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https://www.ncbi.nlm.nih.gov/books/NBK221227/
The resources of the health care delivery system are not balanced well enough to provide patient-centered care, to address the complex health care demands of an aging population, to absorb normal spikes in demand for urgent care, and to manage a large …
https://www.ncbi.nlm.nih.gov/books/NBK232633/
Primary care is the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community (Institute of …Author: Molla S. Donaldson, Karl D. Yordy, Kathleen N. Lohr, Neal A. Vanselow
https://www.moneycrashers.com/importance-medicare-impacts-healthcare-budget/
Medicare is one of the largest health insurance programs in the world, accounting for 20% of healthcare expenditures, one-eighth of the Federal Budget, and more than 3% of the Nation’s Gross Domestic Product (GDP). Its impact upon healthcare, the economy, and American life generally has been significant: 1. Financial Benefit to the Elderly
https://casemanagementstudyguide.com/ccm-knowledge-domains/healthcare-management-delivery/healthcare-delivery-systems/
CCMC Glossary of Terms Related to Healthcare Delivery Systems. Exclusive Provider Organization (EPO): A managed care plan that provides benefits only if care is rendered by providers within a specific network. Health Maintenance Organization (HMO): An organization that provides or arranges for coverage of designated health services needed by ...
https://searchhealthit.techtarget.com/tutorial/How-the-accountable-care-organization-will-impact-health-IT-strategy
Nov 28, 2011 · ACO, short for accountable care organization, is a small acronym making a large splash in the health care industry. With the prospect of better, more coordinated care for patients and reduced costs, the ACO model -- a main component of President Barack Obama's health care reform -- is gaining much traction given the nation's $2.5 trillion investment in health care.Author: Craig Byer
https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10-331
Dec 07, 2010 · How doctors perceive managed care tools and incentives is not well known. We assessed doctors' opinions about the expected impact of eight managed care tools on quality of care, control of health care costs, professional autonomy and relations with patients. Mail survey of doctors (N = 1546) in Geneva, Switzerland. Respondents were asked to rate the impact of 8 managed care tools on 4 …Author: Marie Alice Deom, Thomas Agoritsas, Patrick Bovier, Thomas Perneger
https://quizlet.com/94278715/mi-chapter-3-flash-cards/
Health care is provided in an HMO-owned center or satellite clinc or by physicians who belong to a specially formed medical group that serves the HMO. open-panel HMO Health care is provided by individuals who are not employees of the HMO or who do not brlong to a specially formed medical group that serves the HMO.
https://www.commonwealthfund.org/publications/fund-reports/2014/apr/role-medicaid-managed-care-health-delivery-system-innovation
State policymakers are increasingly looking to Medicaid managed care as a key strategy to manage costs and encourage innovation in health care delivery. This study was designed to assess health care providers’ perceptions of the impact of Medicaid managed care on service delivery.
https://www.nuemd.com/blog/health-maintenance-organization-hmo-look-managed-care
Jun 23, 2014 · The primary care physician acts as a “gatekeeper” in that s/he refers patients to specialists. Additionally, patients who belong to an HMO are required to obtain health care at specific facilities and/or from specific providers who are under contract and have agreed to adhere to the HMO’s guidelines and restrictions.
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.10.4.161
The Impact Of State Laws On Managed Care. Paul P. Cooper ... beneficiary to opt out of the HMO delivery system at the time of service. ... alternative for structuring health care delivery in a ...Author: Paul P. Cooper, Kylanne Green
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