatment according to his diagnosis.As private insurance broadly dominated the scene, the physicians, to fulfill their selfish ends, could also recommend for unwanted tests, hospital stays and drugs. Patient gum elastic was their only cap and they could re-jig monetary considerations underneath this consideration. The insurers also never complained as major bill payment was a responsibility of the employers.But, employers understanding this disadvantage started to backlash on the reasons of uncapped expenditure and over role of resources. This of course was a valid point. As more and more are getting enrolled into the health care, fee for service model has become out(a)dated giving way for Managed Care Organizations (MCOs). (Christensen. C., Grossman. J., Hwang. J. 2009)As accountability comes into picture, redundant expenditure gets curbed automatically. From past 30 years, MCOs have been well placed and growing in the market. The primary(prenominal) postulates of their existence areLowered rates of hospital admission, in patient treatment, procedural expenditure. This has resulted in a mixed result of outcomes that some patients were treated satisfactorily while many did not have that delight about care practices.Development of state insurance sector commensurate to private players. Giving an unavoidable choice to the employer and employees to be enrolled into those organizations for reduced health costs. (Anonymous., 2010).All these recommendations by the bill only point out that the MCOs are here to stay for some more time. If not for them, accountability and cost reducing for the insurers purpose fulfillment would never be possible.In short, th e arrangement seeks to reduce the health