Sunday, October 6, 2019
Managed Health Care Delivery with Healthcare Reform Act Essay
Managed Health Care Delivery with Healthcare Reform Act - Essay Example These legislative developments will no doubt bring about tremendous changes in the managed care sector impact immensely on the system of care delivery. Studying managed healthcare relative to the Health Care Reform Act is therefore a very important topic affecting healthcare professionals, care providers, medical students, policy makers and other stakeholders. The Act will particularly have far reaching impacts on models of business for insurance providers and the Managed HealthCare Sector. Insurers and self funded care plans for instance are required to overhaul some practices of underwriting as well as structures of benefit. The act will therefore see insurers receive more customers since most Americans are expected to acquire covers or attract penal measures. Ultimately premium rates expected to hike as insurers struggle with costs of registering new clients some with very high costs of medication. Another area of concern to the Health Care Reform Act has to do with compensation for physicians especially given the amount and nature of work given the changes that will be occasioned by the reforms. The future of managed healthcare is thus going to be marred with a myriad of changes all in the best interest of the patient in America. It is important for these reasons that I believe this is as very relevant and timely topic for students in the entire medical field. In this article, the author reflects on physician compensation, cost and quality in the U.S. He also explains three ways to reimburse physicians for services rendered; the ways are salary, capitation, or fee for service. Physicians reimbursed on the basis of salary receive a certain sum at the end of every month or year worked. Those on capitation schedule receive their payments commensurate with the number of patients attended to or the number of patients placed under their responsibility. On the other hand, professionals compensated based on fee-for-service receive payment for
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