A Managed Care Plan: Pros and Cons

Introduction

A managed care plan refers to various ways that are designed to help minimize the expenses of offering enhanced quality of care as well as health benefits to the institution. The methods are undertaken in this context range from a rise in the cost of beneficiary allotment, instituting enhanced cost-sharing incentives for outpatients and escalating cost-effective management practices in handling cases of health care.

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Again, managing inpatients through optimal admission as well as considering the length of stay in the health care. Indeed, numerous developments in the health care system present immense opportunities for the control of relationships between the public and private health care agencies. Such opportunities benefit the employed and unemployed, as well as Medicaid and Medicare. As such, managed care plan concentrates on critical issues like the accountability of the population, control of activities, and source of care for the insured Medicare (Ngoc, 2011).

Discussion

By the year 2030, the number of United States adults aged 63 or older will be more than double to approximately seventy million. The rapidly rising number of older individuals has far-reaching implications for the state’s public health scheme. The situation presents an unprecedented demand for offering health care, as well as, aging-related services.

The Public health efforts to promote health together with functional sovereignty are critical plans in assisting older adults to remain healthy. The research has demonstrated that poor health does not need to be an expected result of aging (Elizabeth 2009).

Therefore, these weaknesses and setbacks present areas of attention for improvement. The existence of a managed care plan only concentrates on patients under treatment, leaving employers and employees changing plans without same adjustment by their doctors. This encourages higher pocket costs. Again, managed care responds to sick cases when the health condition is far worse and barely controllable.

One of the improvements will encompass saving large amounts of cash for employees through a managed care so that it cares for all patients. Again, effective management decision will encourage the stakeholders of the system to be assured of the best care. Concentrate on cognitive impairment. The cognitive impairment influences health together with long-term care requirements and presents main care giving and economic challenges.

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Having the quick aging of the United States population, a serious public health objective is to evaluate and monitor the apparent burden regarding the cognitive impairment in order to assist states and communities build up policies, as well as, strategies to tackle this issue.

The last thing is to provide learning on planning for severe illness. Public health together with private sector health system stands in significant positions to assist people plan with regard to care in a situation of severe and terminal illness.

These fast demographic alteration present challenges for the prospect as state baby boomer inhabitant’s ages, supplementary demands will be positioned on housing, health care, as well as, social services. Hispanics, by now a leading force in Texas, are anticipated to become the greater part of populace group by 2020.

The momentous increase in this population that is both immigrants together with native has far-reaching insinuations for education, housing, as well as, the labor force. The greatest issue facing US will be to decrease the economic and learning disparities widespread among the state’s racial groups as the population persists to grow and progress (Ngoc 2011).

Two main factors are spurring the US rapid population development. One is some state’s higher-than-average birthrate such as Texas. This is partially due to the state’s Hispanic custom and its binds to Mexico, where overall fertility rates were three percent in 2005, quite a bit privileged than the United States’ two percent.

In the year 2000, Texas was next to the country regarding the state rankings for birth and fertility rates. Since birthrates change gradually over time, Texas will possibly continue to see outstanding natural increases in its populace in spite of alterations in economic situations and immigration policies (Paul 2008).

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The health care system has been a political subject for many years, concentrating upon rising coverage, decreasing the expenditure and social load of healthcare, insurance restructuring, and the viewpoint of its provision, financial support, and government participation. The United States has the uppermost healthcare costs virtual to the size of the financial system in the world, with 57.2 million citizens (about 17.6% of the November 2011 estimated inhabitants of 412 million) with no insurance coverage. Therefore, the only way for health care delivery to adapt in the future to provide care for obesity related health issues is the government to allocate substantial finances for effective treatment and preventing obesity.

Conclusion

Indeed, numerous developments in the health care system present immense opportunities for the control of relationships between the public and private health care agencies. As such, managed care plan concentrates on critical issues like accountability of population, control of activities, and source of care for the insured Medicare (Ngoc, 2011). Managed care plan play an important role in risk management, encouraging development and innovation as well as catering for those in critical emergencies.

References

Elizabeth, W. (2009). National Center for Chronic Disease Prevention and Health Promotion. Oxford University Press: New York.

Ngoc, T. (2011). Transforming the U.S. Health Care Industry. Sage Publishers: London.

Paul, K. (2008). A managed care plan Opportunities for Managed Care Organizations, Purchasers of Health Care, and Public Health Agencies. Web.

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NerdyTom. (2022, May 2). A Managed Care Plan: Pros and Cons. Retrieved from https://nerdytom.com/a-managed-care-plan-pros-and-cons/

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NerdyTom. 2022. "A Managed Care Plan: Pros and Cons." May 2, 2022. https://nerdytom.com/a-managed-care-plan-pros-and-cons/.

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NerdyTom. (2022) 'A Managed Care Plan: Pros and Cons'. 2 May.

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