Managed care is typically paid for by a combination of the individual and their employer. Premiums can be shared between the individual and their employer, with the individual sometimes being responsible for copayments or coinsurance. Some government programs, such as Medicare and Medicaid, also provide funding for managed care plans.
care needed to be managed
Robert Royce has written: 'Managed care' -- subject(s): Health care reform, Managed Care Programs, Managed care plans (Medical care)
Colodia Owens has written: 'Managed Care Organizations' -- subject(s): Managed Care Programs, Managed care plans (Medical care)
forerunner of today's managed care plans?
Since the Portable Health Care Act (Obama-care), Managed Care is replacing Private Insurance. However, people still resent managed care programs.
Norman Winegar has written: 'The clinician's guide to managed mental health care' -- subject(s): Managed mental health care 'Guidebook to managed care and practice management terminology' -- subject(s): Managed care plans (Medical care), Terminology
Timely Filing Limits for Managed Care
Charles G. Benda has written: 'Managed Care Law' 'Managed care and the law' -- subject(s): Medical personnel, Risk management, Managed care plans (Medical care), Malpractice, Tort liability of managed care plans, Law and legislation, Health facilities
Most managed care plans such as a PPO or HMO are inherently set up in this fashion already because you transfer your right of assignment to the provider for performing the service so the insurer pays them for the service rendered. Opposite to this would be an indemnity plan where the insured person pays for the service and then gets reimbursed by the insurance company.
The purpose for managed care plans is to reduce the cost of health care services by stimulating competition and streamlining administration.
The managed care era began in the late 1980s in response to skyrocketing health care costs, which stemmed from a number of sources.
members of managed care programs typically have less freedom to choose their health care providers, thus limiting the plan member's control over the quality and delivery of care in a managed system.