Managed care system has been developed with a view to mitigate the emerging challenges associated with the complex healthcare industry. It assists in cost saving, providing reimbursement and ascertaining improvement of the quality aspect. In fact, it is revealed that before the development of managed care, the clinicians mainly practiced medicines without considering the cost being incurred. With the establishment of managed care, cost and necessity, both are considered to be an important part associated with the healthcare industry (Bergman & Homer, 1988). The Challenges and Problems Associated With Managed Care in America The spread of managed care within the US reflects the healthcare system being undertaken by the American public and the policymakers.
It has been further explained that challenges with respect to the managed healthcare system take into account both the professionals and the providers. The significant areas pertaining to the healthcare industry that face the challenge of managed care include ethical, legal and regulatory issues. In fact, an in-depth analysis along with observations has further revealed that the managed care system is reducing the inclusion of latest technology in the healthcare sector.
Apart from this, it has also been depicted that managed care at times worsens the relationship between the patients and the professionals. Besides, this particular healthcare system has greatly interfered in the personal preference of the patients in case of medical treatment. The implementation of managed care has hampered a patient’s ability to choose and select the professionals of own preference. In this regard, if the patient receives treatment from the preferred professional, he/she is likely to gain confidence on the treatment and the entire process would be effective.
Moreover, the provider or the patients become competent enough to undergo a treatment plan. Managed care creates a hurdle in the execution of effective communication among the physicians and the patients. Further researches have also revealed that managed care limits the treatment of the professionals. It also limits the ability of the doctors with respect to referring to the specialist. By extensively interfering within the process of treatment, it limits a patient’s trust upon the doctors. Another vital issue that managed care faces can be determined to be the scheme associated with the salaried employees.
In accordance with this scheme, it rewards the professionals along with the hospitals for limiting the provisions related to medical services that lays an impact on the area of interest.
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