Monday, May 18, 2020

Manage Care and How It Has Affected and Changed Health...

Manage Care and How It Has Affected and Changed Health Care Manage Care and how it has affected and changed Health Care â€Å"Managed care embodies an effort by employers, the insurance industry, and some elements of the medical profession to establish priorities and decide who gets what from the health care system.† (JAMA.2001; pg. 285:2622-2628). Manage Care is part of the Health Care system since 1973 is known as the system that finances and delivers health care to individuals enrolled under their plans. Manage care is intended to reduce the unnecessary health care cost in America through a variety of mechanism that includes medical necessity review programs, economic incentives for physicians, beneficiary cost sharing, control of†¦show more content†¦The restrictions on health care services and reimbursements that are intended to reduce health care cost by discouraging individuals from using care inappropriately. The discouragements of inappropriate care have done nothing else but affect the quality of care that patients receive and their health. It is amazing when people’s freedom of choices in the physician and health plans they want becomes limited to them it can ultimately reduce their health. (JAMA.2001; pg. 285:2622-2628) How has this event impacted the historical evolution of healthcare? Prior to the year 1760 and now I can say that health care has evolved in the United States. My prior knowledge of health care is that it was a system of home care remedies with doctors with little training to our now complex technology and bureaucratic system. With the birth of medical insurance, technological advancement, and the professional utilization of doctors, it would be very ignorant not to say that health care has evolved from what it was to what it is now. Manage care has definitely become part of that evolution and has impacted it as well with allowing the healthcare system to becomes nothing much than a growing cooperation whose business is making a profit from healthcare, and not providing the quality, reasonable cost, and necessary medical care whenShow MoreRelatedExamples Of Policy Position Paper1571 Words   |  7 Pagesregulations, and approaches do only that. The United States government manages these requirements with the expectation of enhancing the strength of the general population while building up the tools, alongside resources and programs to associate in the conveyance of medical care services. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) alongside the security law have affected preventive care services and how it is conveyed. HIPAA was intended to guarantee that the suitable systemsRead MoreMy First Day Of The Mental Health Class987 Words   |  4 PagesMy first day in the mental health class was very exciting, informative and awareness. Being in class on the first day of the course has deepened my understanding, changed my perception and increased my level of empathy for people with mental health challenges. The discussions about how some people regard those with mental health challenges, what individuals in the class want to learn about mental health, and statistics about mental illness has really broadened my knowledge, understanding, and givenRead MoreThe Continuum Of Care Organization1458 Words   |  6 Pagesnursing practice is eminent to deliver care to a complex population from conception to death. Representations on how to practice nursing is expected to raise and transform. This new endeavor is the road to keep patient healthy. The relationship between the patient and care giver will go past actual occurrences of malady. The focus is on delivering care that is mainly focus on the needs of the patient in a continuum. In collaboration with everyone in the care team the patient is a unique person withRead MorePhilosophical Reflection Of Nursing1320 Words   |  6 Pagessee that my current perspective on the nursing practice is similar to what it was yet has expanded as a result o f being able to work alongside various Registered Nurses over the past four years. My philosophy of nursing has also slightly changed. Although my philosophy is still based on the nursing metaparadigm, that is nursing, health, the person, and the environment, I believe that my understanding of each one has evolved. Therefore, I believe it is crucial for myself to further explore my currentRead MoreNeed For Change Within The Nursing Practice943 Words   |  4 Pages education, and roles should change to respond effectively to the health needs presented by aging populations. It draws attention as well as responding to the evolving complex health care system (Nickitas et al., 2010). The IOM report urges nurses to take a higher leadership role within the nursing practice to prompt important changes in the health care system so that they may be in a position to attend to the dynamic health care system. Relating the IOM structure and guidelines to the topic at handRead MoreHealth Care : The Highest Quality Standards1266 Words   |  6 PagesQuality is what individuals seek in health care services. Health care should meet the highest quality standards possible. Quality is a result of many factors which include patient satisfaction, provider involvement and also costs. High quality health care requires services that are expensive. Thus, health care payers have a tremendous impact on health care quality. The quality received in health care depends on the amount of money spent on the care. If health care providers are not paid enough forRead MoreEvaluation Of A Holistic Teaching Approach1382 Words   |  6 Pageslevels and preventing complications associated with diabetes. The learning points for managing diabetes are multifaceted and include: monitoring blood glucose levels, food/nutrition planning, physical activity, skin care, medication education, knowledge of the disease process and how to handle hypo/hyperglycemic incidents. It is important to inform a patient that being diagnosed with diabetes requires lifestyle changes, especially in the areas of nutrition and exercise. Making changes is one of theRead MoreThe Health Insurance Portability And Accountability Act ( Hipaa )1383 Words   |  6 PagesIn 1996 the Health Insurance Portability and Accountability Act (HIPAA). This act of congress has changed how every covered entity manages and distributes health information. Standards have been established for providers. Patients have the right to view their health records. They also have recourse if their health information is disclosed without their permission. As a patient you (or your personal representative) have the right to view and receive a copy of your medical and billing records fromRead MoreRoles and Values of Nursing1694 Words   |  7 Pagesaspects of nursing roles and how they contribute to my professional development. Both of the nurses that I interviewed had obtained a BSN and worked in a hospital owned orthopedic and spine medical group. There were commonalities in several of their answers related to patient care but differences related to their roles Interview #1 The first nurse that I interviewed was a staff nurse in a physician’s office within a hospital organization. She had obtained a BSN and has worked as a staff nurse forRead MoreNursess Promotion Of Health Literacy Using Theories1706 Words   |  7 Pagesin Promotion of Health Literacy Using Theories Health literacy has been a problem with our patients. The most vulnerable populations are the elderly, people with low-income levels, those with limited education, non-native speakers of English, those with chronic mental and physical health conditions, minority, and immigrant populations. Nurses have a great role in helping our patients succeed in understanding their health conditions. Nurses can be of great help in promoting health literacy. Sykes

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.