There are many kinds of managed care plans—an alphabet soup—for example, with PSOs, PPOs, and HMOs the most prominent. Managed care plans use a number of techniques. Some of them are directed at physician behavior. Others are directed at subscribers to the plan.
What do you believe to be the major obstacle to access in managed care? Be sure to provide support for your position.
Discuss some of the ethical concerns and what you would do about the ones you discussed.
Use these references
Higgins, W. (2000). Ethical guidance in the era of managed care: An analysis of the american college of healthcare executives’ code of ethics. Journal of Healthcare Management / American College of Healthcare Executives, 45(1), 32-45. doi:10.1097/00115514-200001000-00009
Burns, M. E. (2009). Medicaid managed care and health care access for adult beneficiaries with disabilities. Health Services Research, 44(5 Pt 1), 1521-1541. doi:10.1111/j.1475-6773.2009.00991.x
Gurley, K. L., Wolfe, R. E., Burstein, J. L., Edlow, J. A., Hill, J. F., & Grossman, S. A. (2016). Use of Physician Concerns and Patient Complaints as Quality Assurance Markers in Emergency Medicine. Western Journal of Emergency Medicine, 17(6), 749.