Managed Health Care Essay

1029 Words 5 Pages
Managed Health Care

Managed health care is a system used to control costs, quality of and access to health care services, as well as the delivery of health care services to it’s members. Managed health care started in the 1980’s in response to rising health care costs and new, advancing technology and equipment, which costs more to operate. Members can enroll in one of these three types of health care plans. Health Maintenance Organization (HMO) is one in which doctors, hospitals, and other health care professionals together form a provider network. They provide services at a discounted rate in exchange for receiving health plan referrals. Then an individual would select a Primary Care Physician (PCP) from a list of approved PCP’s.
…show more content…
Some people may feel that managed care is violating their right to choose this isn’t completely true. If you want more freedom in choice then you can pick a PPO or POS. If not, then a HMO is the one you could choose. You have to find what best fits your needs, but also be prepared to pay more in co-payments and deductibles if you select a more flexible plan. The Health Insurance Portability and Accountability Act or more commonly known as HIPAA was made into a federal law in 1996 and came about to serve multiple tasks, to improve efficiency of health care by reducing costs, lift administrative burdens on health care and to better protect the privacy of patients personal health care information. Medical Assistants are the ones that work with patients the most and need to take great caution to make sure they follow HIPAA guidelines and the proper procedures. While also making sure the office and their selves are protecting the privacy and confidentiality of their patients information. HIPAA was designed to minimize disruptions in patient care and there are no regulations on exchanging information to fulfill treatment. Providers can also continue to exchange patient information related to referrals and consultations. It also requires providers to inform their patients of their rights through a notice of privacy practices statement. According to HIPAA if you are in violation of any
Open Document