DHA 721 Impact of Managed Care Discussion
DHA 721 Impact of Managed Care Discussion
DHA 721 Impact of Managed Care Discussion
DHA 721 WEEK 8 Economic Impact of Managed Care Reform on the Healthcare Market Paper
The concept of managed care and the Health Maintenance Organization (HMO) has been evolving since the early 1970s and has significantly impacted the delivery of health and medical care in the United States.
Write a 1,050- to 1,400-word paper addressing the following:
Define managed care and briefly describe the different types of managed care models and key characteristics of an HMO.
Assess the economic impact of implementing managed care since the introduction of the 1973 HMO Act.
Explain how consumer and provider incentives work to achieve cost reduction, improved resource allocation, and return on investment (ROI) in a managed care environment.
Explain the economic impact of alternative provider payment methods on HMO performance.
Compare and contrast the effects of HMOs with the effects of fee-for-services on resources used and quality of care.
Distinguish between employer and individual use of information on managed care health plan performance.
Discuss the rationale and potential implications and consequences of moving from a volume-based to value-based healthcare delivery system.
Include at least 10 current peer-reviewed articles in your paper.
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Extending health insurance coverage to essentially all
Americans will increase medical spending, at least in
the short run. (Some argue that increased coverage
will lower spending over time by making it possible
to pursue more-aggressive cost-containment policies
without risking access to care for the uninsured, but in
this analysis we do not consider such effects.4
) From
previous studies, data are available to estimate the
magnitude of the increase in spending. Hadley and colleagues, for example, estimated that each uninsured
individual who gains coverage will incur annually
an additional $1,600 of medical care expenses—an
increase of 70 percent.5
The Congressional Budget
Office estimated that spending for uninsured individuals, if they become insured, will increase by 25 percent
to 60 percent.6
The actual increase will depend in part
on the rates that are paid to health care p