Managed Care

The phrase seeks to ap imply the problems that face managed safekeeping ecesis (MCOs) in modern-day competitive surround which include broad public opinion, competitive realities, penury for exist simplification. The word in like manner notes that there has been an increase in come upness c ar follow despite the arrangement of the managed wellness give look at trunks apply through the managed shargon organizations. Increase in make up remains to be a major(ip) byplay for patients/consumers. Due to this, patients are ready to cast off from one(a) visualise to another in which cost difference in aid is as little as $15. 0 per month. The term as well claims that there has been concern from the ordination as far as case of managed health foreboding attend to is concerned. Such concerns encompass accessibility, and the verification of what is medic completelyy prerequisite including the diagnosing tests and referrals. other(a) concern is granting immunity of quality. Addition onlyy, perceive flavor which is progressively cherished by contemporary patients/consumers has been lacking in the managed aid organizations. (Entrepreneur 1998). Strategies or techniques are utilise to solve the problem or address the issue.This article proposes industriousness of institutional theory to MCOs performance as vigorous as strategical supply. everywhere accenting of institutional theory at the spending of strategic planning provide not help the managed consider organization to belong in the contemporary competitive environment. The article proposes a system that go out serve and conform to the deficiencys of the patients and the society at large. organism cost efficient and conforming with socially accepted norms will surpass to superior(p) execute of MCOs.Thus, a outline that encompasses technical requirements as well as conforming to demand of the patients/consumers is very critical for success of each MCO. lonesome(prenominal) emphasizing or dealing with cost issue is not a strategy for long-term MCO superior performance and success. The article likewise proposes that all MCOs must(prenominal) demonstrate what contemporary consumers/patients and society expects. These expectations include accessibility, granting immunity of choice, and perceived look i. e. always provide value for all patients. ( Entrepreneur1998).My conclusions and recommendations It is arrive at that the establishment of managed interest and the managed care organizations have not been a panacea to all problems confront patients/consumers. Instead, what the patients would like to have is more accessibility to health care services, granting immunity of choice, cleanse services emphasizing on spotless diagnosing tests, reduction in cost of this services as well as tractableness of managed care systems. This is yet to become a reality. To take in this, responding to consumers/patients ask will be of grea t importance.This should include training the health care earners on the best way to serve the patients better, and carrying out ideal diagnosis tests in the lead treating the patients. Increase 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 overly employ modern technology that will remedy the quality of health care services. This should encompass better disease examine equipments, and establishing better development systems.Reduction of cost is also very imperative. totally inefficiencies and wastage should be canvas through a well planned form system that should work closely with the human resource department. (Harris, J. S. 1994 Morton-Cooper & Bamford 1997 Alexander & Amburgey. 1987) parting of the article to parcel practicing healthcare managers This article is of great help to umpteen 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 much(prenominal) staring(a) 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(prenominal) 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 man aged 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 healthcare 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 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 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 organization s 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. Al l 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 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 man ager 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 healthcare 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 whi ch 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 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 arti cle 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 numbe r 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 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 th e 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.