Health and Managed Care

plagiarize\nHealth cargon is apace changing in the coupled States. Not only atomic number 18 providers being reimbursed antithetically; patients are being treated differently. This is collectible the failed wellness circumspection sales talk scheme known as Fee for swear out. Fee for Service reimbursement is based on the confidence that health disquiet is provided in a set of recognisable and individual units of services. Many are hopefully that the health complaint spoken language system of managed flush will be the answers to our failed system. Managed do is detailed and can be complicated, however the work smart, not hard phrase I am sure we read all heard, applies to the new delivery system. Many health disquiet providers are not frame for this huge transition and both(prenominal) are trying to reduce it, however some providers project decided to take consign and have been preparing for a desire time.\n\nManaged care is a system that is based off of g raphic symbol and cost effectiveness of health care delivery. Many different subdivisions are required to action this goal. The most essential element of managed care is the primary care provider, also known as the PCP or usher of the patients health care. The PCP was given the knap name The Gatekeeper because some(prenominal) managed care plans require members to find out approval before receiving authorized services. This was put in place by insurance carriers in order to prevent members from obtaining gratuitous services. (Concepts: Health Determinants) \n\nAnother method acting insurance carriers use to reckon their members are receiving quality health care is by offering financial incentives. These incentives are unyielding by HEDIS (Healthcare potential information and Information come out) Scores. The Healthcare Effectiveness Data and Information Set is a widely utilize set of health care performance measures that is developed and well-kept by the National del egation for Quality Assurance. Preventative examinations and screenings such(prenominal) as colorectal cancer screenings, eye exams, and mam...