Describe the roles, functions, and liabilities of the board in a managed care organization.
The roles of the managed care organizations are used to reduce the cost of health care services through several forms of methods such as incentives that are useful through patient doctor relationships to develop a better form of care for the patients. “Gale Cengage Learning (2013) reports Managed care” refers to that type of health care system under which medical care and treatment is managed by the entity paying the bills, and not the medical care or treatment provider (physician, hospital, etc.). It is a system dominated by acronyms that identify different services or components, such as HMOs, PPOs, and EPOs. It is also a system that has become so …show more content…
The shared savings for Medicare is a collection of data which allows the program to have an insight annually into its payments characteristics and risk profiles regarding the program. Managed Care organizations has several different plans under their groups that several people could choose from and can control the cost of the hospital visits, premiums, per which plan has been selected. “Marilyn Moon (2015) reports While the debate over health care reforms for those under the age of 65 has been a major source of discord and confusion, the Medicare program has retained its strong support from both beneficiaries and the public at large. Yet it too is likely to face potential changes as faith in government and willingness to support the revenues necessary to sustain Medicare and the related Medicaid program once again receive scrutiny. The aging of the Baby Boom population will continue to keep financing concerns near the forefront of debates over the federal budget even though some slowdown in growth has been achieved in recent years.”
References:
Managed Care/Hmos. (2013). In Gale (Ed.), Gale encyclopedia of everyday law (3rd ed.). Farmington, MI: Gale. Retrieved from http://search.credoreference.com.proxy-library.ashford.edu/content/entry/galegel/managed_care_hmos/0
Moon, M. (2015). Organization and financing of health care. In L. George, & Kenneth Ferraro (Eds.), Handbook of aging and the social sciences (8th ed.). Oxford, UK: Elsevier Science & Technology. Retrieved from
The roles of the managed care organizations are used to reduce the cost of health care services through several forms of methods such as incentives that are useful through patient doctor relationships to develop a better form of care for the patients. “Gale Cengage Learning (2013) reports Managed care” refers to that type of health care system under which medical care and treatment is managed by the entity paying the bills, and not the medical care or treatment provider (physician, hospital, etc.). It is a system dominated by acronyms that identify different services or components, such as HMOs, PPOs, and EPOs. It is also a system that has become so …show more content…
The shared savings for Medicare is a collection of data which allows the program to have an insight annually into its payments characteristics and risk profiles regarding the program. Managed Care organizations has several different plans under their groups that several people could choose from and can control the cost of the hospital visits, premiums, per which plan has been selected. “Marilyn Moon (2015) reports While the debate over health care reforms for those under the age of 65 has been a major source of discord and confusion, the Medicare program has retained its strong support from both beneficiaries and the public at large. Yet it too is likely to face potential changes as faith in government and willingness to support the revenues necessary to sustain Medicare and the related Medicaid program once again receive scrutiny. The aging of the Baby Boom population will continue to keep financing concerns near the forefront of debates over the federal budget even though some slowdown in growth has been achieved in recent years.”
References:
Managed Care/Hmos. (2013). In Gale (Ed.), Gale encyclopedia of everyday law (3rd ed.). Farmington, MI: Gale. Retrieved from http://search.credoreference.com.proxy-library.ashford.edu/content/entry/galegel/managed_care_hmos/0
Moon, M. (2015). Organization and financing of health care. In L. George, & Kenneth Ferraro (Eds.), Handbook of aging and the social sciences (8th ed.). Oxford, UK: Elsevier Science & Technology. Retrieved from