Managed Care Essay Example | Topics and Well Written Essays - 3000 words

Managed Care - Essay Exampleemerged in this modern world and the employers in the present day context get involved in making as well as executing an effective plan with utmost center on on paying agiotages. These premiums are paid by the workers in the contour line of deductibles, copayments as well as through contribution. It has been apparently recognized that this changed system of health care has transformed the investment pattern of the employees. In the year 2013, highest number of employees was recorded to be enrolling in the Preferred Provider Organization (PPO) plans. The same has been illustrated in the form of the following chartManaged care has proved its dominance in providing qualified health plans with the aid of different health insurance organizations. Specially mentioning, there is a need to follow the rules that are provided under the Affordable Care Act. The ACA prescribed system of medical loss is noted to be limiting the percentage of premium revenue for enha ncing its use for administration, marketing as well as attaining maximum profit. However, to increase the transparency within the system, more regulations are required to be integrated by the respective government. To increase the competition within the firmament of healthcare aid, there are various additional developments being initiated to incorporate within the domain of healthcare based operations. This competitive edge is being developed with the notion to enhance the control over the premium rate fluctuations (Shi & Singh, 2011).ACA visualizes that Consumer Operated and Oriented Plans (CO-OPs) will be developed based on finances received from the federal government. This type of plans is available in small numbers within the US Medicaid services. CO-OPs started operating as nonprofit making organizations following the developments much(prenominal) as the Health Maintenance Organization (HMO) and PPO. CO-OPs are even structured based on standard models of such organizations that have been already active within Medicaid