Monday, March 18, 2019
student :: essays research papers fc
I believe managed c ar plans do not provide reportage for the necessary duration of hospital stays. Most managed attention plans, particularly HMOs, are run by for-profit companies. These for-profits are constantly looking for ways to sunburn costs and increase their market share. Managed solicitude plans limit choice of physicians and health care facilities and tightly control both the utilization of services and the sum up charged for these services. In many plans, a set fee per psyche/per month is negotiated between health care purchasers and providers. This rate is the same no matter how much or how little care a soul receives. This can encourage incomplete advice and inadequate treatment, as in the result of the duration of a hospital stay. Most hospital procedures and surgeries, both outpatient and inpatient, consume prior approval. Most plans may require that certain procedures and surgeries be through on an outpatient basis in order to be paid for by the plan. Basic ally, managed care plans cuts the duration of a hospital stay form the wonted(prenominal) post-procedure stay period by discharging them home early. For inpatient hospital care, managed care plans often require prior approval to limit the number of age they will pay for your child to stay in the hospital. Coverage for overnight stays requires approval by the managed care plan. (Your Managed Care) If longer stay or duration is unavoidable in a hospital, you will be needed to require lengthy appeals and numerous referrals. Without such approval, you may be prudent for part or all of the hospital and physician charges, thus effectively limiting the length of hospital stay.Not only are patients universe pressured/forced into limiting their duration of stay in a hospital, moreover lately physicians are also facing pressure from managed care plans to set out costs of treatments to gain a bigger profit margin. For example until 1996, doctors were allowing a brand-new mother to st ay for as little in a hospital post pregnancy as dictated by managed care plans, until a federal mandate put a minimum and gave new mothers at least 48 hours in the hospital. (Wehrwein 1997) Managed care organizations are offering incentives to doctor changes normal procedures and length of stays to limit expense. Procedures that are simpler or require less time, work are done, over more red-brick better suited for patient procedures. Managed care organizations are primarily unhinged about controlling costs, and they see that having doctors perform procedures and treatments that require the least tote up of hospital stay as more efficient.
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