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Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

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 limited...

Secondary Healthcare System

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

Issues And Trends In Healthcare Delivery System

Issues And Trends In Healthcare Delivery System

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.
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Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

Methods of Documentation VI: Case Management Model

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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.
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Nursing Clinical Information System

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A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

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Published on: January 20, 2019

Practical implementation of globally priced episodes of care: lessons learned from Oxford's specialty management

¹Zoadigm Health Systems, Inc., Sandy, UT, USA.

Managed Care Quarterly

|October 28, 1999

Summary

Global fees offer efficient risk allocation for healthcare payers, balancing cost control with patient choice. This approach, though abandoned by Oxford Health Plans, provides valuable insights for future contracting strategies.

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Last Updated: Jul 13, 2026

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Area of Science:

Healthcare economics
Health insurance policy

Background:

Payers seek efficient risk allocation and patient choice.
Capitated delivery systems are declining.
Oxford Health Plans initiated a global fees program in 1996.

Purpose of the Study:

To inform payers about implementing global fees.
To provide insights from Oxford Health Plans' experience.

Main Methods:

Case study of Oxford Health Plans' global fees initiative.
Analysis of the rationale behind global fee implementation.

Main Results:

Global fees aim to improve risk allocation and accommodate patient choice.
Oxford Health Plans' program was discontinued due to external factors.

Conclusions:

Global fees represent a viable contracting strategy for healthcare payers.
Lessons learned from Oxford's experience can guide future implementations.