Managed Care

Managed Care

Around 1960 Managed care was introduced into the United States due to overwhelming costs for insurance and health services.   At this time it became necessary to implement new procedures as most individuals were unable to pay for services.   Doctors, hospitals, and other facilities were not conscientious of the costs or services provided to their patients.   During this time, these facilities were just expecting insurances to cover whatever charges they approved thus making these services way too costly for insurance companies and would eventually cause bankruptcy.  
Today most individuals participate in a managed care plan.   Most managed care plans are offered through an individual’s employer.   There are different types of managed care plans however, they are all trying to achieve the same goal, to lower health care costs for everyone.  
As with everything in life there are pros and cons.   For the consumer of a managed care plan the biggest pro is to receive medical care at a rate in which they can afford.   The con of managed care to the consumer is that the individual must select their primary care giver from a list of pre authorized doctors working with the insurance company providing the plan.  
Caregivers working with managed care also have pros and cons.   The biggest pro for these individuals is a stable income with no overhead costs for the facility.   However the biggest con for caregivers working with managed care is that they lose their independence.  
There are many different options caregivers can choose to participate in.   This allows them to work with the flexibility of choosing the option that best suits their personal needs.   Personally from a caregiver’s perspective I would prefer to work with the PPO plan.   With this option the provider will treat patients with this type of insurance coverage while also allowing them to treat other patients not on the plan.   The PPO plan in my opinion is the best of both worlds.   The caregiver receives...