Assignment: DHA 721 Economic Impact of Managed Care Reform on the Healthcare Market Paper

Assignment: DHA 721 Economic Impact of Managed Care Reform on the Healthcare Market Paper

DHA 721 WEEK 8 Economic Impact of Managed Care Reform on the Healthcare Market Paper
The concept of managed care and the Health Maintenance Organization (HMO) has been evolving since the early 1970s and has significantly impacted the delivery of health and medical care in the United States.

Write a 1,050- to 1,400-word paper addressing the following:

Define managed care and briefly describe the different types of managed care models and key characteristics of an HMO.
Assess the economic impact of implementing managed care since the introduction of the 1973 HMO Act.
Explain how consumer and provider incentives work to achieve cost reduction, improved resource allocation, and return on investment (ROI) in a managed care environment.
Explain the economic impact of alternative provider payment methods on HMO performance.
Assignment: DHA 721 Economic Impact of Managed Care Reform on the Healthcare Market PaperCompare and contrast the effects of HMOs with the effects of fee-for-services on resources used and quality of care.
Distinguish between employer and individual use of information on managed care health plan performance.
Discuss the rationale and potential implications and consequences of moving from a volume-based to value-based healthcare delivery system.
Include at least 10 current peer-reviewed articles in your paper.

Format your assignment according to APA guidelines.

Submit to the Assignment Files tab.

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What this report finds: Rapid growth in the cost of U.S. health care has put sustained downward pressure on wages and incomes. This rapid growth of spending has not purchased notably high-quality care, however. U.S. spending on health care is higher than in peer countries, while quality is lower. These high costs cannot be attributed to overuse of health care in America; instead, it is clear that the high price of health care is the culprit. Prices for pharmaceuticals, physician salaries, and medical procedures are almost uniformly higher in the U.S. than in peer countries—sometimes staggeringly so.

Assignment: DHA 721 Economic Impact of Managed Care Reform on the Healthcare Market PaperWhy it matters: Rising premiums, out-of-pocket costs, and public health spending are crowding out income gains and spending on other goods and services. Meanwhile, our health care system ranks low on measures of equity and quality relative to peer countries. Recognizing the role of health care prices in driving health spending is crucial: Efforts to contain costs by controlling use are not only economically inefficient but also dangerous—leading to decreases in medically indicated and preventive care that would improve health outcomes for Americans and that is more cost efficient in the long run.

What can be done about it: Policymakers need to focus on controlling health care prices, not restricting use. While much attention has understandably focused on the ambitious vision of adopting a “single-payer” or “Medicare-for-all” plan, there are steps policymakers could adopt in the nearer term that would allow many of the virtues of single-payer to be realized more quickly and that could serve as useful stepping stones to even more ambitious reform:

Extend already existing public plans and incorporate a “public option” into ACA exchanges.
Adopt “all-payer rates”—mandating that the same prices apply regardless of who is paying—to allow private insurers to benefit from the bargaining power of Medicare.
Assignment: DHA 721 Economic Impact of Managed Care Reform on the Healthcare Market PaperPursue policies that would diminish the intellectual property rights monopolies of key health care sectors, like pharmaceutical companies.
Increase antitrust scrutiny of consolidation of hospitals and physician networks.