Managed Care Benefits

Given the provided literature on the subject it is clear to see that Managed Care is both a blessing and a curse. Although there are many noted benefits most important being the ability for people to be able to see doctors for their medical problems it is not a perfect system, it is one which is compared with wearing glasses to see, sure you can still see without them, blurry, hazy but you have the vision to get you by, however you still need them and you see better with them even if you don’t want to rely on them or even if they are not the best glasses. A study was performed on availability and time of providers for managed care patients based on random selection of over 1800 providers (OoIGD/DoHHS, 2014). Study found that out of the random …show more content…
One of the challenges is disease management plans, the problem with the plan lies within a stigma that tends to circle around the issue, disease management needs to be taken more seriously it needs to be understood with an open mind creating more progressed treatments then simply putting the issues aside. Long term illnesses should not feel like a burden and often practicing physicians make it difficult with frequent checkups, follow ups, tests often unnecessary if patient is successfully managing the illness ex: Diabetes. Another challenged faced with managed care is that employers can provide care for their workers with minimal out of pocket costs but some cannot, this often leads to very expensive individual plans problem lies within the realms that workers then rely on the job for their healthcare coverage benefits, this can create an unhealthy work environment where employees are not happy with their jobs they are just hanging on for the benefits, they should not have to feel that way, employees should not be tied down to the plan, rather a look into the coverage options should be reconsidered creating a diverse option for those who would like to cover their own plan at expenses yes higher but similar to those provided by employer. Problem analysis shows that the documentation however for everything managed care does is far off what it actually does, the documentation needs to be revised as many of its assumed intents are not covered and no longer applied, this makes it hard to say what exactly the problem is because when the document is read it sounds great but between practice agreements and how the document is actually used there seems to be many loopholes and so the document is in need of revision. One of the biggest challenges which Managed Care is based on is the inability for patients to see out of network providers, many are able to find in