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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

1.0K
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
1.0K
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

1.7K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
1.7K
Standards of Care I01:22

Standards of Care I

1.3K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.3K
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

4.5K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.5K
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

6.4K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.4K

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Related Experiment Video

Updated: Mar 21, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

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Can managed-care concepts work for Medicaid?

J G Wiehl1

  • 1Sonnenschein Nath & Rosenthal, St. Louis, MO.

Journal of Health Care Benefits
|August 6, 1993
PubMed
Summary
This summary is machine-generated.

Managed care strategies can control rising Medicaid health costs. Key legal issues like eligibility, benefits, and antitrust must be addressed for successful implementation.

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Area of Science:

  • Health economics
  • Public health policy
  • Healthcare law

Background:

  • Rising healthcare expenditures present a significant challenge within the Medicaid program.
  • Managed care models offer potential solutions for cost containment in public health insurance.
  • Understanding the legal landscape is crucial for implementing effective managed care in Medicaid.

Purpose of the Study:

  • To evaluate the feasibility of managed care in controlling Medicaid costs.
  • To identify critical legal considerations for managed care in the Medicaid market.
  • To analyze the impact of legal frameworks on cost-control strategies.

Main Methods:

  • Review of existing literature on managed care in public health insurance.
  • Analysis of legal statutes and regulations pertaining to Medicaid.
  • Examination of antitrust laws and safe-harbor provisions relevant to healthcare markets.

Main Results:

  • Managed care can be a viable tool for managing Medicaid costs.
  • Eligibility and benefits standards require careful legal navigation.
  • Antitrust considerations and safe-harbor rules are paramount for program design.

Conclusions:

  • Successful implementation of managed care in Medicaid hinges on addressing complex legal issues.
  • Policy development must integrate legal safeguards to ensure cost control and program integrity.
  • Further research into specific legal mechanisms is warranted.