Managed care has contributed to the transformation of health care delivery across the nation. While managed care originated in the United States, its delivery style has spread internationally. Managed care can be discussed in two different contexts. The first framework describes an approach to health care delivery and is described as the integration of the financing, insurance, delivery, and payment functions within an organizational setting (Shi and Singh, 2019, p. 4). The second term could refer to a physical Managed Care Organization (MCO) which could be different settings (Shi and Singh, 2019, p. 361). The Affordable Care Act (ACA) of 2010, a health care reform initiative, is enriched with managed care strategies. After reading the background information, conduct additional research and respond to the following questions.
Case Assignment
Watch the following videos in preparation for this assignment:
NY State of Health (2016, January 12). Health Insurance Explained
. https://www.youtube.com/watch?v=i9fRGwg0btk
H. S. Rexburg (2016, October 19). Accreditation of health care
. https://www.youtube.com/watch?v=3XDs7ccTQDs
Use what you learned from the videos, the module’s required readings, and your own research to answer the following questions in your paper.
1. What is managed care and how did it evolve?
2. Discuss the current state of managed care in the U. S. Health system. Describe two efficiencies and two inefficiencies in managed care.
3. Why is it important for policy makers and health care managers to understand the intricacies of the health care delivery system?
4. Briefly describe some impacts of health care reform initiatives on managed care in the U.S.
Length: Submit a 3- to 4-page paper, not including the cover page and the reference list.
Part 2
Watch the following video in preparation for this assignment:
Accreditation Association for Ambulatory Health Care (AAAHC). (2010). Introduction. Retrieved from http://www.youtube.com/watch?v=xu-Ffub6WHk
Use what you learned from the video, the module’s required readings, and your own research to answer the following questions in your paper.
1. Discuss the purpose of accreditation. Has the process of accreditation really improved the quality of care being provided to patients?
2. Identify and discuss the process of accreditation for the chosen agency.
3. Discuss some of the standards they look for when they go on-site. Are the standards rigorous or vague?
4. Do these agencies make the results of their surveys public? How could knowing this information be beneficial to patients?
