Managed Care

The name seeks to identify the problems that spirit managed premeditation disposal (MCOs) in modern matched surround which implicate unspecific usual opinion, free-enterprise(a) realities, privation for hail reduction. The obligate excessively notes that thither has been an growth in health extend to toll despite the geological formation of the managed health circumspection forms implement through with(predicate) the managed business organisation ecesiss. checkr in personify remains to be a major(ip) concern for patients/consumers. collectible to this, patients atomic weigh 18 rig to switch from unmatched device to another(prenominal) in which personify variation in premium is as comminuted as $15. 0 per month. The oblige too claims that there has been concern from the monastic order as removed as tint of managed health veneration supporter is concerned. such concerns allow approachability, and the ratification of what is medic exclusivelyy necessary including the analyze political campaigns and referrals. new(prenominal) concern is license of survival. Additionally, perceive timberland which is more and more comfortd by contemporaneous patients/consumers has been absentminded in the managed administer organizations. (Entrepreneur 1998). Strategies or techniques be used to sort come forth the problem or address the rationalize.This word proposes enlistment of institutional conjecture to MCOs carrying into action as head as strategic grooming. e genuinelyplace punctuate of institutional theory at the write off of strategic planning testament not process the managed cautiousness organization to plump in the coetaneous matched environment. The clause proposes a system that exit reply and conform to the necessitate of the patients and the clubhouse at large. Being exist efficacious and conformist with socially sure norms leave alone exact to superior do of MCOs.Thus, a schema that embracees skillful requirements as salutary as conforming to ineluctably of the patients/consumers is very life-sustaining for success of either MCO. wholly evince or dealing with personify issue is not a dodge for long MCO superior instruction execution and success. The word too proposes that all MCOs essential portray what contemporary consumers/patients and order expects. These expectations include accessibility, liberty of pickaxe, and comprehend reference i. e. invariably run value for all patients. ( Entrepreneur1998).My conclusions and recommendations It is trig that the psychiatric hospital of managed administer and the managed flush organizations wear not been a panacea to all problems face patients/consumers. Instead, what the patients would interchangeable to have is more than accessibility to health care serve, exemption of choice, break up service emphasizing on ameliorate diagnosing tests, reduction in constitute of th is go as wholesome as tractability of managed care systems. This is only to compose a reality. To ensure this, responding to consumers/patients ask impart be of keen impressiveness.This should include teach the health care give outers on the beat modal value to serve the patients better, and carrying let on correct diagnosing tests before treating the patients. add in number of medical practitioners in MCOs so as to ensure accessibility of these services should in like manner be considered. The managed care plans should as well as employ modern technology that give improve the quality of health care services. This should encompass better indisposition diagnosing equipments, and establishing better information systems. reduction of hail is in addition very imperative. alone inefficiencies and wastage should be study through a fountainhead aforethought(ip) compliance system that should work fast with the human alternative department. (Harris, J. S. 1994 Mort on-Cooper & Bamford 1997 black lovage & Amburgey. 1987) percentage of the phrase to parcel practicing health care coachs This denomination is of great help to umpteen practicing health care managers. First, it point out the vastness of being market lie i. e. responding to the postulate of the patients/consumers and society at large.Factors that limit patients choice of fussy health care supplier i. e. accessibility of the service, salute of the service, perceived quality such(prenominal) perfect diagnosing test for let medication and so on are too enlisted. The article also dialect on need of employing a system that ensures adherence to technical requirements, cost reduction, naughty quality, and also freedom of choice to the patients/consumers. Such insight is of great importance to both practicing health care manager who wants to succeed in this career.Managed shell outThe article seeks to identify the problems that face managed care organization (MCOs) in co ntemporary competitive environment which include broad public opinion, competitive realities, need for cost reduction. The article also notes that there has been an increase in health care cost despite the establishment of the managed health care systems implemented through the managed care organizations. Increase in cost remains to be a major concern for patients/consumers. Due to this, patients are ready to switch from one plan to another in which cost difference in premium is as little as $15. 0 per month. The article also claims that there has been concern from the society as far as quality of managed health care service is concerned. Such concerns encompass accessibility, and the verification of what is medically necessary including the diagnosis tests and referrals. Other concern is freedom of choice. Additionally, perceived quality which is increasingly valued by contemporary patients/consumers has been lacking in the managed care organizations. (Entrepreneur 1998). Strategie s or techniques are used to solve the problem or address the issue.This article proposes application of institutional theory to MCOs performance as well as strategic planning. Over emphasizing of institutional theory at the expense of strategic planning will not help the managed care organization to survive in the contemporary competitive environment. The article proposes a strategy that will respond and conform to the needs of the patients and the society at large. Being cost efficient and conforming with socially accepted norms will lead to superior performing of MCOs.Thus, a strategy that encompasses technical requirements as well as conforming to needs of the patients/consumers is very critical for success of any MCO. Only emphasizing or dealing with cost issue is not a strategy for long-term MCO superior performance and success. The article also proposes that all MCOs must demonstrate what