Health Care Essay Paper on Managed Healthcare

Managed Health Care

The focus on achieving better health care and wellbeing of the global population has been one of the relaying cry of healthcare policy leaders and various scientific scholars. Until recently, the constantly revolving population managed to design health care plan model aimed at achieving consumer oriented managed health. The managed healthcare strategy takes a proactive approach and presents a whole new way of identifying and managing healthcare. The approach provides a pack of iceberg that has lead to its priority and greater impact thus leading to greater success with limited flaws(Managed healthcare – quarterly update, 2010).

Pros and Cons of Managed Healthcare

A descriptive, cross-sectional survey that was conducted across all the managed healthcare penetration markets reveals that there are significant positive impacts of managed healthcare. The positive aspects of the managed care have affected the role of the healthcare professionals and the structure of the patient services. This evolution has helped to achieve its primary advantages such as to improve the general medical quality outcome in a cost effective manner. These pros have been realized through constant emphasize on the preventive care, reduced number f unnecessary procedures and coordinating the process of delivering services. These procedures provide the patient with the ability to access the medical services at the lowest cost (Tietze, 2003).  However, this literature notes with a lot of concern some of cons that are often embedded in managed healthcare provision.  In most circumstances, the healthcare management plan often operates min a rigid framework in relation to the choice of healthcare providers. The only recourse that is always presented to access the external service is to pay out the full expense. This rigid trend limits a patient to access preferred external medical services. One more criticism that limits this form healthcare provision is its strictness in approval for the services to commerce. The procedure sometimes takes longer time and causes quite a number of inconveniences to the busy schedules of the healthcare providers (Schaich, 1998).

SWOT analysis

Based on the above pros and constraints presented in the managed healthcare, a collaborative movement based on goodwill alone is further essential to explore the various available opportunities available within the medical fraternity. Since the regulation of the managed healthcare plans is operated by the state, it is the primary mandate for the federal government to encourage the broad population to invest in the plan. Despite the available benefits and opportunities for managed healthcare, its goals still does not translate promptly to the public health goals. Critical analysis reveals that managed care operation decisions and activities are influenced by various stallholders health care provides yet they are eliminated during the planning and implementation of the various crucial issues pertaining to the plan. The state has also extended an obstacle of essential data sharing yet this is a potential resource that could be used to enhance the managed care plans and public health activities. These key aspects should be considerately linked up through the appropriate channels in order to achieve the desired managed care success results (Managed healthcare – quarterly update, 2009).

Innovation

Innovation continues to be one of the critical elements and driving factor in the quest to achieve healthcare quality and balance.  The technological innovations trends have provided vast opportunity in the delivery of quality managed healthcare. Several technological trends such as digital information, nanotechnology and genetic engineering, are making old assumptions invalid and revolutionizing the healthcare sector in a greater way. All these forms of proliferating innovation trends aims at providing enhanced life expectancy prompt diagnostic and treatment options as well as cost effective and efficient healthcare system (Schaich, 1998).

Governance

The managed healthcare environment is one of the turbulent and complex management environments. This is due to its various forms of challenges it usually faces. As an integrated medical delivery system, the available governance structure must be mandated and responsible for both the internal and external players. Furthermore, they require carrying out both social and economic responsibilities in order to meet the healthcare goals.  One of the key governing structures that have been outlaid is the Integrated Delivery System Networks (IDS/Ns). The alignment is believed to encourage cooperation between the health plans, hospitals and physicians. Broad analysis reveals that the stakeholders such as patients, providers and practitioners are of great importance to the existence of the plan. The modern concept of IDS/Ns governing structure ensures that all the multi-hospital system and its services are delivered to patients through the medical providers and practitioners without any unnecessary inconveniences (Managed healthcare – quarterly update, 2010).

Recommendation and Conclusion

Based on the findings of the study, it is evidently clear that the managed healthcare system allows various opportunities for provision of cost effective medical services. However, it still contains several flaws that require strategies that intersect between the available demographic trend and patient–oriented approaches for medical provision. These strategies would make the managed healthcare plan the best organized system of medical care delivery that meets community needs across all nations.

References

Tietze, M. F., & Sinha, S. K. (2003). Impact of managed care on healthcare delivery practices: The perception of healthcare administrators and clinical practitioners / practitioner application. Journal of Healthcare Management, 48(5), 311-21; discussion 321-2. Retrieved from http://search.proquest.com/docview/206731941?accountid=1611

Schaich, R. L. (1998). Managed health: The new frontier in healthcare delivery. Managed Healthcare, 8(1), 22-26. Retrieved from http://search.proquest.com/docview/212616110?accountid=1611

Managed healthcare – quarterly update 10/18/2010. (2010). Austin: Hoover’s Inc. Retrieved from http://search.proquest.com/docview/759010214?accountid=1611

Managed healthcare – quarterly update 9/28/2009. (2009). Austin: Hoover’s Inc. Retrieved from http://search.proquest.com/docview/192459158?accountid=1611