Question

Draft a research paper, which discusses how well managed care has achieved its objectives of ensuring quality of care, cost of care, and access to care, sometimes referred to as the “iron triangle” of health care. Explain what mechanisms are in place to achieve these objectives. Include in the paper your opinion as to whether all three (3) objectives can actually be achieved simultaneously. Also, be sure to support your conclusions with data and other evidence. You must use at least two (2) sources. A bibliography formatted in APA style is required. (100 points) (A 3-page response is required.)

Answer 1

Answer :

• Managed care is any method of organizing health care providers to achieve the dual goal of controlling health care costs and managing quality of care .
• Managed care is a system that integrates the financing and delivery of appropriate health care using compregensive sry of services.
• State government only reimburse managed care plans up to a limit ,so plans absorb financialvlosses if their health care costs exceed the government limit there fore plans have an incentive tto reduce either the average cost per visit and orth number of visits to reduce their total health care costs.
• In united states, We have a private and competitive health insurance system which will cause managed care to continue to evolve .
• There are several key elements for to achieve objectives of care :

1. Explicit standards for selecting providers
2. Formal programs For ongoing quality improvement and utilization reviews .
3. Emphasis on keeping enrollees healthy to reduce Use of services.
4. Financial incentives For enrollees to Use providers and procedures associated with the plan.
5. advanced quality to meetone the demands of patients .
6. By improving the standards of health care providers can give satisfaction to patient .
7. By providing online services in order to access the public who are needy to get efficient care .
8. If it is possible , home care services increases the accessibility
9. By providing transportation facilities For people who need care .
10. By supporting innovating approches to increase quality of care .
11. Align medicaid and private insurance policies For non disabled people.
12. Improve federal and state program management.