Healthcare : A Complex Healthcare System Essay

919 WordsSep 22, 20154 Pages
Managed Care is a complex healthcare system in which physicians, hospitals, and other healthcare professionals organize in an interrelated system of people and facilities that communicate with one another and work together as a unit, commonly referred to as a network. This network coordinates and arranges healthcare services and benefits for a specific group of individuals, referred as enrollees, for the purpose of managing cost, quality, and acess to healthcare. Managed care program may be provided in a variety of settings, such as Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO). Managed Care Organizations (MCOs) performs three functions: (1) set up the contracts and organization of the healthcare providers who furnish medical care to the enrollees, (2) establish the list of covered benefits tied to managed care rules, and (3) oversee the healthcare they provide. Managed care greatly influenced the practice of medicine and that the enactment of the Affordable Care Act greatly affects managed healthcare planss (Beik, 2014). This paper will examine the future of managed healthcare delivery system under the Affordable Care Act provision to expand Medicaid program. Paper Proposal Topic: The Future of Managed Health Care Delivery: Affordable Care Act The Patient Affordable Care Act (ACA) was signed into law on March 23, 2010. One of the major goals of the Affordable Care Act (ACA) is to provide quality, affordable care for all Americans. In
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