Health insurance began in the early part of the twentieth century as a means to

Question

Health insurance began in the early part of the twentieth century as a means to protect an organization's assets, either its financial assets or its manpower. Since the early days, health insurance evolved into a system of managed care in order to control issues such as overutilization, skyrocketing costs, limited restrictions, and low-quality care. Using the Internet, search for articles on health insurance and managed care. Based on your research, summarize your findings and answer the following questions:

Analyze the public policy and market forces leading to the growth of managed care.

Analyze the current trends in managed care and its future in the context of health care reforms.

Explanation / Answer

Health insurance begin in the early part of twentieth century as a means to protect organizational assets, either its financial assets or manpower. since the early days, health insurance evolved into a system of managed care in order to control issues such as overutilization, skyrocketing costs, limited restrictions, and low-quality care.

After my research,it was observed that higher levels of local managed-care penetration are associated with substantial increase in consolidation in hospital and physician markets. In the physical market place, we estimate that at the mean, managed care resulted in a 14% point decrease of physicians in solo practice between 1986 and 1995. This indicates a decrease in the percentage of doctors in solo practice from 38% in 1986 to 24% by 1995.

The system of health care that replaced the fee-for-service system was known as managed care. Managed care differed from fee-for-service medicine in that managed care was pre-paid, more co-ordinated and paid much more attention to the economics of medicine.

As a result of consumer demands, many managed care organizations began to offer different managed care plans. Managed care completely altered the practices of both generalist and specialist physicians. Although generalists were no longer finding themselves, specialists have seen major decrases in their earnings because managed care has put the squeeze on many of their procedures.this is the current trend in managed care and health care reforms.

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