"Aspects of Health Care Administration" is a good example of a paper on care. Anytime we have managed care mentioned what ringers in our minds is our health. How different individuals handle their health care is different and it is always in a managed manner to ensure it’ s done to the optimum level. For this, we can term managed care as a selection of ordered delivery and health care financing. There’ s a trait that unifies this organization it being advising individuals enrolled in it to obtain care from a network of participating providers n especially those selected by the care organizations.
It is vivid that in the United States health care systems have been changed from one dominated by bill in order for health service to be provided to that one subjected by managed care, (Louis, 2011). The three major managed care trends are as follows, a trend focusing on more flexible managed care arrangements, there’ s also the rapid growth of physician groups that exist in the managed care market, and lastly, there is the trend of the increase in of profit in managed care organizations.
Focusing on the trend growth for-profit health care industry this is an essential trend in the managed care industry because it having an impact on health care delivery. In the 1980s health maintenance organizations had profits as 18% which rose 71% in the 1990s and had almost 60% of all the stakeholders included in the profit plans. The major worry on for-profit organizations is that in their aim to serve both the stakeholders and patients the fundamental goal of managed care may b forgotten as there would be more hustle to maximize individual profits rather than the managed care it's self.
When we compare the non-profit health care organizations with for-profit organizations they are more concerned with the sole goal of a health care organization which is to provide health care to the community, but it’ s next to impossible to tell which organization gives the credit of quality care. Managed care trends have brought about the control in health care costs, enabling employers and individuals with low health insurance premiums, (Wolper, 2011). In the more flexible managed care arrangements trend, it has brought about the diversity in the employed population by allowing greater involvement in the flexible managed care agreements that include the preferred provider organizations plans, this gives consumers a wide range of health care providers as compared to the usual health maintenance organizations, this is shown through the rampant rise of subscribers from 20% to 25% in the preferred provider organization and in that of point of sale rose from 9% to 20% and it was made available through employer-sponsored packages when compared to HMOs there was an overall rise in the member's enrollment at the same time but there was a drop of 42% mostly in the restrictive group of staff-model in 1988 to 31% in 1994, thus the need to adopt the point of sale and the preferred provider organization alternatives so as to meet consumer demands and remain as an aggressive organization in the health care market, (George, 2011). Growth of physician-owned provider groups’ trend is bringing about a reflective effect on the managed care market.
There’ s the increase of physicians and hospitals banding together for them to have the chance of being more confidential negotiators with managed care companies for a direct contest in the health care market.
The two provider organizations are physician-hospital organization which are known profitable and the physician practice management organizations which are profitable, in overall the two providers have brought about the rise in number, of managed care organization entering non-exclusive contracts hence the little bargaining power to reduce physician payments in the managed care organization, (Wolper, 2011)
George, P. (2011). Legal Aspects of Health Care Administration. Canada: Jones & Bartlett.
Louis, G. (2011). New Leadership for Today's Health Care Professionals. New York: Jones & Bartlett.
Wolper, L. (2011). Health Care Administration: Managing Organized Delivery Systems. Canada: Jones& Bartlett Publishers.