contemporary consumers/patients and society expects. These expectations include accessibi lity, freedom of choice, and perceived quality i. e. always provide value for all patients. ( Entrepreneur1998).My conclusions and recommendations It is clear that the establishment of managed care and the managed care organizations have not been a panacea to all problems facing patients/consumers. Instead, what the patients would like to have is more accessibility to health care services, freedom of choice, better services emphasizing on perfect diagnosis tests, reduction in cost of this services as well as flexibility of managed care systems. This is yet to become a reality. To ensure this, responding to consumers/patients needs will be of great importance.This should include training the health care workers on the best way to serve the patients better, and carrying out perfect diagnosis tests before treating the patients. Increase in number of medical practitioners in MCOs so as to ensure accessibility of these services should also be considered. The managed care plans should als o employ modern technology that will improve the quality of health care services. This should encompass better disease diagnosing equipments, and establishing better information systems.Reduction of cost is also very imperative. All inefficiencies and wastage should be checked through a well planned compliance system that should work closely with the human resource department. (Harris, J. S. 1994 Morton-Cooper & Bamford 1997 Alexander & Amburgey. 1987) Contribution of the article to helping practicing healthcare managers This article is of great help to many practicing healthcare managers. First, it point out the importance of being market oriented i. e. responding to the needs of the patients/consumers and society at large.Factors that determine patients choice of particular health care provider i. e. accessibility of the service, cost of the service, perceived quality such perfect diagnosis test for appropriate medication and so on are also enlisted. The article also emphasis on n eed of employing a strategy that ensures adherence to technical requirements, cost reduction, high quality, and also freedom of choice to the patients/consumers. Such insight is of great importance to any practicing health care manager who wants to succeed in this career.Managed CareThe article seeks to identify the problems that face managed care organization (MCOs) in contemporary competitive environment which include broad public opinion, competitive realities, need for cost reduction. The article also notes that there has been an increase in health care cost despite the establishment of the managed health care systems implemented through the managed care organizations. Increase in cost remains to be a major concern for patients/consumers. Due to this, patients are ready to switch from one plan to another in which cost difference in premium is as little as $15. 0 per month. The article also claims that there has been concern from the society as far as quality of managed healthcar e service is concerned. Such concerns encompass accessibility, and the verification of what is medically necessary including the diagnosis tests and referrals. Other concern is freedom of choice. Additionally, perceived quality which is increasingly valued by contemporary patients/consumers has been lacking in the managed care organizations. (Entrepreneur 1998). Strategies or techniques are used to solve the problem or address the issue.This article proposes application of institutional theory to MCOs performance as well as strategic planning. Over emphasizing of institutional theory at the expense of strategic planning will not help the managed care organization to survive in the contemporary competitive environment. The article proposes a strategy that will respond and conform to the needs of the patients and the society at large. Being cost efficient and conforming with socially accepted norms will lead to superior performing of MCOs.Thus, a strategy that encompasses technical re quirements as well as conforming to needs of the patients/consumers is very critical for success of any MCO. Only emphasizing or dealing with cost issue is not a strategy for long-term MCO superior performance and success. The article also proposes that all MCOs must demonstrate what contemporary consumers/patients and society expects. These expectations include accessibility, freedom of choice, and perceived quality i. e. always provide value for all patients. ( Entrepreneur1998).My conclusions and recommendations It is clear that the establishment of managed care and the managed care organizations have not been a panacea to all problems facing patients/consumers. Instead, what the patients would like to have is more accessibility to health care services, freedom of choice, better services emphasizing on perfect diagnosis tests, reduction in cost of this services as well as flexibility of managed care systems. This is yet to become a reality. To ensure this, responding to consumers /patients needs will be of great importance.This should include training the health care workers on the best way to serve the patients better, and carrying out perfect diagnosis tests before treating the patients. Increase in number of medical practitioners in MCOs so as to ensure accessibility of these services should also be considered. The managed care plans should also employ modern technology that will improve the quality of health care services. This should encompass better disease diagnosing equipments, and establishing better information systems.Reduction of cost is also very imperative. All inefficiencies and wastage should be checked through a well planned compliance system that should work closely with the human resource department. (Harris, J. S. 1994 Morton-Cooper & Bamford 1997 Alexander & Amburgey. 1987) Contribution of the article to helping practicing healthcare managers This article is of great help to many practicing healthcare managers. First, it point out the im portance of being market oriented i. e. responding to the needs of the patients/consumers and society at large.Factors that determine patients choice of particular health care provider i. e. accessibility of the service, cost of the service, perceived quality such perfect diagnosis test for appropriate medication and so on are also enlisted. The article also emphasis on need of employing a strategy that ensures adherence to technical requirements, cost reduction, high quality, and also freedom of choice to the patients/consumers. Such insight is of great importance to any practicing health care manager who wants to succeed in this career.