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The notion of a nursing home is very frightening to many people, largely because it feels like the surrender of independence. If you or a loved one is faced with the likelihood of nursing home care, you should evaluate all the alternatives before making the final decision, if time and circumstances permit. more »
Medicare is government health insurance for senior citizens (or younger, provided the patient has certain disabilities). Since one of the problems of advanced age is weakened vision, one would reasonably expect that insurance for seniors would cover prescription eyeglasses. That is not necessarily the case, as many seniors requiring... more »
Nursing homes, also called skilled nursing facilities, provide 24-hour care by healthcare professionals to men and women who no longer have the ability to take care of themselves because of mental, physical or emotional reasons. There are two types of nursing homes: skilled medical care or custodial, personal care. Skilled medical... more »
Medicare premiums are deducted from the checks of those who receive Social Security; they are not a free benefit given to retirees. The cost of premiums is high and rises yearly. Unless the recipient also buys and pays for out-of-pocket secondary insurance, it is difficult for many living on Social Security to afford to pay for... more »
Employment in some pharmacy professions is booming in the United States and shrinking in other professions, according to federal statistics. Jobs in a pharmacy range widely, however, and the requirements for each type of job are equally diverse. Focusing primarily on retail pharmacy, this article summarizes the responsibilities,... more »
Managed care is a catch all phrase that describes services provided by various groups such as...
The health care industry is a highly complex field that can be hard to navigate. Whether you are...
Health Maintenance Organizations (HMOs) offer health care through specific doctors and clinics...
After decades of taking care of children eventually a parent will need to enter long term care...
Although managed care was the basis of President Nixon's health care policy, it wasn't until 1973 that Congress sent the Health Maintenance... more »
Congress passed the Health Maintenance Organization Act in 1973 and amended it in 1976 and 1978. As amended, the act encouraged and supported the... more »
Before submitting to hernia surgery, you might consider your options to get a second opinion. There may not be a question about the need to have... more »
The term managed care was first introduced sometime around the late 1920s and refers to a system of medical care based on prepaid contracts.... more »
In order to understand what a Medicare HMO is, it is important to understand what Medicare is and what an HMO is. Traditionally, the two were... more »
The term managed care is used to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care ("managed care techniques") for organizations that use those techniques or provide them as services to other organizations ("managed care organization or MCO"), or to describe systems of financing and delivering health care to enrollees organized around managed care techniques and concepts ("managed care delivery systems"). According to the United States National Library of Medicine, the term "managed care" encompasses programs:
...intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations. National Library of Medicine.
The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they are now used by a variety of private health benefit programs. Managed care is now nearly ubiquitous in the U.S, but has attracted controversy because it has largely failed in the overall goal of controlling medical costs. Proponents and critics are also sharply divided on managed cares overall impact on the quality of U.S. health care delivery.
History
Paul Starr suggests in his analysis of the American health care system (i.e., The Social Transformation of American Medicine) that Richard read more at » http://en.wikipedia.org/wiki/Managed+care
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