Health Care Reform Project, Part I - 1775 Words

Health Care Reform Project Part One May 23, 2011 HCS440 Health Care Reform: Managed Care In this country there are numerous concerns about health care economics. Several factors contribute to the increase of health care costs. One area of concern is the impact of managed care on health care finances. Managed care has been around since the early 1970s. The definition of managed care is a set of contractual and management methods implemented to manage the financing and delivery of health care services. Initial implementation of managed care was for health care cost saving (Getzen Moore, 2007, p. 203, para. 1). Though Managed care initially addressed several health care finance issues, there are still problems with the current†¦show more content†¦The United States along with other countries try to find ways to control medical costs. In 2009, the United States changed HMOs into accountable health organizations in which hospitals and doctors form an alliance and take financial and management responsibilities for their patients (Rodwin, 2010). France changed how the y did their billing and started using state managed care. By 2012, Japan should be processing all claims through electronic billing. Instead of fee-for-service, Japan is using per-diem and bundled payments to pay physicians and hospitals. No matter how a country looks at it managed care tools are still around, and they will always be. The government just needs to listen to the voice of its people (Rodwin, 2010). Solutions to Managed Care People are aware that managed care has caused patient free will to be lost in the sprint to cut price. Insurance companies in this sense control patients rather than self-monitoring or by a physician. One wants to make their choices. Managed care -whether in the form of HMOs, PPOs, etc., or limits on service- is an attempt by the payers (insurance companies, federal agencies or self-funded groups) to restrict payment for services and procedures the payers consider to be unnecessaryShow MoreRelatedThe Impact Of Health Care Costs On Healthcare845 Words   |  4 PagesIn the past, health care costs has been between 1% and 2.25%, greater than the potential gross domestic product (GDP) (Congressional budget office, 2013). However, Price Waterhouse Coopers Health Research Institute’s (PWC) projects a medical cost of 6.5% for 2014, which is lower than the estimate of 7.5% in 2013. This result indicate that medical inflation in 2014 will be far lower than 2013 (PWC, 2014). 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