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For the past few years there has been much controversy regarding the issue of health maintenance organizations (HMOs) and their treatment of patients. There are many problems occurring within this type of system and not nearly enough solutions. This paper will point out some of the major problems with health care in the United States and discuss some possible solutions for the future. The most important thing to understand is the way in which managed care actually works. It is a health care network where costs are restricted through utilization management. In this case, a primary care provider serves as the arranger for access to specialty care. Patients do not seek help from the specialists themselves. Instead the primary provider is left responsible for finding a more reasonable doctor at a more reasonable price. Most of the time physicians within managed care systems are paid as employees or receive a flat fee per patient per year. Patients using managed care systems usually have the option of choosing a primary care provider within the network, or paying an additional “out-of-pocket” expense to choose their own provider outside of the network. Both HMOs, and PPOs (preferred provider organizations) are examples of
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Some common words found in the essay are:
Cynthia Herdrich, HMOs PPOs, , Herdrich HMO, Stakeholder Analysis, managed care, Kenneth Goodpaster, health care, care systems, managed care systems, care plans, insurance company, managed care plans, cynthia herdrich, affordable health care, amount people, affordable health, doctor hmo, primary care, primary care provider,
Approximate Word count = 1251
Approximate Pages = 5 (250 words per page double spaced)
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