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who wins witherisa

The system of managed care began in the United States in the early 1900s, in an effort "to provide coordinated health care in a cost-effective way"(Amer. Assoc. of Retired Persons). Until recently," managed care has emerged from the shadows to become the dominant form of health insurance and delivery," succeeding the older fee-for-service program (Zelman and Berenson 2). Today, about 160 million Americans are enrolled in some kind of managed care plan. Managed care "has made health care more affordable andmore accessible for Americans. But sometimes cost

cutting can lead to lower standards" (Clinton 1).

Because managed care plans provide medical care to

their members at a fixed rate, there is a substantial

limit to the medical care each member can receive.

Under this system of prepayment, managed care

organizations (MCOs) can profit off every dollar of

revenue that is not directly spent on patient care.

This produces the problem of incentives, or

temptations for MCOs not to provide sufficient medical

care to their members, all too often resulting in

tragedy (Fox, et al. 56). This problem explicitly


aspect of the bill is that it would allow patients to

reasons to believe that expanded liability will force

Health costs have continually risen over the last

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*http://www.apa.org/practice/erisa.html*

expendable to the actual income. This tax alleviation

consumers would "have substantially less choice among



Some common words found in the essay are:
Patient Advocacy, Zelman Berenson, Revenue Code, Franklin Indiana, Bill Rights, Psych Assoc, United Healthcare, Rights MCOs, Security Act, Arg Liability, managed care, health care, health insurance, april 1999, 21 april 1999, 21 april, managed care organizations, care organizations, bill rights, patients' bill, health plans, patients' bill rights, care reform, income security act, employment retirement income,
Approximate Word count = 2649
Approximate Pages = 11 (250 words per page double spaced)


  

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