Managed Care Essay Example | Topics and Well Written Essays - 750 words

Managed tending - Essay ExampleIn other words, managed care organizations mean two things health insurance and manner of speaking health care at relatively low rates. There are different types of managed care organizations. virtually of them are as following 1. Health Maintenance Organization (HMO) This is tipped as the first mould of managed care. HMOs refer to organization wherein insurance visualises, hospitals and physicians are either closely related or are a office staff of the same organization. An important example of HMO is Permanente. An HMO has completely charge of the hospital including the salaries paid to the doctors In case of emergency, patients using the HMO plan have to use the plan affiliated care provider. The biggest gain of the HMO plan is that it offers a fixed amount of m angiotensin converting enzymey that can be spent on the patient. This in its own restricts the patients and physicians and they tend to opt for the most cost effective treatment or drug . Thus, one ends up paying less for an HMO plan compared to the rest. The biggest disadvantage in any case emanates from its biggest advantage. HMO plans tend to think more on cost control therefore the quality of care. 2. Fee-for-Service or FFS This type of plan gives a lot of liberty to the patient. It gives them the freedom to choose their preferred doctor or health care provider. Physicians then get the fee for each and every service including the visit, the procedure and the tests. However, here freedom does not outmatch cost. Patients opting for this type of plan end up paying more. 3. Independent Practice Association, or IPA In this pattern of association, physicians are completely empowered. They can have patient from the HMO and FFS plans. 4. Preferred Provider Organization, or PPO In this type of plan, the rates are low but physicians get more patients to deal with. This kind of plan works both ways. Patients not just get better care and freedom but they also get it a t lower rates. On the other hand physicans get more business. Both sides gain ground in this type of plan. 5. Point of Service Plans, or POS. This type of plan resembles the HMO plan in many ways. Here the doctors do not have to work in specific hospitals. They tend to mystify compensations based on the number of patients they are handling per year. It is per patient per year compensation. References Managed Care magazine publisher (2000). Capitation rate See Large Boost. Retrieved on July 26, 2010 from http//www.managedcaremag.com/archives/0012/0012.compmon.html. Managed Care Magazine (2000). Capitation an update. Retrieved on July 26, 2010 from http//www.managedcaremag.com/archives/0005/0005.compmon.html. Managed Care Magazine (2000). Physician Financial Incentives Another UM Tool Bites the Dust. Retrieved on J