Managed Care is a system that manages how the health care market is utilized. Managed Care maintains how the cost, usage, and quality. Managed care is the provider that gives the healthcare market it’s health benefits for government funded programs. The managed care programs are guaranteed payments with most medical facilities. The managed care program is the inside provider that makes sure that all health care business is beginning handled correctly. Managed care program is an enhancement in all health care plans. This arrangement will progress as the time goes on. The business of managed care is on the road for enhancing how the healthcare is market is being developed. Managed care will continue to become a better higher quality …show more content…
These plans are the health maintenance organizations (HMO), preferred provider organizations (PPO), and point-of-service (POS). HMO is a plan that is based off of prepaid plans. The prepaid plans are as it seem, it is a plan that is prepaid mostly on a monthly basis. You are able to use this when you need it. You are also allowed this plan with some restrictions. PPO is a plan that is derived around a group of physicians and medical facilities. This plan gets discounts for these groups. The PPO’s are also given by specific insurance companies. POS is both a mixture of HMO and PPO. As the HMO you pay a deductible for the plan but you pay when you receive the service. This plan you can choose a primary care physician (PCP). Having a primary care physician enables you to get referrals like a PPO.”(Bolston,2015).
Define the Challenges and Problems Associated With Your Topic
There are always pros and cons to anything that is one a mass level. The managed care is no different. There are several things …show more content…
There are so many things that can go wrong in programs that have to be used all over the country. There are some solutions to the program that can help maintain how things will work. This program is to understand how the professionalism that many people will try to take advantage of. It also will see how the patterns of payment will work. The program is to managed care how patients are spending their money at a fair price rate and not be taken advantage of.
Challenges/Problems