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The Organizational Theory That Drives The Managed Health Care

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Damaged Care Health care organizations are complex entities whose theory and structure have evolved and transitioned over time. In the late 1980s and early 1990s health care experienced a paradigm shift as managed care organizations guided health care practices by managing the care between patients and physicians in order to drive down health care costs. This transition has created controversy and discontent as physicians, patients and payers balance what is required to ensure quality care. The movie Damaged Care introduced the organizational structure of the managed care organizations, the hierarchy of care within the organization, the power struggle within those organizations and the impact it has on the clinical decision making and ultimately the patient. This paper will analyze the organizational theory that drives the managed health care, the roles and motivators of all parties involved and the effects organizational actions have on the consumers’ care. Dr. Linda Peeno, the lead character in Damaged Care begins the story discussing that inner voice that defines the individual and changes as the individual changes. This inner voice can be described as motivation (87). Johnson explains that it is the key to understanding what drives not only individuals but also those that lead bigger organizations such as health care industries and even HMOs. Everyone has different motivators and different agendas. By examining Maslow’s Hierarchy of Needs those motivators are
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