DIRECTIONS
It is expected that the outline be submitted in a formal outline format as demonstrated below. Your outline should show enough detail to demonstrate that you have begun thinking about the organization of your paper and the research required into the topic. After your outline, please submit a listing of the sources you have already identified for your paper.
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USE THE FOLLOWING COURSE PROJECT TOPIC TO COMPLETE OUTLINE.
Managed health care is continually dominating in United State as the most common method health care provision. Managed Care is responsible for overseeing the financing of health care as well as the provision of the health care in the United States. Basing on this understanding, issues are arising from the manner in which the Managed Care govern the provision of health services as well as the methodology used in the management of finances in the healthcare sector (Baicker & Robbins, 2015). As such, there have been challenges arising from the relationship between the health practitioners and the patients. Some of these challenges could have a solid basis on the organizational structures or the health practitioner themselves.
One of the key challenges that affect the patients’ relations for Managed Care is the conflict of interests. Conflict of interest arises when some health practitioners refer patients to other practitioners such as physicians who may offer additional charges for treatment of patient’s illness while as the patient presumed the service could be free. Alternatively, there have been instances where variations within the whole Managed Care have led to causing challenges in health practitioner and patient relationship (Frandsen et al., 2015). Some patients could prefer not to reveal their true illness to avoid accumulating additional charges that arise from variances and differences within Managed Care,
Resolving challenges patients’ relation for Managed care
There is the need to create awareness and educate the patients on how the Managed Care works. Some patients negatively view the operation of the Managed Care for they lack the adequate or satisfactory knowledge to fill the gap that coexists between their health conditions and the kind of services they need. Alternatively, it is through massive campaign about the operations of Managed Care could eliminate the lack of transparency that coexists between the patients and the health care practitioners (Frandsen et al., 2015). However, it could be critical that when creating this awareness to educate the patients on the cost benefits associated with the Managed care. The essence of informing the cost benefit of Managed care is to present an evidence based solution and teachings to the problems faced by the patients’ relation for Managed care.
Additionally, improving the relationship between the patients and the health practitioners is essential in dealing with the challenges experienced by the Managed care. One possible solution is improving on consultant services offered by the health practitioners. Usually, patients need to visit any health care organization to receive these consultant services regarding various issues. Adopting off-site and distance services where the patients could make a telephone call without necessarily visiting the organization could bridge the gap that exists between the patients and health care practitioners (Lewis & Pflum, 2015). Enhanced relationships could eliminate the conflict of interest challenge that is currently affecting the patients’ relation for Managed care.
References
Baicker, K., & Robbins, J. A. (2015). Medicare payments and system-level health-care use: the spillover effects of Medicare managed care. American journal of health economics.
Frandsen, B. R., Joynt, K. E., Rebitzer, J. B., & Jha, A. K. (2015). Care fragmentation, quality, and costs among chronically ill patients. The American journal of managed care, 21(5), 355-362.
Lewis, M. S., & Pflum, K. E. (2015). Diagnosing hospital system bargaining power in managed care networks. American Economic Journal: Economic Policy, 7(1), 243-27
