0
What else can I help you with?
What has the author Sarah Feldman written?
Sarah Feldman has written: 'Managed care and provider volume' -- subject(s): Econometric models, Managed care plans (Medical care), Preferred provider organizations (Medical care)
When a patient has a question or concerns about proposed procedures who should provide answers?
When a patient has questions or concerns about proposed procedures, they should seek answers from their healthcare provider, such as a physician, surgeon, or nurse. These professionals have the expertise to explain the procedure, address risks and benefits, and clarify any uncertainties. It's essential for patients to feel informed and comfortable with their treatment decisions, so open communication with their care team is crucial.
What should a healthcare provider do if a patient approaches the health care provider with a personal problem?
If a patient approaches a healthcare provider with a personal problem, the provider should listen attentively and empathetically, allowing the patient to express their concerns without judgment. It's important to assess whether the issue relates to their health and if so, address it appropriately within the context of their care. The provider can also offer resources or referrals to specialists, such as mental health professionals, if the problem extends beyond the scope of medical care. Maintaining confidentiality and providing support can help build trust and encourage open communication.
What has the author Patricia M L Illingworth written?
Patricia M. L. Illingworth has written: 'Trusting medicine' -- subject(s): Ethics, Managed Care Programs, Managed care plans (Medical care), Moral and ethical aspects of Managed care plans (Medical care), Physician and patient, Physician-Patient Relations, Trust
Is an integrated delivery system a managed care plan?
An integrated delivery system (IDS) is not a managed care plan per se, but it can encompass managed care elements. An IDS is a network of healthcare providers and organizations that work together to deliver coordinated care, often aiming to improve patient outcomes and reduce costs. Managed care plans, on the other hand, are specific insurance products that manage costs and quality of care through various mechanisms, including provider networks and cost-sharing arrangements. While an IDS can operate under a managed care model, they are distinct concepts.
Managed care organizations evaluate the provider through a blank process?
Credentialing
What are the four types of managed care plans?
The four types of managed care plans are health maintenance organizations (HMOs), preferred provider organizations (PPOs), exclusive provider organizations (EPOs), and point-of-service plans (POS).
What should a health care provider do if a patient approaches the health care provider with a personal problem?
If a patient approaches a health care provider with a personal problem, the provider should listen empathetically and validate the patient's feelings without judgment. They should assess the situation to determine if the issue affects the patient's health and well-being. If appropriate, the provider can offer resources or referrals for additional support, such as counseling or social services. Maintaining professional boundaries while ensuring the patient feels heard and supported is essential.
What is the principle behind managed care?
The principle behind managed care is to improve the quality and efficiency of healthcare while controlling costs. This is achieved through coordinated care and the use of various strategies, such as provider networks, preventive care, and case management. Managed care organizations often negotiate prices with providers and emphasize the importance of preventive services to reduce the need for more expensive treatments. The overall goal is to deliver cost-effective healthcare that prioritizes patient outcomes.
True or false managed care and case management are interchangeable concepts?
False. Managed care and case management are not interchangeable concepts; they serve different purposes within the healthcare system. Managed care refers to a system that seeks to reduce healthcare costs while improving quality through coordinated care and provider networks. In contrast, case management focuses on coordinating patient care, particularly for individuals with complex health needs, by facilitating access to services and resources.
A primary care physician who participates in a managed care plan and is chiefly responsible for most of the care provided to the enrollee is referred to as?
A primary care physician who participates in a managed care plan and is chiefly responsible for most of the care provided to the enrollee is referred to as a "primary care provider" (PCP). The PCP coordinates patient care, oversees referrals to specialists, and manages overall health, serving as the main point of contact within the healthcare system for the enrollee.
Why does david rogers disagree with managed care?
David Rogers disagrees with managed care primarily because he believes it can compromise the quality of patient care. He argues that the focus on cost containment often leads to restrictive practices that limit patients' access to necessary treatments and providers. Additionally, he is concerned that managed care prioritizes profitability over patient well-being, potentially undermining the physician-patient relationship. Overall, Rogers advocates for a healthcare model that emphasizes patient-centered care rather than financial constraints.
