Financing Managed Healthcare Organizations
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Complete ALL of the bullet points below:
Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other.
- Managed care organizations emphasize physicians\’ responsibilities to control patient access to expensive hospitalization and specialty care, a principle dubbed \”gatekeeping.\” Some argue that \”gatekeeping\” is unethical because it introduces financial factors into treatment decisions. Others say it improves quality by promoting the use of the most appropriate levels of care.
- Medicare is an area that often gets overlooked and is seen as a burden financially. Discuss alternatives to ease the drain on Medicare resources.
- Medicaid is shouldering an ever-increasing burden of cost for long-term care for the elderly, with enormous impacts on state budgets throughout the nation. Discuss alternatives to ease this drain on Medicaid resources.
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Financing Managed Healthcare Organizations