Managed care is a method used in the United States to minimize healthcare costs and improve the quality of care. It involves coordinating and streamlining healthcare services at a lower cost. Managed care is often included in health insurance plans but differs from traditional insurance as it directly delivers or contracts for healthcare services. Many US organizations use managed care techniques to provide services, with the goal of reducing unnecessary healthcare expenses.
The managed care sector has various contracting terms. One term involves directly managing the work of physicians. Another term requires contracts to specify the tasks to be performed (Birenbaum, 2002). Additionally, the time allocated for physician work should be controlled by the authority. Inspecting the work produced by physicians is another contracting term. Furthermore, physicians should be provided with necessary facilities. The right to terminate a physician's contract is also in
...cluded. Determining the necessary skills for employing physicians is another important term. Lastly, the method of control used for physician training is also a part of the contracting terms.
The impact of managed care contracting in the United States can have various consequences on healthcare delivery. It has the potential to hinder physicians from providing quality services to patients due to fear of contract termination. These contracts may also interfere with patient-physician relationships, resulting in worse outcomes for patients and potential suffering in hospitals.
In addition, contracting terms may restrict nursing research and contribute to reduced funding for clinical training programs. This ultimately leads to poor healthcare services and negatively affects hospital communities.
The healthcare system in the United States has undergone significant changes due to advancements in technology and increased investment in health. However, despite effort
to improve it, approximately a decade ago, the U.S. healthcare sector was considered broken and unfortunately, there has not been significant improvement since then.
This is evident through escalating premiums and an increasing number of deaths caused by unrelated admission problems due to long queues that lead to patients dying, especially those requiring immediate attention. Moreover, present circumstances may also be impacted by medical errors.
The deterioration of the healthcare system is believed to have started in 1996 with the release of a report on its shortcomings (Dranove, 2000).However, the introduction of health insurance coverage has not solved the problem of inadequate healthcare, which has been causing suffering and death for approximately ten years. Unfortunately, not all citizens are equally benefiting from this coverage, leading to an ongoing situation. The future of the United States' healthcare system is expected to worsen and bring about more problems. While new technologies will improve efficiency, any savings made will be overshadowed by increased testing and treatment costs. Additionally, rising medicine expenses may result in certain benefits being removed for new employees, potentially forcing some individuals out of the insurance industry completely. As a result, there will be a greater need for financial contributions to cover escalating medical expenses. These changes in medical care would particularly impact those without insurance, resulting in a significant increase in disenfranchised individuals from middle-class backgrounds (Shi and Singh 2010). Consequently, people will feel compelled to vote for meaningful healthcare reform.
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