Third Hybrid Model

The third hybrid model is a mix of the managed care enterprise and the community development agency. In the managed care enterprise, disease management is under the control of one entity, the health insurance company. Physicians are under contract in the organization. Vertical integration is strong with the enterprise, but horizontal integration does not have as strong of a presence or can be absent all together. The overall bottom line of the enterprise is costs. The community development agency is on the other end of the spectrum with more concern for social justice. The typical design of an agency focuses on local ownership and shared responsibility. Coordination for vertical integration and horizontal integration is done through multidisciplinary committees, which develop policies for the agency. Another focus of this organization is on continual growth of knowledge for practitioners by participating in learning events. The hybrid of these two creates a delivery system through whole systems of care as opposed to multidisciplinary teams in other approaches. They both compliment each other combining a sophisticated …show more content…
The managed care enterprise has proven to be effective in the arenas it is already in use. By coupling it with the community development agency approach, it helps to make the hybrid model grounded in the community while still allowing for refined versions of vertical and horizontal integration. While this does present a more holistic picture approach compared to the first two hybrid models, it is from this strength comes their largest weakness. Both of these organizations are opposites of one another, while they can fit together to become a well rounded approach to healthcare, because of the drastically different ways they view healthcare, there will be many challenges in the integration of the two