Managed care programs are focused on the accuracy and reliability of patient services, care and cost. While managed care programs implement, coordinate, and plan the services, care, and cost it’s vital to consider population health and disease management. Population health and disease management have been a significant part for managed care programs for decades and ways to improve and help patients is the goal. The role of primary care physicians and specialists is very important to address the population health and disease management. The unique and profound history of managed care programs have been in the spotlight for decades and more details will follow subsequently.
Firstly, a detailed overview of five disease management or population …show more content…
It takes careful decision-making and planning to ensure all chronic diseases and patients are covered. According to (CDC.gov, 2015), in the united states all chronic diseases and conditions and the health risk behaviors that cause them account for most health care costs. A staggering statistic from (CDC.gov, 2015) states, eighty-six percent of all health care spending in 2010 was for people with one or more chronic medical conditions. There are some medical issues that pertain to health care plans, coverage, and physicians. Doctor shortages are one area of concern since there aren’t nearly enough of us to care for the U.S. population, (Gupta, 2015). The longer wait times and appointments is a constant issue and hiring more physicians should curb this issue. It’s also crucial to mention hospital-acquired infections as well as do-it-yourself healthcare technology which can save time and cost at facilities. More patients throughout the years are learning to do their own online healthcare and while it’s challenging for older adults, they can still receive help from their physician throughout the process. More hospitals have to be proactive in keeping hospitals sanitary and following through on cleaner practices. The level of technology has surpassed in health care for many years. Some of the common setbacks are the data breaches and privacy/ security being compromised. Nonetheless, patients …show more content…
The Affordable Care Act (ACA) 2010 has much to do with this and the benefits with cost of care. The (ACA) 2010 law requires nonprofit hospitals to engage in major community health planning; hospitals also need to demonstrate how their investment of resources into the communities they serve reflects the priorities contained in their plans, (Rosenbaum, 2011). This is a huge benefit to patients and it must be continuous for (ACA) to have this incentive and ensure patients’ plans are effective. However, the law will leave nearly 25 million without health insurance, (Rosenbaum, 2011). To have roughly 25 million without health insurance is unconscionable and that’s where the (ACA) of 2010 needs to improve and really work on worldwide coverage. It’s a constant desire to keep implementing and planning new goals and ways to ensure more people get health insurance coverage. No person should go through life without affording healthcare let alone obtaining
Firstly, a detailed overview of five disease management or population …show more content…
It takes careful decision-making and planning to ensure all chronic diseases and patients are covered. According to (CDC.gov, 2015), in the united states all chronic diseases and conditions and the health risk behaviors that cause them account for most health care costs. A staggering statistic from (CDC.gov, 2015) states, eighty-six percent of all health care spending in 2010 was for people with one or more chronic medical conditions. There are some medical issues that pertain to health care plans, coverage, and physicians. Doctor shortages are one area of concern since there aren’t nearly enough of us to care for the U.S. population, (Gupta, 2015). The longer wait times and appointments is a constant issue and hiring more physicians should curb this issue. It’s also crucial to mention hospital-acquired infections as well as do-it-yourself healthcare technology which can save time and cost at facilities. More patients throughout the years are learning to do their own online healthcare and while it’s challenging for older adults, they can still receive help from their physician throughout the process. More hospitals have to be proactive in keeping hospitals sanitary and following through on cleaner practices. The level of technology has surpassed in health care for many years. Some of the common setbacks are the data breaches and privacy/ security being compromised. Nonetheless, patients …show more content…
The Affordable Care Act (ACA) 2010 has much to do with this and the benefits with cost of care. The (ACA) 2010 law requires nonprofit hospitals to engage in major community health planning; hospitals also need to demonstrate how their investment of resources into the communities they serve reflects the priorities contained in their plans, (Rosenbaum, 2011). This is a huge benefit to patients and it must be continuous for (ACA) to have this incentive and ensure patients’ plans are effective. However, the law will leave nearly 25 million without health insurance, (Rosenbaum, 2011). To have roughly 25 million without health insurance is unconscionable and that’s where the (ACA) of 2010 needs to improve and really work on worldwide coverage. It’s a constant desire to keep implementing and planning new goals and ways to ensure more people get health insurance coverage. No person should go through life without affording healthcare let alone obtaining