MHA 622 Week 6 Disc 1 Tasha

Select three common models of managed health care organizations as discussed in Chapter 24. Identify the pros and cons for each chosen model. Give suggestions to strengthen the weaknesses of the chosen models.

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There are different models of managed health care organizations. I chose three that I consider to be the most popular. Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Health Maintenance Organizations (HMOs), utilize the in-net-work system in which the selection of a primary care physician (PCP) is required to receive the coverage. The selected PCP is responsible for managing the patient’s health care needs and, if access to a specialist, testing, outpatient procedures are required, he must provide a referral, so these services can be covered. HMOs are available at a much lower monthly cost and normally do not carry any deductibles or coinsurance amounts. Disadvantages include that there are no

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