Questionnaire Of The Health Care Delivery System

HMO- Is the most popular of the plans and is a group of providers that provides services to subscribers with a very small or even co copay when services are rendered. There actually are various types of HMO's that link providers to create a healthcare delivery system, they are Group Model HMO, Individual Practice Association HMO, Network Model HMO, Staff Model HMO, and Open Access HMO.

Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations

Through my experience with the healthcare field, I have seen that low socioeconomic status, culture, and access are the major contributors to the health disparities today. Whether it is not being able to afford health insurance/medical costs, a culture that’s attitude and beliefs does not put much value on preventative care, or simply not having appropriate transportation to the doctor, all these factors work together against the patient. Medical professions can best tackle these issues by first knowing and understanding the needs of the population in which they practice. Theoretically, if one is aware of specific needs then those needs can be better addressed, whether they are financial or cultural needs. Also, medical professionals can work

Managed care plan is another significant health care plan that gives options that may either make it easy or limit medical care services by the patients. This is the type that most people embrace. It covers a wide spectrum of health services in a cheaper and most convenient way. Costs are relatively lower when patients utilize the doctors and other stake holders. Mostly this cover does not require one to fill out any insurance forms or give out any claims to the company that has given you the cover when one uses the in-network providers. One pays a co pay each time he visits the doctor or any hospital. This co pay varies depending on who you visit and whether you receive brand name or generic prescription drug. Various managed care plans adopt a mail-order pharmacy alternative. In this alternative, one sends for the doctor’s prescription for

-The subsystems of US Health Care Delivery includes: Managed Care (HMOs and PPOs), Military, Vulnerable Populations, and Integrated Delivery.

For many decades the access to health care system in America has been an integral social issue. Of all the western countries US is the only country without a universal healthcare access. The health care system charges a fee to provide access to health and the majority of the population is unable to pay such high fees which keep them out of the health care system. The healthcare system is based on the principles of social inequalities which are based on the socioeconomic status, race and gender. The research paper has discussed the issues and analyzed them by shedding light on the alternatives to improve the healthcare system in the US.

For decades, a person’s socioeconomic status or SES has affected the healthcare that people receive due to race and “wealth”. This problem has plagued American society because of these factors leading to many receiving inadequate healthcare. All of these factors for someone’s SES has changed a lot in the healthcare domain that is unfair to many who are not the “ideal”. Due to this the perception, experiences with healthcare waver and are different between the stages of these SES’s. No matter the status of a person they should receive the same amount of care, treatment, and closer.

Many people are concerned about rising health care costs. In reaction to this, some individuals and companies are gravitating toward the assumed lower prices of Health Maintenance Organization (HMO) health plans. HMOs spend billions of dollars each year advertising their low cost services. While these savings look good on paper, there are many pages of small print. The explanation after the asterisk indicates that not only do the HMOs lack lower costs, but they also short-change the patient in quality care. Much of the money spent on premiums goes directly into the pockets of stockholders and less is then available for

The U.S. health care system is a scrutinized issue that affects everyone: young, old, rich, and poor. The health care system is comprised of three major components. Since 1973, most Americans have turned to managed-care programs, known as HMOs. The second type of health care offered to Americans is Medicare, health care for the elderly. The third type of health care is Medicaid, a health care program for the poor.

The U.S. health care delivery system is very complex because it is not a universal health system governed solely by the federal government. Only Americans with health care insurance coverage receive routine health services. Health insurance can be purchased in the private market or provided by the federal government. The uninsured and poor population acquire health insurance by government funded health care called Medicare and Medicaid. Medicare and Medicaid is the largest payer of health care services in the United States with Medicaid providing health services to about 72.5 million and Medicare provides health coverage to more than 55 million (CMS, 2015).

The book discuss about three major types of managed care organization: health maintenance organizations (HMO), preferred provider organizations(PPO), and point of service plans(POS). Managed care has been around for minute. This organization has been around since 1930s. The three managed care organizations are require an agreement between the insurer and a network of health care providers. Policy holders are encouraged to use the providers in the network by the fact a percentage will pay the cost of care if received outside the network.

The Health Maintenance Organizations, well-known as HMO, has made healthcare a reasonably priced for numerous people here in America. What is an HMO? An HMO is an organization where the patient or subscriber is able to choose a medical provider from a list of doctors in a certain medical group. Every medical doctor has signed an agreement to see patients at a reduced rate. This kind of

Lack of doctors is only one facet to this multifaceted problem. Accessibility in terms of having the financial resources to obtain care is another. “Individuals in lower social status groups have the highest rates

The United States is world renowned for having the best health care if not the most accessible. Citizens have at their disposal a plethora of hospitals, physicians, and therapists to improve their well-being. Statistical data was taken back in 2010 under the Central Texas Region and studied health care coverage and income in regards to the community. The data displayed in the surveys heavily suggest that income/ health in general have a high correlation. The issue that arose with the given data imply that those who are on the lower end of the income spectrum subsequently have no health care coverage and poorer health than those with higher income. In any case with high correlation there are a number of factors influencing the statistical evidence, and in this case sociological barriers are present in regards of inequality and health care.

Presently in the United States there are several different health care plans and the decision to accept Managed Health care plans become difficult. Managed care is the most utilized form of health insurance in the United States for it provides cost that is efficient versus paying for services rendered in one lump sum. However like everything in life, there are pros and cons to consider when it comes to managed care versus traditional insurance.