Rational Of Reimbursement Systems
Rational of Reimbursement Systems
Introduction
"Managed care was to be the solution to the health care cost crises, a solution that would bring the out-of-control monster under control" (Goff, 1999, p. 25). Mosby's Medical, Nursing, & Allied Health Dictionary defines managed care as "a health care system in which there is administrative control over primary health care services in a medical group practice. Redundant facilities and services are eliminated and costs are reduced. Health education and preventive medicine are emphasized" (1998). Health maintenance organizations (HMO) are traditionally thought of as the original managed care system although most insurance companies now employ many of the concepts of managed care. Managed care concepts have been adopted because to a large degree they work. "Managing, or at least controlling, the process of care delivery has consistently proven to be more cost-effective than the traditional "unmanaged care" approach, which has led......
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Approximate Word Count: 1149
Approximate Pages: 5 (250 words per double-spaced page)
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