Managed Care

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According to Asgari, Ray, Geier, & Quesenberry (2017), managed care is health insurance contracted with health providers aiming to reduce the cost of services for the members. Here, health insurance organizations create a legal agreement with providers, including physicians, practitioners, nurses, specialists, and hospitals, to provide care for the patient. Further, this care is divided into three options of insurance, including preferred provider organizations (PPO), health maintenance organization (HMO), and point of service (POS). Other plans include independent practice association (IPA) and private free-for-service (PFFS). Members of the managed care providers must meet the exact quality standards of quality standards.

On the other hand, patient-centered care is the practice that focuses on providing quality to individual care in consideration to their respective families. These practices involve listening, informing, and consists of the patient in the care process. While patient-centered care focuses on the outcome, managed care was designed to focus on reducing the cost of health. As a result, the quality of care may be put to jeopardy. Managed care focuses on reducing costs and does not focus on patient outcomes. However, these factors may vary since healthcare is focused on creating quality care for all.

Consequently, managed care may affect patient-centered care in regards to creating quality of service but may be affordable for the less fortunate. Therefore these two systems may complement each other in creating better healthcare for the public in terms of cost and quality of care. Here managed care can help reduce the high cost that is usually witnessed while patient-centered care focuses on providing quality services, resulting in result-oriented care. Therefore, while doctors and nurses in a managed system may focus on the cost and prices, they are advised to check the quality of health care.

References

Asgari, M. M., Ray, G. T., Geier, J. L., & Quesenberry, C. P. (2017). Malignancy rates in a large cohort of patients with systemically treated psoriasis in a managed care population. Journal of the American Academy of Dermatology, 76(4), 632-638.