Health and Managed Care

over repoint\nHealth c ar is chop-chop changing in the unite States. Not only argon providers being reimbursed divers(prenominal)ly; patients are being treated differently. This is repayable the failed wellness make do spoken language constitution known as Fee for servicing. Fee for Service reimbursement is based on the assertion that wellness concern is provided in a set of classifiable and individual units of services. Many are hopefully that the health grapple talking to system of managed sympathize with will be the answers to our failed system. Managed fright is detailed and can be complicated, however the work smart, not hard phrase I am sure we moderate all heard, applies to the new delivery system. Many health trouble providers are not coif for this huge transition and about are trying to repeal it, however some providers produce decided to take charge and have been preparing for a huge time.\n\nManaged care is a system that is based off of timbre and cost effectiveness of health care delivery. Many different chemical elements are required to chance on this goal. The most essential element of managed care is the primary care provider, also known as the PCP or ostiarius of the patients health care. The PCP was given the gouge name The Gatekeeper because some(prenominal) managed care plans require members to feel approval before receiving real services. This was put in mall by insurance carriers in order to prevent members from obtaining uncalled-for services. (Concepts: Health Determinants) \n\nAnother regularity insurance carriers use to find out their members are receiving quality health care is by pass financial incentives. These incentives are fixed by HEDIS (Healthcare potence entropy and Information ready) Scores. The Healthcare Effectiveness Data and Information Set is a widely utilize set of health care performance measures that is developed and maintain by the National direction for Quality Assurance. P reventative examinations and screenings much(prenominal) as colorectal genus Cancer screenings, eye exams, and mam...